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: angina and dyspnea major surgical or invasive procedure: cabg x 4 (lima to lad, rima to rca, svg to ramus, svg to om) history of present illness: 65 year old man with a history of stents in the past has in the past three months had a recurrence of his typical anginal symptoms, including jaw discomfort with exertion and belching. this can occur with running up several flights of stairs or when walking briskly. nitroglycerin has been effective in relieving his symptoms. he was referred for a cardiac catheterization and was found to have two vessel diseaes and in-stent restenosis and is now being referred to cardiac surgery for revascularization. past medical history: past medical history: cad s/p multiple pci's of the rca as noted above, prior lad stenting hypertension hyperlipidemia gunshot wound at age 11 s/p surgery s/p removal of benign bladder tumor in , - with continued urinary frequency/discomfort gerd past surgical history: tonsillectomy appendectomy right knee arthroscopes s/p small bowel resection splenectomy s/p turp past cardiac procedures: : 3.0 x 18 mm cypher to ostial rca, 3.0 x 18 cypher to lad : isr of ostial rca s/p cypher stenting : isr of ostial rca s/p ptca and brachytherapy : 99% isr of ostial rca s/p cutting balloon and 3.5 x 15 mm promus stent with residual 30-40% stenosis despite good expansion of the stent. mid lad 40%, proximal cx 60% social history: lives with:wife contact: (wife)phone# occupation: works as a regional manager for maintenance at american airlines cigarettes: smoked no yes other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: premature coronary artery disease- father with cabg in his 60's physical exam: pulse:68 resp:18 o2 sat:99/ra b/p right:156/67 left:148/73 height:5'7" weight:210 lbs general: 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: 2+ left: 2+ pt : dop left: dop radial right: 2+ left: 2+ carotid bruit right: none left: none pertinent results: tee :pre-cpb: the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. a very small patent foramen ovale is present. there is a left to right shunt across the interatrial septum at rest. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricle is mildly dilated with preserved systolic function. there are simple atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) appear mildly thickenedl with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. post-cpb: the lv systolic function remains normal, estimated ef>55%. the shunt across the pfo is now right to left. there are no changes in valvular function. there is no evidence of aortic dissection. dr. was notified in person of the results at time of study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:53 05:50am blood wbc-7.9 rbc-3.05* hgb-8.9* hct-26.7* mcv-87 mch-29.1 mchc-33.3 rdw-14.0 plt ct-191 02:07am blood pt-12.9* ptt-28.1 inr(pt)-1.2* 05:50am blood urean-20 creat-0.7 na-135 k-4.2 cl-99 05:50am blood mg-2.4 brief hospital course: admitted and underwent surgery with dr. . transferred to the cvicu in stable condition in stable condition on titrated phenylephrine and propofol drips. extubated that evening and remained in unit for neo drip wean. transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed per protocol. gently diuresed toward his preop weight. continued to make good progress and was cleared for discharge to home with vna on pod #4. all f/u appts were advised. medications on admission: lipitor 40 mg daily plavix 75 mg daily lisinopril 20 mg daily metoprolol succinate 50 mg daily nitroglycerin 0.4 mg, sublingual- 1 tablet sublingually prn aspirin 325 mg daily plavix - last dose: 75 mg discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. 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:*1* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. disp:*50 tablet(s)* refills:*0* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. isosorbide mononitrate 30 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:*1* 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 9. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 2 weeks. disp:*14 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: , inc. discharge diagnosis: coronary artery disease s/p cabg x 4 cad s/p multiple pci's of the rca as noted above, prior lad stenting hypertension hyperlipidemia gunshot wound at age 11 s/p surgery s/p removal of benign bladder tumor in , - with continued urinary frequency/discomfort gerd discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema ............ 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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. @ 1:00 pm , 2a cardiologist:dr. @ 2:20 pm 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** md procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to