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: erythromycin base / amoxicillin attending: chief complaint: neck tightening major surgical or invasive procedure: coronary artery disease s/p coronary artery bypass graftx4 history of present illness: 47 yo male, known to our service (see h&p from ), who reported neck and throat tightening to his cardiologist during routine follow up. the patient then had an abnormal stress test and was referred for cardiac catheterization. cath revealed three vessel coronary disease and was referred for surgical revascularization. past medical history: gastroesophageal reflux disease, hyperlipidemia, prostatitis, anxiety/depression, ? mitochondrial myopathy psh: tonsillectomy, vasectomy, rt shoulder surgery, rt knee arthroscopic surgery social history: occupation: engineer last dental exam:couple of weeks ago lives with: wife, has 2 children race:caucasian tobacco:quit 25 yrs ago, 15-20 cigs/day x 10 yrs etoh: drinks/month family history: family history: (parents/children/siblings cad < 55 y/o)both parents with stents in their 60s. physical exam: physical exam vitals: see anesthesia note height: 5'" weight: 192 lbs general:alert & oriented x 3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular no murmur or gallops abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:+2 left:+2 dp right:+2 left:+2 pt :+2 left:+2 radial right:+2 left:+2 carotid bruit right:none left:none pertinent results: echocardiography report , h (complete) done at 8:49:28 am preliminary referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 47 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraop cabg icd-9 codes: 440.0, 424.0 test information date/time: at 08:49 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw1-: machine: echocardiographic measurements results measurements normal range left atrium - peak pulm vein s: 0.4 m/s left atrium - peak pulm vein d: 0.3 m/s left atrium - peak pulm vein a: 0.1 m/s < 0.4 m/s left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% to 65% >= 55% left ventricle - lateral peak e': *0.02 m/s > 0.08 m/s left ventricle - ratio e/e': *25 < 15 mitral valve - peak velocity: 0.5 m/sec mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.4 m/sec mitral valve - e/a ratio: 1.25 mitral valve - e wave deceleration time: *103 ms 140-250 ms findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd or pfo by 2d, color doppler or saline contrast with maneuvers. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). trace ar. mitral valve: mildly thickened mitral valve leaflets. no ms. the mr vena contracta is <0.3cm. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. 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. no tee related complications. conclusions pre bypass: the left atrium is normal in size. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). 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 aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post bypass: preserved biventricular function, lvef>55%. cardiac output 7.8 by tee post chest closure. mr . aortic contours intact. remaining exam is . all findings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: mr. was admitted and taken to the or for coronary artery bypass graft x4 (lima-lad, svg to diag, svg to om, svg to pda) on . see operative note for details. admitted to the cvicu intubated and sedated on neo gtt for hemodynamic support. pressor and ventilator were weaned and mr. was extubated the eve of pod 0. his chest tubes and temporary pacing wires were d/c'd per protocol. on pod#1 he was started on betablocker, diuresis and statin therapy. on pod#2 he was transferred to the floor. his betablocker was titrated as tolerated. he was evaluated and treated by physical therapy and cleared for discharge to home on pod#4. medications on admission: fioricet() 1-2 tabs/prn- no more than six per day cyclobenzaprine 10-20mg/prn-muscle spasm, combivent 2p q4/prn lorazepam .5-1.0 /prn, niaspan 2000mg at bedtime 30 minutes after asa, omeprazole 20", pravastatin 20', vitamin c 500", asa 81', coenzyme q10 200qam/100qpm, mvi 1', omega-3 fatty acids 5000', vitamin e 400", plavix-last dose: discharge medications: 1. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezes. 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. lorazepam 0.5 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for anxiety. 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graftx4 gastroesophageal reflux disease, hyperlipidemia, prostatitis, anxiety/depression, ? mitochondrial myopathy psh: tonsillectomy, vasectomy, rt shoulder surgery, rt knee arthroscopic surgery discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () dr. in 1 week dr. in weeks please call for appointments wound check as scheduled by 6 nurses procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux depressive disorder, not elsewhere classified other and unspecified hyperlipidemia anxiety state, unspecified chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to