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: asymptomatic bradycardia major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing left internal mammary artery to left anterior descending artery, saphenous vein grafts to first obtuse marginal, second obtuse marginal, and posterior descending artery. history of present illness: history obtained through medical records and patient who is deemed a pleasant but limited historian secondary to dementia. the patient is an 80 year old male with a history of mild dementia, cml on gleevec, copd, htn,hl, chf ef 40% with known severe 3 vessel cad s/p nstemi and cath at center in (see below) who was transferred from lakes hospital on for further cardiac evaluation for possible cabg. the patient was admitted to lakes regional on from cardiac rehab where the nurses noted on telemetry that he had asymptomatic bradycardia to the 30s with a 3 second pause on at cardiac rehab and prolonged pr interval consistent with 1st degree av block. he had been on lopressor 25 mg at this time. he denied any lightheadedness, dizziness, presyncope or syncope. he had no chest pain, radiating pain to the jaw/back/left arm and denied any symptoms of heart failure although he has bilateral lower extremity edema noted over the past year which appears slightly improved per the patient. on admission, he was monitored on telemetry where his lopressor was discontinued with no further events/interventions. he ruled out for an mi. on transfer to the on , the patient denied any chest pain, shortness of breath, orthopnea, pnd. he has had stable (slightly improved) bilateral lower extremity edema. past medical history: coronary artery disease with history of mi, hypertension, cml, interstitial lung disease, alzheimers dementia, benign prostatic hypertrophy, glaucoma, rheumatoid arthritis, hyperlipidemia, s/p appendectomy, gout, s/p tonsillectomy social history: the patient lives at () with his wife. receives vna as well. he denies current tobacco but formerly smoked 1 ppd x 25 years and quit in . he denies current alcohol use but drank 1 beer + 4 oz wine with dinner each day - last drink last year. uses a walker. family history: noncontributory. physical exam: tc=97.0 p=76 bp=132/70 rr=16 96% on ra weight 189 pounds . gen - nad, aox2 (knows name, president with delay, and year but does not month or season) heent - wears glasses, perla, eomi, no carotid bruits bilaterally, no jvd heart - rrr, no m/r/g lungs - ctab abdomen - soft, nt, no hepatosplenomegaly, active bs, no bruits ext - bilateral femoral bruits with +1 pedal edema to above ankles, right>left, +1 pulses bilaterally, no calf tenderness bilaterally skin - cherry angioma on abdomen rlq neuro - alert and pleasant, forgetful, aox2, unable to give detailed medical history discharge vitals 98.6, 59 sr 110/64, 18, 97 ra neuro alert, oriented to place and person not time, mae r=l strength pulm cta bilat cardiac rrr sternal inc midline no erythema/drainage sternum stable abd soft, nt, nd, +bs bm ext warm pulses palpable trace edema left leg evh sites with steris no erythema/drainage r forearm with resolving phlebitis area pink no edema - on keflex pertinent results: 08:30am blood wbc-8.1 rbc-3.33* hgb-10.5* hct-31.3* mcv-94 mch-31.7 mchc-33.7 rdw-16.0* plt ct-196 07:05pm blood wbc-6.4 rbc-3.76* hgb-12.3* hct-36.7* mcv-98 mch-32.8* mchc-33.6 rdw-14.1 plt ct-179 07:05pm blood neuts-74.1* lymphs-15.8* monos-5.7 eos-3.3 baso-1.1 06:30am blood pt-13.3* inr(pt)-1.2* 08:30am blood plt ct-196 07:05pm blood plt ct-179 07:05pm blood pt-13.2* ptt-29.5 inr(pt)-1.1 01:00pm blood fibrino-103* 08:30am blood glucose-101 urean-19 creat-0.9 na-136 k-3.8 cl-101 hco3-28 angap-11 07:05pm blood glucose-96 urean-24* creat-1.2 na-139 k-3.6 cl-101 hco3-28 angap-14 07:05pm blood alt-25 ast-21 alkphos-47 totbili-0.7 06:20am blood amylase-77 06:20am blood lipase-67* 07:10am blood mg-2.0 06:20am blood %hba1c-5.7 -done -done chest (pa & lat) 2:01 pm chest (pa & lat) reason: pneumothorax, pleural effusion medical condition: 80 year old man s/p cabg with chest tube removal reason for this examination: pneumothorax, pleural effusion indication: status post chest tube removal. comparison: . frontal and lateral chest radiographs there has been interval removal of the endotracheal tube, ng tube, swan-ganz catheter, and left chest tube. no pneumothorax is identified. cardiac and mediastinal contours appear stable. median sternotomy wires and clips overlying chest again noted. slight increase in bibasilar linear atelectasis. new small bilateral pleural effusions are also noted. impression: no evidence of pneumothorax. new bibasilar atelectasis and small bilateral pleural effusions. patient/test information: indication: intraop cabg. evaluate lv function, valvular function, aortic atheroma height: (in) 72 weight (lb): 198 bsa (m2): 2.12 m2 status: inpatient date/time: at 11:46 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw1-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left atrium - long axis dimension: 3.7 cm (nl <= 4.0 cm) left atrium - four chamber length: *7.6 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.9 cm (nl <= 5.0 cm) left ventricle - inferolateral thickness: *1.4 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.3 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.0 cm left ventricle - fractional shortening: 0.30 (nl >= 0.29) left ventricle - ejection fraction: 50% to 55% (nl >=55%) aorta - valve level: *3.8 cm (nl <= 3.6 cm) aorta - ascending: *3.6 cm (nl <= 3.4 cm) aorta - arch: *3.1 cm (nl <= 3.0 cm) aorta - descending thoracic: *2.8 cm (nl <= 2.5 cm) aortic valve - valve area: 3.0 cm2 (nl >= 3.0 cm2) mitral valve - peak velocity: 0.6 m/sec mitral valve - mean gradient: 16 mm hg mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 1.20 mitral valve - e wave deceleration time: 213 msec pulmonic valve - peak velocity: 0.5 m/sec (nl <= 1.0 m/s) interpretation: findings: left atrium: elongated la. no spontaneous echo contrast is seen in the laa. no thrombus in the laa. right atrium/interatrial septum: moderately dilated ra. lipomatous hypertrophy of the interatrial septum. dynamic interatrial septum. