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: cardiac catheterization cabg x 4 history of present illness: 57 yo male smoker with no significant past medical history who presented initially to in the evening of . at 3 p.m. while on his postal route he was walking and began having crushing substernal chest pressure in addition to diaphoresis and lightheadedness; no radiation or sob, no palpitations or nausea. initially he thought the symptoms were gerd but as the symptoms persisted he sought medical attention. in the ambulance he rec'd ntg sl x 2 without any relief. he was seen at and found to have typical symptoms with some "non-specific st-t" changes and slightly elevated ckmb to 6.6 with a normal troponin 0.01 and set to er for further evaluation. in the ed at he was given aspirin, plavix 600mg x 1, heparin bolus and started on a heparin drip, morphine 2mg iv x 1 and nitropaste 1 inch and his symptoms improved. he is very unsure of the time course and how long after which medication his symptoms resolved. since he has had no recurrance and is currently pain free. he denies pnd or orthonpnea, or pedal edema, now or at baseline. at baseline he is very active (mail carrier) and can walk up at least 2 flights of stairs, feels slightly sob with this level of maximal activity. patient was referred to cardiac surgery for further evaluation and surgical intervention of cad. past medical history: dyslipidemia nephrolithiasis cad mi social history: patient is a smoker x 40 pack years works as a mail carrier family history: no familiy h/o premature cad, mother w/ , uncle w/ mi in 60s. physical exam: vs - t 98.4 bp 109/61 hr 56 rr 20 o2 95% 2l wt 155.6lbs gen: nad, aox3. heent: mmm, op clear, eomi, perrl, jvp 12cm card: rrr, no m/r/g lungs: ctab abd: soft, nt, nd, no masses or organomegaly ext: wwp, no c/c/e, 2+ pt and dp pulses bilaterally . pertinent results: labs : wbc: 10.7, hct: 23.7, plt: 230 na: 139, k: 3.9, bun: 11, cr: 1.0 magnesium: 2.3 ekg: initial ekg 16:02: sinus bradycardia rate 48, normal axis and intervals. no chamber enlargement. no st-t wave changes, early rwp. ekg 16:31: same as above except 1mm st depression in v2 and 0.5mm std / biphasic t in avl. ekg 20:15: 0.5mm scooped shaped ste in v2 without q wave. otherwise no specific st-t wave changes. normal ekg st changes w/ ii, iii (non spec st elevations- j point elevations) , avl- twi / st dep w/o lvh. no old for comparison. ekg with dynamic changes. . laboratory data: cardiac enzymes: (first set listed from lgh, 2nd and 3rd from ) ck 160 -> 184 --> 269 ckmb 6.6 -> 13 --> 24 trop 0.01 -> 0.15 --> 0.39 . 05:55pm wbc-13.7* rbc-4.46* hgb-13.2* hct-39.4* mcv-88 mch-29.6 mchc-33.5 rdw-14.0 05:55pm neuts-81.4* lymphs-13.8* monos-3.0 eos-1.2 basos-0.6 05:55pm plt count-278 05:55pm pt-13.5* ptt-57.1* inr(pt)-1.2* 05:55pm glucose-136* urea n-16 creat-1.0 sodium-143 potassium-4.3 chloride-108 total co2-27 anion gap-12 05:55pm calcium-9.5 phosphate-1.9* magnesium-2.1 cholest-173 10:50pm %hba1c-6.3* cardiac catheterization: comments: 1. coronary angiography of this right dominant system revealed left main and 3 vessel cad. the lmca was diffusely diseased with deep mid lmca ulcer and distal 60% stenosis. the lad had proximal calcification and diffuse disease to 40%. the mid to distal lad after d2 is a very small vessel with proximal moderate disease. the lcx had proximal calcification and was diffusely diseased throughout with proximal 50% stenosis. it supplies a large om branch that extends to the apex. the rca had proximal calcifcation and a 80% stenosis in the proximal segment. the rca had diffuse disease with a maximal 70% stenosis just before a small, short rpda. a large rpl1 was present. the rca supplied an atrial branch. 2. resting hemodynamics revealed mildly elevated left-sided filling pressures with lvedp of 16 mm hg. systemic arterial pressures were normal with aortic systolic pressures of 121 mm hg and map of 87 mm hg. 3. left ventriculography revealed no mitral regurgiation and lvef of 45-50% with global hypokinesis, worst in the anterobasal segment. . tte: ef 45%; the left atrium is elongated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with focal severe hypokinesis of the basal to mid inferior and inferolateral walls and the distal septum. 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. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. brief hospital course: a/p: patient is a 57 yo male smoker w/ no medical history transferred for a nstemi for cardiac catheterization and found to have left main/three vessel cad now going for cabg later this week. the pt was brought to the or on where he underwent cabg x 4- as detailed in the operative note. overall he tolerated the procedure well and postoperatively was transferred to the cvicu in stable condition for observation and recovery. on pod #1 the pt was extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. he was found suitable for transfer to telemetry . chest tubes and pacing wires were discontinued without complication. the patient made excellent progress on the floor, showing good strength and balance before discharge. the patient was discharged to home on pod 4 in good condition. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. 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:*0* 6. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 7. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 9. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: home health care agency discharge diagnosis: primary - cad - myocardial infarction secondary hyperlipidemia, nephrolithiasis - tobacco use discharge condition: good discharge instructions: please stop smoking. information was given to you at discharge regarding smoking cessation. please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr , in 4 weeks () please call for appointment dr in 1 week please call for appointment dr , e. in weeks, please call for appointment wound check appointment 6 as instructed by nurse () 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 left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to