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: positive stress test major surgical or invasive procedure: four vessel coronary artery bypass grafting cardiac catheterization history of present illness: this is a 70 year old male with hypertension, hyperlipidemia and parkinson's disease, who was referred for cardiac catheterization due to evidence of coronary artery disease on echo and stress testing. he denied chest pain, shortness of breath, increased fatigue, pedal edema and syncope. past medical history: parkinson's disease gout hypertension hyperlipidemia sinus bradycardia s/p tonsillectomy s/p left eye surgery social history: denies tobacco and etoh. lives with wife. family history: denies premature coronary artery disease physical exam: preop exam pulse:51 resp:20 o2 sat: 98/ra b/p right:183/98 left:175/90 height:6'2" weight:277 lbs general: nad, alert, cooperative skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular no murmur abdomen: soft non-distended x non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:+1 left:+1 dp right: +1 left:+1 pt :+1 left:+1 radial right:+2 left:+2 carotid bruit right:none left:none pertinent results: wbc-8.5 rbc-4.51* hgb-14.8 hct-42.1 mcv-93 mch-32.7* mchc-35.0 rdw-14.1 plt ct-193 glucose-94 urean-23* creat-1.3* na-140 k-3.6 cl-104 hco3-25 angap-15 alt-7 ast-16 alkphos-74 totbili-0.6 %hba1c-6.2* eag-131* cardiac cath: 1. coronary angiography in this right-dominant system demonstrated three-vessel and lmca disease. the lmca had a 60% ostial stenosis followed by an ectatic segment. the lad had a highly ulcerated ostial 70% stenosis, an 80% proximal steniosis, a 99% mid-vessel stenosis and a 99% stenosis in the first diagonal branch. the lcx had a 60% proximal stenosis and was totally occluded after a large first obtuse marginal branch. the rca had a 50% mid-vessel stenosis, 40% distal stenosis and a 60% origin stenosis in the pda. 2. limited resting hemodynamics revealed mild systemic arterial hypertension, with an sbp of 159 mm hg. carotid ultrasound: right ica stenosis <40% . left ica with no stenosis . intraop tee: pre bypass the left atrium is markedly dilated. the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is low normal (lvef 50%). the right ventricle displays normal free wall contractility. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post bypass normal biventricular systolic function with a left ventricular ejection fraction of 55%. no significant change in valvular function. the thoracic aorta is intact after decannulation. the pfo flow remains. . wbc-9.3 rbc-3.78* hgb-12.1* hct-35.4* plt ct-219 wbc-9.5 rbc-3.67* hgb-11.4* hct-34.0* plt ct-173 wbc-13.3* rbc-3.82* hgb-12.3* hct-35.8* plt ct-150 wbc-18.4* rbc-4.31* hgb-13.6* hct-39.6* plt ct-164 wbc-13.7*# rbc-3.46*# hgb-11.4*# hct-32.4*# plt ct-140* glucose-99 urean-36* creat-1.5* na-143 k-3.6 cl-105 hco3-31 a glucose-100 urean-36* creat-1.5* na-139 k-3.7 cl-102 hco3-30 glucose-118* urean-31* creat-1.5* na-134 k-3.7 cl-100 hco3-29 glucose-113* urean-26* creat-1.6* na-139 k-4.2 cl-107 hco3-26 mg-2.2 brief hospital course: mr. was admitted under cardiology and underwent cardiac catheterization which revealed severe three vessel coronary artery disease. based upon the results, cardiac surgery was consulted and routine preoperative evaluation was performed. workup was essentially unremarkable and he was cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see operative note. following surgery, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and transferred to the sdu on postoperative day one. he initially required aggressive diuresis with intravenous lasix. given his mildly depressed left ventricular function, heart failure therapy was optimized. swallow evaluation was performed due to difficulty swallowing pills. there were no findings of aspiration, and his diet was advanced. chest tubes and pacing wires were removed per cardiac surgery protocol without complication. he remained mostly in a normal sinus with a very brief episode of paroxysmal atrial fibrillation. occasional pac's were noted. he otherwise continued to make clinical improvements with diuresis and was eventually cleared for discharge to home on postoperative day six. at discharge, surgical incisions were healing well and incisional pain was controlled with tylenol. medications on admission: acetylcysteine - (prescribed by other provider) - 20 % (200 mg/ml) solution - the evening prior to and the morning of cardiac catheterization amlodipine - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth every day at noon time carbidopa-levodopa - (prescribed by other provider) - 25 mg-100 mg tablet - 1.5 tablet(s) by mouth every morning and at lunch, one tablet every evening hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth every morning lisinopril - (prescribed by other provider) - 2.5 mg tablet - 1 tablet(s) by mouth every morning lorazepam - (prescribed by other provider) - 0.5 mg tablet - 1 tablet(s) by mouth every evening metoprolol succinate - (prescribed by other provider) - 25 mg tablet sustained release 24 hr - 0.5 (one half) tablet(s) by mouth every morning potassium chloride - (prescribed by other provider) - 20 meq tab sust.rel. particle/crystal - 1 tab(s) by mouth every morning rasagiline - (prescribed by other provider) - 1 mg tablet - 1 tablet(s) by mouth daily. has been off since pre cath per patient's neurologist ropinirole - (prescribed by other provider) - 4 mg tablet sustained release 24 hr - 1 tablet(s) by mouth every morning simvastatin - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth every evening medications - otc aspirin - (prescribed by other provider) - 325 mg tablet - 1 tablet(s) by mouth every morning cyanocobalamin (vitamin b-12) - (prescribed by other provider) - dosage uncertain multivitamin - (prescribed by other provider) - dosage uncertain omega-3 fatty acids - (prescribed by other provider) - 1,000 mg capsule - 1 capsule(s) by mouth twice a day discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ropinirole 1 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 5. carbidopa-levodopa 25-100 mg tablet sig: 1.5 tablets po breakfast and lunch (): 1.5 tabs twice daily(one tabwith breakfast, one tab with lunch). disp:*60 tablet(s)* refills:*2* 6. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po dinner (dinner): take one tab with dinner. disp:*30 tablet(s)* refills:*2* 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. azilect 1 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 9. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 10. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 10 days: take for 10 days then stop. please take with kcl. disp:*10 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 10 days: take for 10 days then stop. please take with lasix. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna- discharge diagnosis: coronary artery disease, s/p cabg hypertension dyslipidemia parkinsons disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with 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 take lasix and kcl as directed for 10 days 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** followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1pm cardiologist: dr office will call patient with appt please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension gout, unspecified atrial fibrillation other and unspecified hyperlipidemia paralysis agitans acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to