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild symmetric lvh. normal lv cavity size. suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. low normal lvef. right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. mildly dilated aortic arch. simple atheroma in aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no ms. the mr vena contracta is <0.3cm. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. image quality was suboptimald - poor esophageal contact. conclusions: pre bypass: the left atrium is elongated. the right atrium is moderately dilated. a patent foramen ovale is present with intermittent left to right flow. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded, but overall function appears normal in transgastric views. (lvef 50-55%). the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the aortic root, ascending and descending aorta are mildly dilated. there are simple atheroma in the aortic arch and the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post bypass: preserved biventricular function. lvef 50-55%. mitral regurgitation appears trace. aortic contours are intact. remaining exam is unchanged. all findings were discussed with surgeons at the time of the exam. electronically signed by , md on 14:58. physician: brief hospital course: mr. was admitted and underwent routine preoperative evaluation which included echocardiogram, pulmonary function test and carotid non-invasive studies. in anticipation for surgery, plavix was discontinued. echocardiogram showed no aortic valve disease with only physiologic mitral regurgitation. pulmonary function testing showed normal lung function while carotid ultrasound found no significant disease of the internal carotid arteries. given history of second degree av block/bradycardia, beta blockade continued to be withheld. he remained bradycardic with a heart rate in the 40-50's. he remained asymptomatic and stable on medical therapy, and eventually cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see separate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically at baseline and was extubated without incident. he maintained good hemodynamics and weaned from intravenous therapy without difficulty. his csru course was otherwise uneventful and he transferred to the sdu on postoperative day one. beta blockers and diuretics were initiated and he was gently diuresed towards his pre-operative weight. he required blood transfusion post-op day three for a low hct. post-operatively he also had intermittent atrial fibrillation which was treated with amiodarone and beta blockade. prior to discharge he was in sr for > 48 hours. chest tubes and epicardial pacing wires were removed per protocol. on post-op day four antibiotics were started for right arm phlebitis. over the next several days he continued to make steady progress while working with physical therapy for strength and mobility. on post-op day seven he was discharge to rehab with the appropriate follow-up appointments. medications on admission: benicar 20 mg po qd plavix 75 mg po qd cardura 2 mg po qd gleevec 400 mg po qd lipitor 10 mg po qd compazine 5 mg po qd lopressor 25 mg po bid colace 100 mg po qd lasix 40 mg po qd tylenol prn on transfer: ecotrin 325 mg po qd lipitor 10 mg po qd plavix 75 mg po (last dose on ) colace 200 mg po qd doxazosin 2 mg po qd lasix 80 mg po qam olmesartan 20 mg po qd compazine 5 mg po qd gleevec 400 mg po qd travatan ophtho drops os qd atropine prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. travoprost 0.004 % drops sig: one (1) ophthalmic hs (at bedtime). 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po daily (daily). 11. cephalexin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) for 5 days. 12. imatinib 400 mg tablet sig: one (1) tablet po daily (daily). 13. cardura 2 mg tablet sig: one (1) tablet po once a day. benicar not restarted due to blood pressure discharge disposition: extended care facility: center genesis eldercare discharge diagnosis: coronary artery disease - s/p coronary artery bypass graft x 4 pmh: history of mi, hypertension, cml, interstitial lung disease, alzheimers dementia, benign prostatic hypertrophy, glaucoma, rheumatoid arthritis discharge condition: good discharge instructions: shower, 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 dr. or paicopolous after discharge from rehab dr. after discharge from rehab please call to schedule all appointments procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation rheumatoid arthritis alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of upper extremities, unspecified chronic myeloid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to