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: urgent coronary artery bypass graft x 6(left internal mammary artery to left anterior descending artery, and saphenous vein sequential graft obtuse marginal i and ii, and saphenous vein grafts to ramus, diagonal, and posterior descending arteries). history of present illness: 56 year old male s/p nstemi in presented to the osh ed last night with intermittent chest pain radiating to left shoulder. he recieved 1" of nitro paste while in the ed and chest pain was resolved. ekg showed st changes and enzymes were negative. he was transferred to for further cardiac evaluation. past medical history: diabetes hypertension nstemi () depression past surgical history: right inguinal hernia repair 20 years ago s/p l&d of left inner thigh abcess social history: lives alone in ma, works in restaurant. -tobacco history: denies -etoh: occasional -illicit drugs: denies family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission exam: vs: afebrile bp154/88 hr61 rr16 o2: 98/ra fs178 general: wdwn nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: anterolateral ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. l groin site bandaged c/d/i, no hematoma, nontender skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp - doppler only left: carotid 2+ femoral 2+ dp -dopper only pertinent results: admission labs: 03:30pm blood wbc-4.4 rbc-4.26* hgb-11.7* hct-34.5* mcv-81* mch-27.4 mchc-33.8 rdw-15.1 plt ct-155 03:30pm blood pt-14.4* ptt-27.8 inr(pt)-1.2* 03:30pm blood glucose-173* urean-16 creat-0.6 na-139 k-3.8 cl-107 hco3-24 angap-12 03:30pm blood alt-22 ast-13 alkphos-69 amylase-32 totbili-0.6 dirbili-0.2 indbili-0.4 06:27pm blood calcium-9.0 phos-3.5 mg-1.8 03:30pm blood vitb12-409 03:30pm blood %hba1c-7.9* eag-180* 03:30pm blood triglyc-110 hdl-35 chol/hd-4.5 ldlcalc-100 . 06:30am blood wbc-5.3 rbc-3.76* hgb-10.3* hct-30.7* mcv-82 mch-27.4 mchc-33.6 rdw-15.1 plt ct-187 03:02pm blood pt-16.6* ptt-51.3* inr(pt)-1.5* 07:10am blood glucose-189* urean-18 creat-0.8 na-141 k-4.5 cl-103 hco3-30 angap-13 echocardiography report , (complete) done at 12:08:30 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 56 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 786.05, 786.51, 424.0 test information date/time: at 12:08 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 #: 2010aw1-: machine: aw5 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.7 cm <= 4.0 cm left atrium - four chamber length: *6.4 cm <= 5.2 cm right atrium - four chamber length: *6.8 cm <= 5.0 cm left ventricle - septal wall thickness: *9.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm aorta - sinus level: 3.2 cm <= 3.6 cm aorta - ascending: 3.3 cm <= 3.4 cm aortic valve - lvot diam: 2.2 cm pericardium - effusion size: 0.6 cm findings left atrium: marked la enlargement. mild spontaneous echo contrast in the laa. depressed laa emptying velocity (<0.2m/s) right atrium/interatrial septum: moderately dilated ra. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. the ivc is dilated (>2.5cm) prominent eustachian valve (normal variant). left ventricle: mild symmetric lvh. moderately depressed lvef. right ventricle: borderline normal rv systolic function. aorta: normal ascending aorta diameter. normal descending aorta diameter. no thoracic aortic dissection. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. mild to moderate +] tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. pericardium: small pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: the left atrium is markedly dilated. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). there is systolic blunting of pulmonary vein flow, suggestive of elevated la pressure. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. a prominent thebesian valve is noted. there is systolic reversal of hepatic vein flow, suggestive of elevated ra pressure. the ivc is dilated with spontaneous echo contrast noted. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is moderately depressed, estimated lvef=30-35 %. there is global hypokinesis with regional wall motion abnormalities noted in the inferior, inferoseptal and inferolateral segments. no thoracic aortic dissection is seen. there is occasional intimal thickening noted in the descending aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is a small pericardial effusion. post-cpb: left ventricular systolic function remains unchanged, estimated ef 30-35%, with regional wall motion abnormality again noted in the inferoseptal, inferior and inferolateral walls. there is trace mr. and hepatic flow patterns have normalized. there is no evidence of dissection. there is no pericardial effusion. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: mr. was taken to the operating room and underwent an urgent coronary artery bypass graft x 6,(left internal mammary artery to left anterior descending artery, and saphenous vein sequential graft obtuse marginal i and ii, and saphenous vein grafts to ramus, diagonal, and posterior descending arteries) with dr.. cardiopulmonary bypass time=122 minutes. cross clamp time= 114 minutes. he tolerated the procedure well and was transferred to the cvicu intubated and sedated requiring pressors for optimal cardiac function. he awoke neurologically intact and was extubated without difficulty postoperative night. weaned off pressors and started on beta-blocker/statin/aspirin and diuresis. transient postoperative atrial fibrillation resolved with amiodarone. all lines and drains were discontinued in a timely fashion. pod#1 he was transferred to the step down unit for further monitoring. initially he failed to void which resolved with a few days of flomax. physical therapy was consulted for evaluation of strength and mobility. the remainder of his hospital course was essentially uneventful. he was cleared for discharge to home by dr. on pod# 5. all follow up appointments were advised. medications on admission: lisinopril 20mg daily metformin 500mg *pt has not been taking other medications for financial reasons. discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 3. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. 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* 7. 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* 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: then decrease to 1 tab:200 mg po twice daily x 7 days then decrease to 1 tab: 200 mg once daily. disp:*28 tablet(s)* refills:*0* 9. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna, discharge diagnosis: multi-vessel coronary artery disease urgent coronary artery bypass graft x 6(left internal mammary artery to left anterior descending artery, and saphenous vein sequential graft obtuse marginal i and ii, and saphenous vein grafts to ramus, diagonal, and posterior descending arteries). diabetes, htn, nstemi (), depression, right inguinal hernia repair s/p l&d of left inner thigh abcess discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: the following appointments have been scheduled for you your surgeon dr. at 2pm your cardiologist dr. on at 10:20 am plaese call and schedule an appointment with your primary care doctor dr. to be seen in weeks md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation old myocardial infarction personal history of noncompliance with medical treatment, presenting hazards to health diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to