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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: three vessel coronary artery bypass grafting utilizing free left internal mammary artery to left anterior desending, and saphenous vein grafts to obtuse marginal and pda. history of present illness: this is an 82 year old spanish speaking male originally from with a history of hypertension and hypercholesterolemia who was referred to his cardiologist for stress testing due to exertional chest discomfort. a stress test performed showed 0.5mm st depression in the inferolateral leads which resolved in the recovery phase, lvef=50% tte was performed on which revealed concentric lvh with normal wall motion,lvef=55%, and trace mitral regurgitation. during follow up with dr. on the patient again reported having chest pain with exrtion, radiating to his left arm. he reported taking four nitroglycerins since the previous visit with his cardiologist. an elective cardiac cath was performed at osh revealed multivessel coronary artery disease. he was subsequently transferred to the for coronary artery revascularization. past medical history: hypertension, hypercholesterolemia, gastroesphogeal reflux disease social history: race: hispanic lives with: wife occupation: retired tobacco: 1ppd x50 yrs etoh: denies family history: father died at age 47 of unknown cause. physical exam: pulse: 70 resp: 18 o2 sat: 98% room air bp: 161/81 height: 5 ft weight: 161 pounds general: wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally distant breath sounds heart: rrr irregular murmur 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 : 2+ left: 2+ radial right: 2+ left: 2+ pertinent results: pre-op labs wbc-8.5 rbc-4.88 hgb-15.0 hct-42.3 rdw-13.8 plt ct-198 pt-13.5* ptt-27.6 inr(pt)-1.2* glucose-121* urean-14 creat-1.0 na-139 k-3.9 cl-101 hco3-27 albumin-4.5 mg-2.1 %hba1c-5.8 eag-120 discharge labs: 05:20am blood wbc-10.9 rbc-3.58* hgb-11.2* hct-32.8* mcv-92 mch-31.3 mchc-34.1 rdw-13.9 plt ct-246# 05:20am blood plt ct-246# 05:20am blood glucose-118* urean-24* creat-1.2 na-138 k-4.0 cl-100 hco3-29 angap-13 echocardiogram: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). doppler parameters are most consistent with grade i (mild) left ventricular diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. chest ct scan: no evidence of lymphadenopathy or lung mass. apparent widening of the right paratracheal stripe is due to normal vasculature. small hiatal hernia. carotid ultrasound: less than 40% stenosis of the bilateral internal carotid arteries. brief hospital course: mr. was admitted to the cardiac surgical service and underwent extensive preoperative evaluation prior to surgical revascularization. an echocardiogram showed symmetric lvh with vigorous biventricular systolic function, and no clinically-significant valvular disease. carotid ultrasound revealed minimal disease of the internal carotid arteries. chest ct scan was obtained due to chest x-ray findings of possible widening of the right paratracheal stripe. chest ct scan however was unremarkable. he otherwise remained pain free on medical therapy, and was eventually cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. see operative note for further details. in summary he had: coronary artery bypass grafting x3 with a free left internal mammary artery from the proximal portion of the first obtuse marginal vein graft to the left anterior descending coronary artery, reverse saphenous vein graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein graft from the aorta to the posterior descending coronary artery. endoscopic left greater saphenous vein harvesting. epiaortic duplex scanning. his bypass time was 87 minutes, with a crossclamp of 57 minutes. he tolerated the operation well and following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he was somewhat tachycardic and hypertensive and spent 2 additional days in the icu to better control these issues. all tubes lines and drains were removed per cardiac surgery protocol. on pod3 he was transferred to the stepdown floor for further recovery and advancement of activity. the remainder of his hospital course was uneventful. he was discharged home on pod 5. medications on admission: medications at home: nitro prn, toprol xl 50 mg daily, asa 81 mg daily discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. 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* 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. sodium chloride 0.65 % aerosol, spray sig: sprays nasal tid (3 times a day) as needed for dry nares. 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 9. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 11. captopril 25 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 12. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 13. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 14. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*14 tablet(s)* refills:*0* 15. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease, s/p coronary artery bypass grafting x3 hypertension dyslipidemia gastric reflux ventral inguinal hernia repair yo, appendectomy ' discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram and ibuprofen incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: trace bilateral 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: dr. on @1pm dr. on at 3:15pm 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 (aorto)coronary bypass of two coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension paroxysmal ventricular tachycardia 

Answer: The patient is high likely exposed to