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: sulfa(sulfonamide antibiotics) / methotrexate attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - coronary artery bypass grafting to four vessels. left internal mammary artery to left anterior descending artery, saphenous vein graft (svg) to left posterior descending artery, svg->diagonal artery, svg->obtuse marginal artery) history of present illness: 69 year old male seen by his pcp for worsening dyspnea on exertion. stress test showed st depressions in the inferolateral leads. he was referred to mwmc for cardiac cath. cath revealed multivessel severe coronary artery disease. he was transferred to the for evaluation of coronary revascularization. past medical history: hypertension hyperlipidemia mv prolapse tia '-no residual psoriatic arthritis shingles lyme disease rbbb/lafb heartburn social history: last dental exam:edentulous lives with:wife contact: phone # occupation:works as supervisor in credit collections dept. cigarettes: smoked no yes last cigarette >10yo hx: other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: brother (+)cabg at age 69yo. father (+)mi 40s. physical exam: pulse: 85 resp: 20 o2 sat:100%ra b/p 137/92 height: 5'7.5" weight:198lb general:a&ox3, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ 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: left: pt : 2+ left: radial right: 2+ left:2+ carotid bruit -none right:2+ left:2+ pertinent results: carotid u/s: there is mild homogeneous calcified plaque at the carotid bifurcations bilaterally, but no evidence of a hemodynamically significant stenosis. flow in the vertebral arteries is prograde. . echo pre-cpb: the left atrium is mildly dilated. no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. dr. was notified in person of the results at time of study. post-cpb: the left ventricular systolic function remains normal, estimated ef>55%. the rv systolic function remains normal. the mitral regurgitation remains mild to moderate. other valve function remains unchanged. there is no evidence of dissection. . chest x-ray: a tiny pneumothorax suggested on the films dated at 10 a.m. is not distinctly visualized on the current exam and has likely resolved. no other evidence for pneumothorax is identified. there are small bilateral effusions seen posteriorly and slight blunting of the right costophrenic angle. there is minimal plate-like atelectasis and some patchy retrocardiac density, which has improved in the interim. minimal plate-like atelectasis at the left base is new. cardiomediastinal silhouette is prominent, but slightly improved. sternotomy wires and mediastinal clips noted. there is upper zone re-distribution, without other evidence of chf. . 05:43pm blood wbc-5.9 rbc-4.30* hgb-13.6* hct-37.7* mcv-88 mch-31.7 mchc-36.1* rdw-12.9 plt ct-192 06:30am blood wbc-8.2 rbc-3.26* hgb-10.4* hct-29.1* mcv-89 mch-31.9 mchc-35.7* rdw-13.4 plt ct-131* 05:43pm blood pt-11.5 ptt-31.2 inr(pt)-1.1 02:59pm blood pt-12.4 ptt-33.8 inr(pt)-1.1 05:43pm blood glucose-114* urean-19 creat-0.9 na-137 k-3.8 cl-103 hco3-24 angap-14 04:30am blood glucose-103* urean-22* creat-0.9 na-137 k-3.9 cl-100 hco3-29 angap-12 05:43pm blood alt-21 ast-24 ld(ldh)-149 alkphos-51 amylase-53 totbili-0.4 05:43pm blood %hba1c-5.8 eag-120 brief hospital course: mr. was admitted to the on for further management of his coronary artery disease. he was worked-up in the usual preoperative manner including a carotid ultrasound which showed no evidence of a hemodynamically significant stenosis. heparin was started given his significant disease and coronary anatomy. on mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. he remained on neo through pod #1 this was weaned off by pod#2 and he was started on low dose lopressor. he transferred to floor for further care. chest tubes and epicardial pacing wires were removed per protocol. while on the telemetry floor he continued to make good progress and worked with physical therapy for strength and mobility. on post-op day four he was discharged home with vna services with the appropriate medications and follow-up appointments. medications on admission: asa 81mg daily lisinopril-hydrochlorothiazide 20/12.5mg daily cyclobenzaprine hcl 5mg daily doxazosin 2mg daily 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:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 6. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po q12h (every 12 hours) for 2 weeks. disp:*28 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history: hypertension hyperlipidemia mv prolapse tia '-no residual psoriatic arthritis shingles lyme disease rbbb/lafb heartburn 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 discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) 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. @1pm cardiologist: dr. 11:30am wound check : @ 10am please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia other acquired absence of organ family history of ischemic heart disease personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic diastolic heart failure personal history of colonic polyps right bundle branch block and left anterior fascicular block osteoarthrosis, localized, not specified whether primary or secondary, lower leg psoriatic arthropathy 

Answer: The patient is high likely exposed to