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: codeine / amoxicillin attending: chief complaint: chest and arm pain major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing left internal mammary to left anterior descending, sequential vein graft to diagonal and obtuse marginal, and vein graft to pda. history of present illness: mr. is a 73 yo male with htn, hypercholesterolemia, mild cad with no prior interventions presents with 3 days of brief episodes of bilateral arm pain and upper chest pain. he has been having these symptoms at home, at rest while watching tv for the past three days. they last about an hour and then resolve on their own. he went to ed on the night of admission as it persisted; there, he received sl ntg with prompt resolution of sx. his ecg showed inferior q's and lateral st-flattening, and the first tn was positive, so he was given asa, started on heparin, and sent to for possible intervention. he says that he had mild chest pain 15 years ago and was found to have cad on a stress test. he was cathed, showing only mild disease, and nothing further was done. a stress test 10 yrs ago appeared the same, no catheterization. he has had no chest pain since then, outside of a intermittent pain years ago that was found to be gerd and has not recurred with medical management. at baseline, he is very active, playing golf, walking; he does not develop chest pain or sob after walking multiple blocks or multiple flights of stairs and, in fact, denies any limits to his phyiscal activity. otherwise, no f/c, ha, lh, sob, cough, abd pain, n/v/d, dysuria/hematuria. in the ed, his heparin drip was continued, an integrilin drip was started, he was given metoprolol and simvastatin. past medical history: -htn -hypercholesterolemia -mild cad found on stress/cath without sx for years, no prior interventions -melanoma s/p excision -gerd with barrett's esophagus -gout -oa, primarily of the neck social history: lives with wife, fully independent in adls. former quality engineer at gte. never smoked but heavy 2nd hand exposure. drank beer occasionally but quit 20yrs ago when developed severe reflux. family history: father died of mi in 90's, mother died of ? ca in 80's, one brother with cabg in 80's, sister with cabg in 70's, another brother with aortic dissection v rupture in his 60's, another sister with cva in 70's, another brother with mi in 60's. physical exam: vitals- t 99.1, bp 120/76, hr 84, rr 12, spo2 96%ra gen- well appearing, pleasant, well-functioning m, looks age, non-tox, nad heent- anicteric, op clear with mmm neck- no jvd/lad/thyromegaly cv- soft, rrr, s1s2, no m/r/g pul- moves air well, no w/r/r abd- soft, nt, nd, nabs, no hsm back- no cva/vert tenderness extrm- no cyanosis/edema, warm/dry nails- no clubbing, no pitting/color changes/indentations neuro- a&ox3, no focal cn/motor/sensory deficits pertinent results: 11:30pm wbc-9.5 rbc-4.43* hgb-14.1 hct-40.5 mcv-92 mch-31.8 mchc-34.7 rdw-14.1 11:30pm neuts-76.0* lymphs-18.6 monos-4.1 eos-1.1 basos-0.1 11:30pm plt count-195 11:30pm pt-13.6* ptt-162.6* inr(pt)-1.2* 11:30pm calcium-9.5 phosphate-2.7 magnesium-1.7 11:30pm glucose-151* urea n-22* creat-1.3* sodium-139 potassium-3.6 chloride-101 total co2-24 anion gap-18 11:30pm ck-mb-47* mb indx-8.8* 11:30pm ctropnt-1.03* 11:30pm ck(cpk)-536* 06:20am ck-mb-81* mb indx-7.5* ctropnt-2.96* 06:20am ck(cpk)-1075* 01:15pm ck-mb-54* mb indx-5.4 ctropnt-3.05* 01:15pm ck(cpk)-1001* 03:34pm %hba1c-5.6 -done -done ekg sinus rhythm. first degree a-v conduction delay. left axis deviation. q waves in the inferior leads consistent with prior infarction cxr impression: no evidence of congestive heart failure or pneumonia 05:38am blood hct-26.4* 05:25am blood wbc-11.7* rbc-3.02* hgb-9.7* hct-28.1* mcv-93 mch-32.1* mchc-34.6 rdw-14.1 plt ct-140* 05:38am blood urean-29* creat-1.6* k-3.4 brief hospital course: on admission, mr. in for a nstemi with positive cardiac enzymes. he was started on intravenous therapy and remained pain free on medical therapy. he underwent cardiac catheterization which revealed severe three vessel coronary artery disease and poor lv function. angiography showed a right dominant system with 80% proximal stenosis in the lad, 70% after first diagonal; 80% proximal circumflex lesion, 90% after first obtuse marginal; and mid occlusion of the rca. left ventriculography showed trace mr and global hk with an lvef of 30%. based on the above results, cardiac surgery was consulted for surgical revascularization. he underwent routine preoperative evaluation and was cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated op note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he maintained stable hemodynamics and all invasive lines were removed. his csru course was routine and he transferred to the sdu on postoperative day one for continued telemetry and further medical management. over several days, he made clinical improvements with diuresis. beta blockade was slowly advanced as tolerated. a routine chest x-ray was notable for tiny left apical pneumothorax. serial chest x-rays showed complete resolution of the pneumothorax. he was noted to have a slight increase in creatinine which remained stable at 1.6. his lasix was decreased to 20 mg po bid for 1 week after discharge. he has remained hemodynamically stable, and ready to be discharged home today, on pod # 5 discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*2* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*60 tablet(s)* refills:*0* 5. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 8. diltia xt 120 mg capsule,degradable cnt release sig: one (1) capsule,degradable cnt release po once a day. disp:*30 capsule,degradable cnt release(s)* refills:*2* 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days: take with kcl. disp:*20 tablet(s)* refills:*0* 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days: take with lasix. disp:*40 capsule, sustained release(s)* refills:*0* 11. toprol xl 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease congestive heart failure - ef 30%, postop pneumothorax first degree av block hypertension hypercholesterolemia gerd with barretts esophagus gout, osteoarthritis, melanoma - s/p excision, s/p appendectomy, s/p left total knee replacement discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp, . in weeks. local cardiologist in weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnostic ultrasound of heart transfusion of platelets diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension gout, unspecified iatrogenic pneumothorax knee joint replacement personal history of malignant melanoma of skin barrett's esophagus first degree atrioventricular block cervical spondylosis without myelopathy 

Answer: The patient is high likely exposed to