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: no known allergies / adverse drug reactions attending: chief complaint: cad major surgical or invasive procedure: cabg x 4 (lima->lad, svg->om1, om2, pda) history of present illness: mr. is a 59 year old male with hx of htn, hyperlipidemia, and tobacco abuse who went to pcp for clearance for cataract surgery. during the preop testing, he was found to have an abnormal ekg with some q-waves in leads 3 and avf, which were new. he subsequently went for a stress test, which was positive for reversible ischemia. he presented to lgh for elective coronary catherization which showed 3 vessel disease- no left main disease. troponin at osh was .078. he was asymptomatic at the time of presentation but did report that a few days prior to visit to pcp, did have several episodes of sob. he was transferred to for surgical evaluation of coronary revascularization. past medical history: past medical history: htn, hyperlipidemia, tobacco abuse past surgical history:none- awaiting left cataract surgery past cardiac procedures:??? coronary angioplasty in 10 yaers ago social history: occupation: retired. was working cleaning and packing fish on a fishing boat in 10 years ago cigarettes: smokes half a pack of cigarettes a day since age 9 etoh: social drinker denies ivdu family history: family history:+ dm, father had cabg and died at age 75. mother died in 60's from gib physical exam: pulse:74 resp: 18 o2 sat:96% ra b/p right:155/74 left: height: weight: general: well appearing male resting in bed in nad skin: warm dry intact heent: ncat perrla eomi - left cataract neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema- none varicosities: none neuro: grossly intact pulses: femoral right: +1 left:+1 dp right: +2 left:+1 pt : +2 left:+1 radial right:+2 left:+2 carotid bruit: none right: left: pertinent results: 05:45am blood wbc-12.4* rbc-3.68* hgb-10.7* hct-32.3* mcv-88 mch-29.1 mchc-33.1 rdw-13.0 plt ct-272 05:45am blood plt ct-272 12:09pm blood pt-16.0* ptt-28.6 inr(pt)-1.5* 05:45am blood glucose-102* urean-20 creat-1.1 na-139 k-4.4 cl-101 hco3-30 angap-12 07:03pm blood alt-25 ast-16 alkphos-93 amylase-65 totbili-0.5 pa & lat : findings: in comparison with the study of , the patient has taken a better inspiration. post-surgical changes are again seen without appreciable congestion. mild atelectatic changes persist at the bases. no evidence of pneumothorax. post op tee : prebypass: the left atrium is normal in size. no thrombus is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the is distal anterior wall hypokinesis, and severly hypo to akinetic inferior wall. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results in the operating room. postbypass: no evidence of aortic dissection. preserved lvef, unchanged from prior. improved function of inferior wall. ekg: sinus rhythm. possible prior inferior wall myocardial infarction of indeterminate age. early r wave transition which could be consistent with prior posterior myocardial infarction. st-t wave changes. consider myocardial ischemia. compared to the previous tracing of t waves are now inverted in leads v3-v6. clinical correlation is suggested. brief hospital course: after being transferred and admitted to from lgh for cabg, the patient developed renal failure. his creatinine upon admission was 1.4 and over the next few days while in the hospital, continued to elevate, peaking at 3.2. the patient was asymptomatic and continued to diuerese appropriately. a workup was performed including a renal ultrasound which was essentially normal. the etiology of his acute renal failure was attributed to contrast nephropathy from the recent cardiac cath at lgh. he recieved ivf and his creatinine began to decrease to 1.6. he then underwent a cabg x 4 on . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient d/c summary. 1. lisinopril 20 mg po daily 2. hydrochlorothiazide 25 mg po daily 3. albuterol inhaler 2 puff ih q6h:prn sob discharge medications: 1. acetaminophen 650 mg po q4h:prn fever, pain 2. aspirin ec 81 mg po daily 3. atorvastatin 20 mg po daily rx *atorvastatin 20 mg 1 tablet(s) by mouth once a day disp #*60 tablet refills:*1 4. docusate sodium 100 mg po bid 5. furosemide 20 mg po bid rx *furosemide 40 mg 1 tablet(s) by mouth once a day disp #*7 tablet refills:*0 rx *furosemide 40 mg 1 tablet(s) by mouth once a day disp #*7 tablet refills:*0 6. metoprolol tartrate 25 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. *lopressor 50 mg 0.5 (one half) tablet(s) by mouth twice a day disp #*90 tablet refills:*1 7. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain rx *percocet 5 mg-325 mg 1 to 2 tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 8. potassium chloride 20 meq po bid hold for k+ > 4.5 rx *k-tab 10 meq 20 meq by mouth once a day disp #*14 tablet refills:*0 9. albuterol inhaler 2 puff ih q6h:prn sob discharge disposition: home with service facility: multicultural vna discharge diagnosis: 1) cad s/p cabg x 4 2) acute renal failure (contrast nephropathy) discharge condition: good discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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: please call to schedule appointments surgeon dr . on @ 1pm cardiologist dr. 2:15pm wound check 10:45 please call pcp and make appt to be seen in next 4 weeks please call cardiac surgery if need arises for evaluation or readmission to hospital procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute kidney failure, unspecified other and unspecified hyperlipidemia leukocytosis, unspecified other drugs and medicinal substances causing adverse effects in therapeutic use other specified disorders of the teeth and supporting structures 

Answer: The patient is high likely exposed to