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: 1. coronary bypass grafting x4, with the left internal mammary artery to left anterior descending artery, and reverse saphenous vein grafts to the right coronary artery, the first and second obtuse marginal artery. 2. patch closure of secundum atrial septal defect with pericardium. history of present illness: 52 year old male smoker w h/o htn, hyperlipidemia, diabetes and a long history of chest pain. he reports more severe discomfort recently with exertion. on the morning of admission, he developed left sided chest pain associated with sob and diaphoresis as well as bilateral arm weakness after taking out the garbage and climbing a set of stairs. he was admitted to an osh on and ruled in for nstemi with a troponin to 95, and was found to have multi-vessel cad on cath. he is transferred for surgical evaluation. past medical history: coronary artery disease, s/p coronary artery bypass graft x 4 atrial septal defect s/p closure myocardial infarction pmh: diabetes hypertension hyperlipidemia gerd post op afib social history: last dental exam: 7 months ago lives with: wife and son occupation: "disabled" tobacco: 1 ppd etoh: rum, daily family history: father with diabetes and mother has hypertension physical exam: pulse: 79 resp: 18 o2 sat: 100%ra b/p right: left: 159/85 height: 6" weight: 193lb general: nad, wgwn, appears stated age skin: dry intact well-healed lower lumbar scar 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 x pulses: femoral right: 1+ left:1+ dp right: 2+ left:2+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit right: left: no bruits pertinent results: echo: pre bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrium is dilated. a left-to-right shunt across the interatrial septum is seen at rest. a large (2 cm) secundum atrial septal defect is present. the left ventricular cavity size is normal. there is moderate to severe regional left ventricular systolic dysfunction with anterior akinesis, severe septal and anterolateral hypokinesis in the backdrop of moderate global hypokinesis. the base of the lateral wall functions best. the right ventricular free wall is hypertrophied. the right ventricular cavity is dilated with normal free wall contractility. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass: the patient is receiving epinephrine by infusion and is atrially paced. there is normal right ventricular systolic function. the left ventricle displays both improved global function as well as improved function of the septum and anterior walls. the left ventricular ejection fraction is now 40-45%. the interatrial septum is status post placement of a patch. a very small residual left to right shunt across the septum remains. the thoracic aorta is intact after decannulation. no other significant changes from the pre-bypass findings. 05:40am blood wbc-12.5* rbc-3.85* hgb-11.6* hct-34.2* mcv-89 mch-30.2 mchc-34.0 rdw-13.6 plt ct-616* 05:40am blood wbc-11.4* rbc-3.35* hgb-10.4* hct-29.6* mcv-88 mch-30.9 mchc-35.1* rdw-13.4 plt ct-499* 05:40am blood pt-22.2* inr(pt)-2.1* 05:40am blood pt-23.9* inr(pt)-2.2* 04:25am blood pt-25.6* inr(pt)-2.4* 04:30am blood pt-33.9* ptt-35.8* inr(pt)-3.4* 04:13pm blood pt-38.2* inr(pt)-3.9* 04:30am blood pt-26.2* ptt-31.6 inr(pt)-2.5* 12:20am blood pt-13.6* ptt-28.5 inr(pt)-1.2* 03:30am blood pt-13.9* ptt-26.9 inr(pt)-1.2* 01:07am blood pt-14.1* ptt-27.5 inr(pt)-1.2* 05:18am blood pt-14.1* ptt-28.1 inr(pt)-1.2* 05:40am blood urean-15 creat-0.8 na-135 k-4.6 cl-101 05:40am blood urean-17 creat-0.8 na-134 k-4.4 cl-101 04:25am blood glucose-118* urean-17 creat-0.8 na-135 k-4.2 cl-100 hco3-25 angap-14 04:30am blood glucose-120* urean-20 creat-1.0 na-133 k-4.0 cl-96 hco3-28 angap-13 05:40am blood mg-2.1 05:40am blood mg-1.7 04:30am blood mg-2.1 04:30am blood calcium-8.1* phos-3.3 mg-2.2 brief hospital course: mr. was admitted for pre-op workup and plavix washout. he remained stable, receiving medical management while awaiting plavix washout prior to surgery. on he was brought to the operating room where he underwent a coronary artery bypass x 4 and atrial septal defect closure. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later that day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta-blockers and diuretics and gently diuresed towards his pre-op weight. later this day he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. on the evening of post-operative day three he developed flash pulmonary edema and was transferred to the surgical intensive care unit. by the morning he had mental status changes and his po2 began to decrease. by late morning he required intubation with bilateral white-out on his chest radiograph. he began to spike fevers and was pan cultured. a chest/abdomen/pelvis ct which revealed lungs with fluid overload/possible pneumonia. antibiotics were begun and an infectious disease consult was requested. after several days of diuresis and antibiotics his lungs improved and he was extubated. his mental status changes had resolved. he was transferred to the step down floor to complete his antibiotics course. by post-operative day 13 he was ready for discharge to home. all follow-up appointments were advised. medications on admission: medications at home: toprol 100mg daily, metformin 500mg , flexeril 10mg tid prn, hctz 25mg daily, ranitidine 150mg , lisinopril 40mg daily meds on transfer: aspirin 325', famotidine 20mg , folic acid 1mg daily, haldol prn, hctz 25mg, novolog sliding scale, lisinopril 40mg daily, ativan prn 0.5 prn, mag oxide 400mg daily, toprol xl 100mg daily, mvi daily, simvastatin 80mg daily, thiamine hcl 100mg daily, cyclobenzaprine 10mg tid prn, robitussin dm prn, morphine prn, ntg prn, zofran prn, (**plavix on ) discharge medications: 1. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle pain. disp:*60 tablet(s)* refills:*0* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 8. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. warfarin 3 mg tablet sig: one (1) tablet po once (once): dose to change daily for goal inr 2-2.5, managed by dr. ******. disp:*60 tablet(s)* refills:*2* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 11. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400mg daily x 1 week, then 200mg daily until further instructed. disp:*60 tablet(s)* refills:*2* 12. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 13. outpatient lab work labs: pt/inr coumadin for atrial fibrillation goal inr 2-2.5 first draw then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by pcp, . results to phone (**office unavailable on discharge-- will confirm tomorrow**) discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease, s/p coronary artery bypass graft x 4 atrial septal defect s/p closure myocardial infarction pmh: diabetes hypertension hyperlipidemia gerd discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage right forearm with phlebitis- will be d/c on levaquin edema none discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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: you are scheduled for the following appointments: surgeon dr. at 1:15pm cardiologist dr. at 12:30pm in the office please call to schedule the following: primary care dr. , m. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr coumadin for atrial fibrillation goal inr 2-2.5 first draw then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by pcp, . results to phone (**office unavailable on discharge-- will confirm tomorrow**) procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube closed [endoscopic] biopsy of bronchus other and unspecified repair of atrial septal defect diagnoses: pneumonia, organism unspecified other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) hyposmolality and/or hyponatremia atrial fibrillation other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation ostium secundum type atrial septal defect cellulitis and abscess of upper arm and forearm rash and other nonspecific skin eruption phlebitis and thrombophlebitis of superficial veins of upper extremities acute edema of lung, unspecified 

Answer: The patient is high likely exposed to