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: lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization two vessel coronary artery bypass grafting utilizing the lima to lad, and vein graft to the diagonal artery. history of present illness: mr. is a 85 y/o m with history of coronary artery disease who underwent cardiac catheterization in where he was found to have a moderate lesion in the proximal lad and was medically managed. he underwent another cardiac catheterization in for worsening chest pain. he was found to have 60%, 70% and 80% lesions in the proximal lad, a 70% lesion in the mid lad, and an 80% lesion of the moderatedly sized ostial d3. in addition he reportedly had a 30% stenosis of the proximal om3 and a 40% mid-rca lesion. he subsequently underwent stenting of the proximal and mid lad lesions with a 2.5 x 16 m taxus stent and overlapping 2.5 mm taxus stents (24 mm distally and 12 mm more proximally). his lvef was not reported but his resting left heart filling pressures were elevated at 18 mmhg. on the day prior to this admission, he was seen in cardiology follow up with dr. for complaints of chest tightnees. he has been going to cardiac rehab, working out three times per week. last friday he developed chest tightness while on the treadmill. it resolved after approximately 5 minutes. the following day he had a recurrence which also resolved spontaneously. on sunday he once again had another episode but at rest watching tv for which he took an asa and after a period of time the discomfort subsided. on monday while shopping, at the grocery store he had yet another episode for which he took a nitroglycerin. he was subsequently admitted for repeat cardiac catheterization. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. all of the other review of systems were negative. cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: cad, s/p stenting to lad in dysphagia, shatzki??????s ring type ii diabetes mellitus hyperlipidemia hypertension gout neuropathy glaucoma polypectomy s/p arthroscopic surgery of the left knee bph, s/p turp social history: he is married with 2 grown children. he no longer smokes but has 1 glass of wine per day. he is a retired research chemist. family history: denies premature cad physical exam: preop exam vs -t:m/c 98.3 hr 40s-50s bp 120s-140s/60s rr 18 o2sat 98% ra gen: wdwn older gentleman in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvd 2 cm above clavicle. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2, s3. no m/r. chest: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. ext: no c/c/e. no femoral bruits. cath site with surrounding ecchymoses. no bruit. no hematoma. pulses: right: dp 2+ left: dp 2+ pertinent results: cardiac cath: 1. selective coronary angiography of this right dominant system revealed extensive single vessel disease. the lmca was patent. the lad had severe, diffuse in-stent stenosis (90-95%) in all three stents. the lcx had a 30% proximal lesion and a 40% stenosis in a large om3 branch. the rca had a 30% eccentric stenosis in the mid-vessel. 2. limited resting hemodynamics revealed elevated left heart filling pressures with an lvedp of 32mmhg. there was moderate systemic arterial hypertension with a central aortic sbp of 160mmhg. 3. left ventriculography demonstrated no mitral regurgitation. the calculated lvef was 45% with anterior wall hypokinesis. 4. supravalvular aortography demonstrated a normal aortic root and ascending aorta with no regurgitation. echocardiogram: the left atrium is mildly dilated. the right atrial pressure is indeterminate. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. carotid ultrasound: 1. a 40-59% right ica stenosis, graded closer to 40%. 2. no significant left ica stenosis (graded as less than 40%). 06:45am blood wbc-5.1 rbc-3.51* hgb-11.2* hct-32.4* mcv-92 mch-31.8 mchc-34.5 rdw-13.8 plt ct-247 09:50am blood pt-13.1 ptt-44.5* inr(pt)-1.1 06:35am blood urean-17 creat-1.4* k-3.8 06:45am blood alt-15 ast-16 alkphos-66 totbili-0.3 06:45am blood %hba1c-6.6* 06:45am blood triglyc-169* hdl-49 chol/hd-3.3 ldlcalc-78 brief hospital course: mr. was admitted under cardiology and underwent repeat cardiac catheterization. findings were notable for severe single vessel coronary artery disease(multiple in-stent restenosis of the lad) with moderate systolic and diastolic ventricular dysfunction - see result section for further detail. based upon the above results, cardiac surgery was consulted and further evaluation was performed. additional preoperative workup included transthoracic echocardiogram and carotid ultrasound. the echo showed an lvef of 55-60% with only +mr while carotid ultrasound found only mild disease of the right internal carotid artery - please see result section for further detail. mr. ' preoperative course was otherwise uneventul. he remained pain free on medical therapy and intravenous heparin. on , dr. performed coronary artery bypass grafting surgery - see operative note for further detail. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. the patient was transferred to the step down unit where he made excellent progress with physical therapy, showing good strength and balance prior to discharge. he does have a history of benign prostatic hyperplasia, and did have urinary retention. this was managed with a foley catheter, with which the patient was discharged and given instructions to follow up with his urologist, dr. . additionally, he was started on flomax. the patient was transfused two units of packed red blood cells for a hematocrit of 21. hematocrit rose appropriately. by the time of discharge on pod 5, the patient was ambulating freely, the wound was healing, and pain was controlled with oral analgesics. medications on admission: metformin 500 mg 1 tab omeprazole 20 mg 1 tab daily plavix 75 mg 1 tab daily atenolol 25 mg 1 tab daily niacin 500 mg 1 tab gabapentin 100 mg 1 tab alphagan 0.02% 1 drip ou simvastatin 40 mg 1 tab daily doxazosin 1 mg ?????? tab daily finesteride 5 mg 1 tab daily asa 325 mg 1 tab daily allopurinol 100 mg 1 tab daily vitamin d 400 iu 1 tab . discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. 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* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 8. niacin 100 mg tablet sig: five (5) tablet po bid (2 times a day). disp:*300 tablet(s)* refills:*0* 9. gabapentin 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 10. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 12. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*15 tablet(s)* refills:*0* 13. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*qs * refills:*0* 14. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 15. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 16. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 17. furosemide 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p cabg prior pci/stening to lad hypertension dyslipidemia type ii diabetes mellitus shatzki ring s/p esophogeal dilitation urinary retention discharge condition: good discharge instructions: no driving for at least one month no lifting more than 10 lbs for at least 10weeks from surgery date shower daily, no baths. no creams, lotions or ointments to surgical incisions. clean wounds with soap and water. pat dry wounds only, no rubbing. call if there is any concern for wound infection. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt dr. this week. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization (aorto)coronary bypass of one coronary artery aortography transfusion of packed cells prophylactic vaccination against influenza diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified personal history of tobacco use unspecified glaucoma percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction constipation, unspecified other and unspecified hyperlipidemia hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) chronic kidney disease, stage iii (moderate) other specified cardiac dysrhythmias cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft retention of urine, unspecified other postprocedural status mononeuritis of unspecified site stricture and stenosis of esophagus cardiomegaly other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use need for prophylactic vaccination and inoculation against influenza 

Answer: The patient is high likely exposed to