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) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization coronary artery bypass graft x3 (left internal mammary artery > left anterior descending, saphenous vein graft > obtuse marginal, saphenous vein graft > posterior descending artery) history of present illness: 77 year old man with a history of htn, hlp, asymptomatic aaa followed by vascular (last infrarenal, 4.2cm ), who presents with 3 weeks of intermittent exertional substernal chest discomfort. the patient first noted chest discomfort 3 weeks ago when he began increasing his work out regimen of weight lifting. the pain was dull, substernal, mild, nonradiating and he would usually try to work through the pain until it went away. 1 week prior to admission he noticed his pain increase in frequency and intensity, occuring with even walking or delivering fruit at his job, and this would be relieved with rest. on wednesday , he was picking up a heavy carton of watermelons when he noticed the chest pain at its most severe, with associated presyncope, diaphoresis. he went to see his pcp who sent him to the ed. of note, he had been complaining of intermittent upper back discomfort for months, that is associated with weight lifting, but nonexertional and not related to his chest pain. past medical history: 1) bph - s/p transurethral resection of the prostate 2) dyslipidemia 3) htn 4) arthritis 5) gerd 6) aaa - infrarenal aneurysms, asymptomatic, slow growing, followed by vascular surgery. last measurements of largest, 4.2cm . social history: lives with:alone occupation:semi-retired owner of a fruit delivery company tobacco:denies etoh:denies family history: father died of mi at age 58 brother died of aaa at 68. physical exam: admission: vs: 96.7 117/77 76 20 100%ra 142lbs general: well-appearing elderly man in nad, comfortable, appropriate, mildly anxious. heent: nc/at, eomi, sclerae anicteric, mmm, op clear. neck: supple, no jvd. heart: rrr, no mrg, nl s1-s2. lungs: cta bilat except faint post-tussive rales at left base, no r/rh/wh, good air movement, resp unlabored. abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no c/c/e, 2+ peripheral pulses. skin: no rashes or lesions. lymph: no cervical lad. neuro: awake, a&ox3, cns ii-xii intact, muscle grossly intact pertinent results: 07:25pm glucose-83 urea n-18 creat-0.9 sodium-143 potassium-4.6 chloride-108 total co2-26 anion gap-14 07:25pm ck(cpk)-273 07:25pm ctropnt-0.11* 07:25pm wbc-5.1 rbc-4.92 hgb-14.8 hct-43.8 mcv-89 mch-30.1 mchc-33.8 rdw-13.8 tte : the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef= 35 %) secondary to severe hypokinesis/akinesis of the inferior septum, inferior free wall, and posterior wall. the right ventricular free wall is hypertrophied. right ventricular chamber size is normal. with depressed free wall contractility. the ascending aorta is mildly dilated. 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. there is mild posterior mitral leaflet prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the findings of the prior report (images unavailable for review) of , left and right ventricular contractile function is reduced. carotid us : findings: duplex evaluation was performed of bilateral carotid arteries. on the right there is mild heterogeneous plaque in the ica. on the left there is mild heterogeneous plaque seen in the ica. on the right systolic/end diastolic velocities of the ica proximal, mid and distal respectively are 49/17, 62/19, 74/30 cm/sec. cca peak systolic velocity is 65 cm/sec. eca peak systolic velocity is 129 cm/sec. the ica/cca ratio is 1.1. these findings are consistent with <40% stenosis. on the left systolic/end diastolic velocities of the ica proximal, mid and distal respectively are 78/21, 58/20, 59/22 cm/sec. cca peak systolic velocity is 73 cm/sec. eca peak systolic velocity is 71 cm/sec. the ica/cca ratio is 1.1. these findings are consistent with <40% stenosis. right antegrade vertebral artery flow. left antegrade vertebral artery flow. impression: right ica <40% stenosis. left ica <40% stenosis. 03:43am blood wbc-5.8 rbc-3.42* hgb-10.5* hct-30.1* mcv-88 mch-30.8 mchc-34.9 rdw-14.6 plt ct-218 03:43am blood glucose-83 urean-17 creat-0.7 na-140 k-4.0 cl-103 hco3-28 angap-13 brief hospital course: mr. presented to the emergency room with substernal chest pain and was ruled in for non st elevation myocardial infarction based on elevated troponin with peak 0.15. he then underwent cardiac catheterization that revealed significant coronary artery disease and was referred for surgical evaluation. he underwent preoperative workup and plavix washout. on he was brought to the operating room for coronary artery bypass graft surgery x 3(left internal mammary artery to left anterior descending, and reverse saphenous vein grafts, one to the obtuse marginal and the other went to right posterior descending)with dr.. cardiopulmonary bypass time 90 minutes. cross-clamp time 75 minutes. see operative report for further surgical details. he received cefazolin and vancomycin for perioperative antibiotics and transferred to the intensive care unit for post operative management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. post operative day one he remained in the intensive care unit on phenylephrine for blood pressure management and bradycardia requiring epicardial pacing. all lines and drains were discontinued in a timely fashion per potocol criteria. pod#2 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. the remainder of his postoperative course was essentially uneventful. plan to reinstate lisinopril as an outpatient per his cardiologist when blood pressure tolerates. on pod#5 he was cleared for discharge to home with vna. all follow up appointments were advised. medications on admission: lisinopril 2.5mg po daily simvastatin 20mg po daily 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. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 10 days. disp:*20 packet(s)* refills:*0* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*60 tablet, chewable(s)* refills:*2* 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. ranitidine hcl 15 mg/ml syrup sig: one (1) po bid (2 times a day). disp:*60 * refills:*2* 8. lasix 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease s/p cabg non st elevation myocardial infarction (troponin 0.15) benign prostatic hypertrophy dyslipidemia hypertension gastric esophageal reflux disease abdominal aortic aneurysm discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 2+ (l)le/1+(r)le 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 **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. on at 1:15pm cardiologist: dr. on on 9:30am in office on 7 vascular lmob (nhb) phone: date/time: 10:30 vascular lmob (nhb) phone: date/time: 11:00 , md phone: date/time: 11:45 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: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension abdominal aneurysm without mention of rupture atherosclerosis of native arteries of the extremities, unspecified 

Answer: The patient is high likely exposed to