Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: new onset chest pain with activity for 3-4 months w/+ stress test major surgical or invasive procedure: coronary artery disease s/p coronary artery bypass graft x 3 (lima-lad, svg-ri, svg-pda) history of present illness: 46 yo male with asthma, hyperlipidemia, and positive family history of cad who has had 3-4 months of chest pain that radiated to left arm and jaw w/ activity. had positive stress test w/ dr. . had left heart catheterization w/ 3 vessel disease. past medical history: asthma, hypertension, hyperlipidemia social history: lives with wife and 2 children. works in softwear field. non- smoker, non- drinker. family history: father + cad physical exam: physical exam pulse: resp: o2 sat: b/p right: left: height: 5' 6" weight: 77.10 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: mynx device left: +2 dp right: +2 left:+2 pt : +2 left:+2 radial right: +2 left:+2 carotid bruit none right: +2 left:+2 pertinent results: 05:15pm pt-12.8 ptt-31.8 inr(pt)-1.1 05:15pm plt count-261 05:15pm wbc-6.4 rbc-4.72 hgb-14.8 hct-43.4 mcv-92 mch-31.3 mchc-34.1 rdw-12.5 05:15pm %hba1c-5.5 05:15pm albumin-4.7 magnesium-2.4 05:15pm alt(sgpt)-31 ast(sgot)-19 ld(ldh)-157 alk phos-64 amylase-68 tot bili-0.6 05:15pm glucose-92 urea n-12 creat-1.2 sodium-142 potassium-4.6 chloride-106 total co2-27 anion gap-14 09:47pm urine rbc-0-2 wbc-0-2 bacteria-none yeast-none epi-0-2 09:47pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 03:58pm blood wbc-7.8 rbc-3.44* hgb-10.5* hct-30.8* mcv-90 mch-30.5 mchc-34.0 rdw-13.6 plt ct-266# 03:58pm blood plt ct-266# 12:32pm blood pt-14.3* ptt-39.5* inr(pt)-1.2* 05:46am blood glucose-98 urean-11 creat-1.1 na-140 k-4.5 cl-106 hco3-27 angap-12 final report pa and lateral chest from history: question interval change after cabg. impression: pa and lateral chest compared to and 19: small bilateral pleural effusions have probably increased since . no pneumothorax. moderate bibasilar atelectasis, left greater than right, slightly improved. the lungs are clear of pneumonia or edema. there may be bronchiectasis in the right middle lung, not an acute finding. cardiomediastinal silhouette has a normal postoperative appearance. right jugular line ends at the superior cavoatrial junction. no pneumothorax. dr. echo findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: trace ar. mitral valve: trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pe-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. trace aortic regurgitation is seen. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: normal biventricular systolic fxn. trace mr . aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md brief hospital course: mr. was admitted to after cardaic cath at mwmc was postive for 3 vessel disease. he remained pain free, was started on iv heparin and was taken to the or on for cabg x3(lima-lad, svg to ri, svg to pda). see operative note for details. he was weaned and extubated and transferred to the step down unit on pod#1. he was started on betablockers, and diuresed toward his pre-op weight. statin therapy was resumed. his chest tubes and pacing wires were removed per protocol. his activity level was gradually advanced and he was evaluated by physical therapy for stength and conditioning prior to discharge to home on pod#4. medications on admission: simvastatin 40', atenolol 25', asa, proair discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours). disp:*qs qs* refills:*0* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. lopressor 50 mg tablet sig: 2.5 tablets po twice a day: please take 125 mg dose which is two tablets and a tablet. disp:*150 tablet(s)* refills:*0* discharge disposition: home with service facility: vna, discharge diagnosis: asthma, hyperlipidemia, hypertension coronary artery disease s/p coronary artery bypass graft x 3 (lima-lad, svg-ri, svg-pda) discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please call to schedule appointments dr in weeks at heart center () primary care dr in weeks cardiologist dr 1-2 weeks heart center () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension asthma, unspecified type, unspecified other and unspecified hyperlipidemia family history of ischemic heart disease 

Answer: The patient is high likely exposed to