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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: : osh pci: prox lad 95% occlusion, diffuse disease in circumflex, 100% proxrca lesion, s/p poba, complicated by dissection of the rca, covered with bms. 1. urgent coronary artery bypass graft x5: left internal mammary artery to left anterior descending artery; saphenous vein graft to diagonal obtuse marginal and a sequential saphenous vein grafting to posterior left ventricular branch and the posterior descending artery. 2. endoscopic harvesting of the long saphenous vein. 3. mitral valve repair with size #30 cg future band. history of present illness: mr. is a 61 y.o. male without a known past medical history who presented to with intermittent persistent substernal chest pressure assocaited with epigastric pain, nausea/vomiting x 1 day. patient was in his usual state of health when he began to notice these symptoms the evening prior to presentation. initial ecg showed st elevations in the inferior leads with st depressions in v1-v4. he was started on a heparin gtt, brought emergently to the cath lab, loaded with prasugrel on the table. intraprocedurally, was given infusion of bivalirudin. noted to have prox lad 95% occlusion, diffuse disease in circumflex, 100% proxrca lesion, s/p poba, complicated by dissection of the rca, covered with bms. iabp was placed. right heart cath was performed, showing ci 2.4, svr 1243, pcwp 17. patient was transferred to for evaluation for urgent cabg. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: coronary artery disease, s/p cabg and stent diabetes dyslipidemia hypertension social history: - arrived in the u.s. one week ago. no etoh or tobacco family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: on admission . general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 05:00am blood wbc-10.9 rbc-3.79* hgb-11.2* hct-31.6* mcv-83 mch-29.4 mchc-35.3* rdw-14.1 plt ct-201 04:50am blood wbc-11.6* rbc-3.58* hgb-10.6* hct-29.7* mcv-83 mch-29.7 mchc-35.8* rdw-14.1 plt ct-143* 05:00am blood glucose-99 urean-24* creat-0.8 na-138 k-4.3 cl-99 hco3-30 angap-13 04:50am blood glucose-98 urean-18 creat-0.7 na-136 k-4.1 cl-99 hco3-29 angap-12 admission ekg: sinus rhythm. a-v conduction delay. left axis deviation. left atrial abnormality. possible right atrial abnormality. left ventricular hypertrophy. inferior wall myocardial infarction with 1-2 millimeters of st segment elevation in the inferior leads. one millimeter of sloping st segment depression in high lateral leads. t wave inversions inferolateral leads. no previous tracing available for comparison. . osh cath : prox lad 95% occlusion, diffuse disease in circumflex, 100% proxrca lesion, s/p poba, complicated by dissection of the rca, covered with bms. iabp was placed. right heart cath was performed, showing ci 2.4, svr 1243, pcwp 17. . echo : right atrium/interatrial septum: mildly dilated ra. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. moderately depressed lvef. no resting lvot gradient. right ventricle: normal rv free wall thickness. normal rv chamber size. rv function depressed. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. mildly dilated ascending aorta. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets. normal tricuspid valve supporting structures. no ts. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. normal main pa. no doppler evidence for pda pericardium: no pericardial effusion. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef= 30 %) secondary to severe inferior posterior hypokinesis/akinesis; apex is hypokinetic as well. the right ventricular free wall thickness is normal. right ventricular chamber size is normal. with depressed free wall contractility. the ascending aorta is mildly dilated. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. . cxr : lungs clear without significant effusion or pneumothorax. heart size and pulmonary vascularity is normal. apparent rul opacity is likely superposition of venous and osseous structures. a balloon pump marker is faintly seen superimposed over the t6 spinous process, pulled back roughly 4cm compared wtih prior, now at the level of the carina. intra-op tee conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is moderately depressed (lvef= 30 - 35 %) with marked inferior and apical hk and moderate global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. moderate to severe (3+) central mitral regurgitation is seen. mitral annulus is 4.1 cm. there is no pericardial effusion. post-cpb: the patient is a-paced, on low-dose epinephrine. biventricular systolic fxn is mildly improved, with ef now 35 - 40%. there is a mitral ring repair with trace mr and no leak. residual mean gradient is 4.5 mmhg and area is 2.8 sq cm. no ai. aorta intact. brief hospital course: medical course: 61 y/o male with no known past medical history presenting with inferior stemi s/p poba to 100% prox rca lesion, small dissection with bms placed, prox lad lesion, on iabp. . # stemi: pt initially presenting to osh with chest pain, found to have inferior stemi. s/p poba to 100% prox rca lesion, small dissection with bms placed, prox lad lesion. he was placed on a balloon pump and tranferred to for cabg eval and for repair of dissection. he was evaluated by ct surgery who planned for surgery on . he remained stable on the balloon pump which was subsequently d/c'd on hd#2 given stable pressures. he was continued on asa, plavix, atorva 80mg, and heparin ggt with metoprolol added in once after bps remained stable. of note, he had tte which showed ef 30% with hypokinesis in the inferior posterior region, with 2+ mr. was followed and downtrended. . # pump: pt noted to have ef 30% on echo with severe inferior hypokinesis. clinically patient euvolemic, normal cardiac index, slightly elevated wedge, and no evidence of cardiogenic shock. urine output was appropriate both on and off the pump. . # rhythm: nsr osh cath lab noted 2nd degree av block, however no recording of this and pt remained stable on tele . # social situations: social work consult called. multi-family members giving conflicting report of their relationship to patient. hpc now determined to be nephew. cardiac surgery course: the patient was brought to the operating room on where the patient underwent cabg with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for bms. disp:*30 tablet(s)* refills:*2* 3. 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:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 6. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 7. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease, s/p cabg and stent diabetes dyslipidemia hypertension discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 1+ lower extremity edema bilaterally discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please come to 6 for a wound check appointment on thursday at 11am the following appointments have been made for you: cardiac surgeon: dr. 1:45 phone: cardiologist: dr. , , 12:30pm **call to register prior to your appt. w dr. ** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia acute respiratory failure acute myocardial infarction of other inferior wall, initial episode of care acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to