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: cefaclor attending: chief complaint: progressive chest pain with exertion major surgical or invasive procedure: cabg x 3 (lima > lad, svg>om, svg>pda) on history of present illness: this 69 year old man has a history of cad and diabetes. the patient and his wife report that approximately ten years ago he underwent cardiac catheterization at hospital for complaints of chest pain where he was found to have cad (see below). he was managed conservatively and has been on medication over the past ten years. although a cath report from hospital mentions that the patient has undergone prior angioplasty, the patient and wife state that this is inaccurate. he has not had follow up with a cardiologist in over 10 years and has not undergone stress testing since his initial diagnosis of cad. the patient reports that after starting medication ten years ago, his symptoms improved significantly. over the past 6-8 months, his chest discomfort has increased in frequency. presently, he has daily episodes of chest pain. his discomfort is felt in the middle of the chest and occurs at rest but also with exertion. often these symptoms occur in the middle of the night after coming back from the bathroom. he will find that he must sit on the side of the bed for 10-15 minutes before they will resolve spontaneously. he has not used nitroglycerin but has taken gaviscon on occasion with relief. over the past several weeks, his chest discomfort has been accompanied by nausea and dry heaves. he denies shortness of breath, increased fatigue, or diaphoresis. his primary care provider had been treating him with nexium which the patient reports has been ineffective. he recently saw a gastroenterologist who referred him to cardiology. ekg has been notable for lateral st depression. he was referred for cardiac catheterization which revealed 3vd. he is now preop for cabg. past medical history: hypercholesterolemia htn cad diabetes hyperlipidemia appendectomy ? gerd hiatal hernia alcohol abuse social history: heavy tobacco use. >100pack year history and continues to smoke 1 pack every 4 days. + etoh (6-8 beers per day) social history: patient is married with three adult daughters. is retired. his wife and daughter will accompany him to the procedure. his wife can be reached by cell phone at . family history: family history: brother with cabg in his 60's. physical exam: 62 sr 116/67 95% ra gen: nad heart: rrr, no murmur lungs: diminished bs bilaterally abd: benign ext: 2+ pulses throughout. warm, no varicosities neuro: nonfocal. pertinent results: 06:30am blood hct-27.5* 06:20am blood wbc-13.1* rbc-3.44* hgb-10.3* hct-29.8* mcv-87 mch-30.0 mchc-34.6 rdw-13.6 plt ct-229 06:20am blood plt ct-229 echo pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). resting regional wall motion abnormalities include apical hypokinesis. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) 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. there is no pericardial effusion. post_bypass: preserved biventricular systolic function. overall lvef 55% aortic contour is intact trace mr,tr and pi cxr: 1. new very small left apical pneumothorax following chest tube removal. 2. slight worsening of basilar atelectasis and new small effusions. brief hospital course: mr. was admitted to the on 828/06 for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the cardiac intensive care unit for monitoring. by postoperative day one, mr. had awoke neurologically intact and was extubated. wires and drains were removed per protocol. he was then transferred to the step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance for his postoperative strength and mobility. beta blockade, aspirin, plavix and a statin were resumed. mr. continued to make steady progress and was discharged home on postoperative day four. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: admission medications: lipitor 20mg daily every morning isosorbide 20mg three times a day atenolol 50mg once daily every morning glyburide 10mg twice a day (held ) norvasc 10mg daily every morning nexium 40mg twice a day aspirin 81mg daily every morning discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 20 meq packet sig: one (1) packet po twice a day for 7 days. disp:*14 packet(s)* refills:*0* 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. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 10. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: cad dm gerd discharge condition: good discharge instructions: may shower, no bathing or swimming for 1 month no creams, lotions or powders to any incisions no lifting > 10# for 10 weeks followup instructions: with dr. in 4 weeks with dr. in weeks with dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcohol abuse, unspecified diaphragmatic hernia without mention of obstruction or gangrene iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution 

Answer: The patient is high likely exposed to