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: allopurinol attending: chief complaint: burning chest pain. major surgical or invasive procedure: - off-pump coronary artery bypass graft x4, left internal mammary artery to left anterior descending artery and saphenous vein grafts to the diagonal, obtuse marginal and posterior descending arteries. history of present illness: this 69-year-old patient with recent onset epigastric pain was investigated and was found to have severe triple vessel disease with positive enzymes and was transferred for urgent coronary artery bypass grafting. left ventricular function was well preserved. past medical history: gastroesophageal reflux disease, gout, s/p multiple cysts removed social history: lives with wife. drinks 4 drinks/week of alcohol. quit smoking 20 years ago. family history: nc physical exam: sr 84 120/77 18 gen: nad lying in bed neuro: nonfocal heart: rrr, no m/r/g lungs: cta abd: soft, nt/nd/nabs ext: warm, well perfused, no edema, 2+ pulses, no varicosities. pertinent results: echo pre-procedure: no spontaneous echo contrast is seen in the left atrial appendage. right ventricular systolic function is normal. lv systolic fxn is moderately depressed, with akinetic apex, and hypokinesis especially of the inferior, infero-septal and infero-lateral walls. there are simple atheroma in the ascending aorta. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. the patient was done "off pump" because of hematuria. post procedure: biventricular systolic fxn is essentially unchanged. no ai, trace mr, aorta intact. cxr improved aeration of lung bases. still present small left pleural effusion. no evidence of failure 06:52pm blood wbc-7.1 rbc-4.80 hgb-16.7 hct-45.6 mcv-95 mch-34.8* mchc-36.7* rdw-13.8 plt ct-129* 05:10am blood wbc-6.1 rbc-3.28* hgb-11.3* hct-32.5* mcv-99* mch-34.5* mchc-34.8 rdw-13.2 plt ct-131* 06:52pm blood pt-12.6 ptt-32.5 inr(pt)-1.1 02:18am blood pt-12.8 ptt-28.1 inr(pt)-1.1 06:52pm blood glucose-112* urean-15 creat-1.1 na-141 k-3.7 cl-103 hco3-29 angap-13 05:10am blood glucose-131* urean-17 creat-1.0 na-141 k-3.9 cl-99 hco3-34* angap-12 05:10am blood calcium-8.8 phos-3.8 mg-2.2 brief hospital course: as mentioned in the hpi, mr. was transferred to for surgical management. gu service were consulted secondary to hematuria (also followed pt during post-op course). he had all pre-operative work-up done prior to surgery and was brought to the operating room on where he underwent a coronary artery bypass graft x 4 (off-pump). please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics. he was gently diuresed towards his pre-op weight. also on this day his chest tubes were removed and he was transferred to the sdu for further care. epicardial pacing wires were removed on post-op day three. later on this day she had episode of atrial fibrillation which was appropriately treated. she remained in sinus rhythm through discharge but remained on amiodarone. she continued to slowly improve while working with physical therapy over the next two days. on post-op day five he was discharged home with vna services and the appropriate follow-up appointments. medications on admission: at home: protonix 40mg qd, aspirin 325mg qd, colchicine at transferl integrelin gtt, heparin gtt, bicarb gtt discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) 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: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 6 days: then decrease to 1 tablet daily until discontinued by dr. . disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: gastroesophageal reflux disease, gout, s/p multiple cysts removed discharge condition: good discharge instructions: no driving for 1 month no lifting > 10# for 10 weeks may shower, no bathing or swimming for 1 month no creams, lotions or powders to any incisions followup instructions: with dr. in weeks with dr. in weeks with dr. in 4 weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension chronic airway obstruction, not elsewhere classified gout, unspecified personal history of tobacco use 

Answer: The patient is high likely exposed to