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: angina major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing left internal mammary to left anterior descending, and vein grafts to diagonal, obtuse marginal and posterior descending artery history of present illness: mr. is a 60 year old male with known coronary artery disease. he presented to outside hospital with angina. the chest pain was similar to prior acute coronary syndrome in the past. he ruled out for myocardial infarction. cardiac catheterization was significant for severe three vessel coronary artery disease. he was subsequently transferred to the for surgical revascularization. a prior echocardiogram from showed an lvef of 50%. past medical history: coronary artery disease, prior taxus stent to rca in , history of myocardial infarction, hypertension, niddm, copd, hypercholesterolemia, bph, depression, spinal stenosis, prior knee replacement, prior laminectomy social history: admits to at least 15 pack year history of tobacco - quit in . he denies excessive etoh. he is married with children. works as a shop foreman at a local car dealer. family history: denies history of premature cad. physical exam: vitals: bp 102/56, hr 60, rr 20, sat 96% on room air general: well developed male in no acute distress heent: oropharynx benign, neck: supple, no jvd, heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: nonfocal pertinent results: 07:40pm glucose-126* urea n-16 creat-1.1 sodium-137 potassium-4.2 chloride-106 total co2-26 anion gap-9 07:40pm alt(sgpt)-11 ast(sgot)-17 ld(ldh)-144 alk phos-32* amylase-22 tot bili-0.3 07:40pm lipase-18 07:40pm albumin-3.8 calcium-9.0 phosphate-3.3 magnesium-2.3 07:40pm %hba1c-6.3* -done -done 07:40pm wbc-4.7 rbc-3.59* hgb-11.6* hct-33.2* mcv-93 mch-32.3* mchc-34.9 rdw-14.1 07:40pm plt count-197 07:40pm pt-11.6 ptt-20.9* inr(pt)-1.0 04:50am blood wbc-4.6 rbc-2.31* hgb-7.3* hct-21.0* mcv-91 mch-31.5 mchc-34.7 rdw-14.2 plt ct-251 04:50am blood plt ct-251 06:20am blood glucose-150* urean-18 creat-0.9 na-137 k-4.4 cl-98 hco3-34* angap-9 chest (pa & lat) 5:37 pm chest (pa & lat) reason: evaluate pleural effusions medical condition: 60 year old man s/p cabg reason for this examination: evaluate pleural effusions indication: 60-year-old man, status post cabg, evaluate pleural effusions. comparison: study from pa and lateral chest radiographs: again seen are median sternotomy wires and clips from prior surgery. there is mild cardiomegaly. the lungs are clear. the pulmonary vasculature is within normal limits. no pneumothorax is seen. again seen are small bilateral pleural effusions. the soft tissue and osseous structures are stable in appearance. impression: small bilateral pleural effusions. the study and the report were reviewed by the staff radiologist. dr. 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. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. resting bradycardic (hr<60bpm). results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data conclusions: pre-bypass: 1. overall left ventricular systolic function is low normal (lvef 50-55%). left ventricular wall thicknesses are normal. resting regional wall motion abnormalities include hypokinesis of inferior wall. the remaining left ventricular segments contract normally. 2. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 3. the mitral valve appears structurally normal with trivial mitral regurgitation. no asd by 2d and color doppler. 4. there are complex (>4mm) atheroma in the aortic arch. 5. right ventricular chamber size and free wall motion are normal. 6. there is a trivial/physiologic pericardial effusion. post-bypass: electronically signed by , md on 11:03. physician: brief hospital course: mr. was admitted and underwent routine preoperative evaluation. given recent history of taxus stent, he was maintained on plavix. he remained pain free on medical therapy and intravenous heparin. workup was unremarkable and he was cleared for surgery. on , dr. performed coronary artery bypass grafting. surgery was uncomplicated and he was brought to the csru for invasive monitoring. for further surgical details, please see seperate dictated operative note. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics as diuretics and low dose beta blockade was resumed. on postoperative day one, he transferred to the sdu for continued care and recovery. he worked with physical therapy. over several days, he continued to make clinical improvement with diuresis. beta blockade was advanced as tolerated. he remained in a normal sinus rhythm. he was started on keflex for some erythema at a lle vein harvest site. he continued to do well and was ready for discharge on post operative day 6 with vna services medications on admission: plavix 75 qd, aspirin 325 qd, toprol 25 qd, lisinopril 2.5 qd, wellbutrin 150 , tricor, zetia 10 qd, metformin 500 , avandia 4 qd, flomax, celexa, fish oil, percocet prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tabs* refills:*0* 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*0* 8. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. bupropion 75 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. rosiglitazone 2 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 12. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 13. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*30 capsule, sust. release 24hr(s)* refills:*0* 14. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*0* 15. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p cabg, prior taxus stent to rca in , history of myocardial infarction, hypertension, niddm, copd, hypercholesterolemia, bph, depression, spinal stenosis, prior knee replacement, prior laminectomy discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: dr. in weeks - call for appt dr. in weeks - call for appt dr. in weeks - call for appt 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 pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified other and unspecified angina pectoris 

Answer: The patient is high likely exposed to