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: chest pain major surgical or invasive procedure: operation: 1. emergency coronary artery bypass graft x6, left internal mammary artery to left anterior descending artery, saphenous vein sequential grafting to obtuse marginal 1 and 2, saphenous vein sequential grafting to posterior left ventricular branch and posterior descending artery, saphenous vein graft to diagonal. 2. endoscopic harvesting of the long saphenous vein. history of present illness: mr. is a 52 yo who woke this pm with left sided chest discomfort radiating to jaw. he has no history of similar pain. he was taken by ems where he was found to have st elevations in the inferior leads, which resolved with nitroglycerine. he was taken to the cath lab were he was found to have severe, difuse 3 vessel disease not amenable to percutaneous intervention. he is transfered for surgical intervention. past medical history: pmhx: multiple broken bones, s/p spinal fusion "l region" 25 years ago s/p surgical repair/pinning of r clavicle s/p repair of torn r rotator cuff social history: lives with:wife and 3 children occupation:it analyist tobacco:denies etoh:2 beers/week runs 5 miles/day family history: n/c physical exam: physical exam pulse:47 resp: 14 o2 sat: 100% b/p right: 115/67 left: height: weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur-none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: angioseal-no hematoma left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right: 2+ left:2+ carotid bruit right: none left:none pertinent results: 06:50am blood wbc-5.8 rbc-3.11* hgb-10.3* hct-28.9* mcv-93 mch-33.3* mchc-35.8* rdw-14.6 plt ct-187# 04:14am blood wbc-4.8 rbc-4.03* hgb-13.4* hct-37.7* mcv-94 mch-33.2* mchc-35.5* rdw-12.6 plt ct-237 01:43pm blood pt-14.2* ptt-26.3 inr(pt)-1.2* 04:14am blood pt-12.6 ptt-46.5* inr(pt)-1.1 06:50am blood glucose-96 urean-15 creat-0.9 na-139 k-4.2 cl-103 hco3-27 angap-13 04:14am blood glucose-107* urean-15 creat-0.7 na-139 k-3.7 cl-105 hco3-27 angap-11 echocardiography report , (complete) done at 9:34:01 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 52 m hgt (in): 72 bp (mm hg): 101/56 wgt (lb): 200 hr (bpm): 40 bsa (m2): 2.13 m2 indication: intraop cabg acute stemi icd-9 codes: 410.91, 424.0 test information date/time: at 09:34 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2011aw1-: machine: us 4 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.8 cm <= 5.6 cm left ventricle - systolic dimension: 3.3 cm left ventricle - fractional shortening: 0.43 >= 0.29 left ventricle - ejection fraction: 55% to 65% >= 55% left ventricle - stroke volume: 76 ml/beat left ventricle - cardiac output: 3.04 l/min left ventricle - cardiac index: *1.43 >= 2.0 l/min/m2 aorta - sinus level: 3.3 cm <= 3.6 cm aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak gradient: 4 mm hg < 20 mm hg aortic valve - mean gradient: 2 mm hg aortic valve - lvot vti: 20 aortic valve - lvot diam: 2.2 cm aortic valve - valve area: 3.3 cm2 >= 3.0 cm2 mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.2 m/sec mitral valve - e/a ratio: 2.50 mitral valve - e wave deceleration time: 197 ms 140-250 ms findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: mild symmetric lvh. mildly dilated lv cavity. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. no atheroma in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. focal calcifications in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: no 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. conclusions pre bypass: the left atrium is normal in size. there is mild symmetric lvh with mild lv chamber enlargement. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. post bypass: patient is a paced on phenylepherine infusion. preserved biventricular function, lvef >55%. mr remains trace. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:51 ?????? caregroup is. all rights reserved. brief hospital course: the patient was brought to the operating room on where he underwent cabgx6 ( left internal mammary artery to left anterior descending artery, saphenous vein sequential grafting to obtuse marginal 1 and 2, saphenous vein sequential grafting to posterior left ventricular branch and posterior descending artery, saphenous vein graft to diagonal) with dr.. please refer to operative report for further surgical details. he was transferred to cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. mr. was transferred to the step down unit further recovery. chest tubes and pacing wires were discontinued without complication. physical therapy was consulted for evaluation of assistance with strength and mobility. he continued to progress and by the time of discharge on pod #4 he was ambulating freely, the wound was healing and pain was controlled with oral analgesics. dr. cleared him for discharge to home with vna services on pod#4. all appropriate follow up instructions were advised. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 7. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: care centrix discharge diagnosis: cad discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: 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** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: surgeon dr. # date/time: at 1:00 cardiologist dr. on at 1pm please call to schedule the following: primary care dr. , in weeks address: , , , phone: md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery iatrogenic pneumothorax acute myocardial infarction of unspecified site, initial episode of care 

Answer: The patient is high likely exposed to