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 (sulfonamides) attending: chief complaint: chest tightness major surgical or invasive procedure: three vessel coronary artery bypass grafting utlizing lima to lad, vein graft to diagonal, and vein graft to l pda. cardiac catheterization history of present illness: pt is a 63 yo male with hx of hypertension, dyslipidemia who presented to hospital ed with 3/10 chest tightness, found to have t wave inversions on ekg in v1-4, iii, avf and tranferred to . he underwent exercise stress test on to evaluate for ischemia in anticipation of a long biking trip. during the treadmill test he increasing chest pain with the test and had up to 2.5mm st-depressions in ii, iii, avf, v3 and v6 as well as increased ventricular ectopy. he was placed on daily asa and plavix and scheduled for cardiac catheterization on . since that time he had two episoded of chest pain 2 days prior to admission, once with biking and the other with moving furniture. on he had recurrence of the chest tightness while on the telephone with a doctor friend when feeling particularly anxious about his abnormal stress test. his wife called 911 and when the paramedics gave sl nitro spray his pain resolved. the pain did not recur until coming to ed which was relieved again with 2 sl nitro. . at hospital he had the ekg changed noted above as well as slightly elevated troponin at 0.05. he received a 5,000 unit heparin bolus and continued on a heparin drip at 500cc/hr. upon transfer to his vitals were t 99.1, hr 60, bp 120/70, rr 18, o2 sat 100% on ra. the heparin drip was continued and he was given 1gram of tylenol. . upon arrival to the floor the patient is pain free with no active complaints, though reports feeling anxious about upcoming catheterization. past medical history: hypertension, hyperlipidemia, prostatits, s/p left knee surgery social history: pt is a retired photography teacher. very active lifestyle, frequently bikes, walks and splits wood. no tobacco hx, drinks small glasses of red wine daily. lives with his wife in family history: father had an mi at age 53, and died of second mi at age 69 // mother - hypertension, cad physical exam: vs - t 97.1 bp 129/78 hr 76 rr 18 o2 99% on 2l gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. no abdominial bruits. no guarding or masses ext: no c/c/e. 2+ carotid, dp, pt pulse bilaterally skin: no stasis dermatitis, ulcers, or rashes pertinent results: echo: pre cpb no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef=55%). the right ventricular cavity is dilated with borderline normal free wall function. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. 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. trivial mitral regurgitation is seen. significant pulmonic regurgitation is seen. dr. was notified in person of the results. post cpb patient being atrially paced. low normal right ventricular function. normal left ventricular systpolic function. no changes from pre bypass study. cardiac cath: 1. selective coronary angiography of this left dominant system revealed two vessel coronary artery disease. the lmca was calcified. the lad was also heavily calcified with a 90% long tubular stenosis distal to d1. the lcx was calcified with a 95% proximal stenosis. the rca was a small non-dominant vessel. 2. limited resting hemodynamics revealed a normal systemic arterial pressure of 117/73 mm hg. 3. left ventriculography was deferred. 01:20am blood wbc-5.0 rbc-4.04* hgb-13.8* hct-36.8* mcv-91 mch-34.2* mchc-37.5* rdw-13.6 plt ct-165 06:05am blood wbc-5.4 rbc-4.24* hgb-14.6 hct-39.6* mcv-93 mch-34.5* mchc-36.9* rdw-13.5 plt ct-173 04:40am blood wbc-7.7 rbc-2.82* hgb-9.4* hct-25.5* mcv-91 mch-33.2* mchc-36.7* rdw-14.2 plt ct-138* 01:20am blood pt-13.0 ptt-132.4* inr(pt)-1.1 12:13pm blood pt-13.5* ptt-44.6* inr(pt)-1.2* 01:20am blood glucose-98 urean-22* creat-1.1 na-142 k-4.0 cl-109* hco3-24 angap-13 06:05am blood glucose-93 urean-16 creat-1.2 na-143 k-4.4 cl-106 hco3-29 angap-12 04:40am blood glucose-113* urean-27* creat-1.3* na-132* k-4.4 cl-100 hco3-25 angap-11 10:30am blood alt-23 ast-26 ck(cpk)-96 alkphos-82 amylase-66 totbili-1.0 02:59am blood calcium-8.3* phos-3.8 mg-2.4 brief hospital course: as stated in the hpi, mr. was transferred from outside hospital d/t abnormal ekg and rise in troponin. on the day of admission he had transient chest tightness that responded to nitroglycerin with no change on his ekg. he underwent a cardiac cath on which revealed severe two vessel coronary artery disease. mr. remained admitted while awaiting bypass surgery. he required usual pre-operative work-up prior to surgery. on he was brought to the operating room where he underwent a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was to the cvicu for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. he required neo-synephrine for hemodynamic support until post-op day two and was also transfused 1 unit of prbc's d/t low hct. on post-op day two his chest tubes were removed and he was transferred to the telemetry floor for further care. beta blockers and diuretics were started and he was gently diuresed towards his pre-op weight. the remainder of his post-op course was uneventful. he worked with physical therapy during his post-op course for strength and mobility. on post-op day four he was discharged home with vna services and the appropriate follow-up appointments. medications on admission: plavix 75mg po daily, aspirin 325mg po daily, lisinopril 20mg po bid, atenolol 25mg po daily, lorazepam 0.5mg po tid 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:*11* 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 3. ferrous gluconate 300 mg (35 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po every twelve (12) hours for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna care newtork discharge diagnosis: coronary artery disease - s/p coronary artery bypass graft pmh: hypertension, hyperlipidemia, prostatits, s/p left knee surgery discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: 2 for wound check in 2 weeks dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to