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: left sided chest discomfort major surgical or invasive procedure: 1. urgent coronary artery bypass graft x3; left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. history of present illness: 50 year old male noted to have some vision problems. was also found to have elevated blood pressure readings. he was started on atenolol by his pcp. he reports three separate episodes of left sided chest discomfort, described slightly more than an ache. this occurred only with carrying furniture or moving furniture, lasted less than 30 seconds, and resolved spontaneously. four weeks ago he developed numbness in his hands and feet which persisted for a week. he sought medical attention and an a ekg demonstrated prior mi and t-wave abnormalities which were new since . he was referred to dr. who recommended a cardiac catheterization for further evaluation. upon cardiac catheterization he was found to have coronary artery disease and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease hypercholesterolemia hypertension herpes simplex migraine ha allergic rhinitis type 2 diabetes shoulder arthralgias anxiety gerd past surgical history: bilateral eye surgery wisdom teeth extraction social history: lives with:wife contact: (wife) phone # occupation:real estate lawyer cigarettes: smoked no yes other tobacco use:denies etoh: up until 7 drinks a week, rare since that time illicit drug use:denies family history: premature coronary artery disease- father with mi x 2 (unclear age) and died of a cva at age 81 physical exam: pulse:45 resp:16 o2 sat:100/ra b/p right:131/70 left:135/73 height:6'2" weight:218 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: cath site left: 2+ carotid bruit right: no left: no pertinent results: intra-op tee conclusions prebypass no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. postbypass there is preserved biventricular systolic function. the study is otherwise unchanged from prebypass . cxr: : there is a right ij central line with distal lead tip in distal svc. there is stable cardiomegaly. there is no focal consolidation or signs for overt pulmonary edema. there is improved aeration at the left base. there is a small left-sided pleural effusion. within the right base, there is a 4-mm density, likely a granuloma. wbc-6.5 rbc-4.18* hgb-11.9* hct-35.8* mcv-86 mch-28.4 mchc-33.2 rdw-13.1 plt ct-221 glucose-149* urean-16 creat-0.9 na-139 k-4.3 cl-104 hco3-25 alt-45* ast-24 alkphos-36* amylase-40 totbili-0.5 mg-2.1 %hba1c-7.4* eag-166* triglyc-45 hdl-46 chol/hd-2.4 ldlcalc-54 mrsa screen (final ): no mrsa isolated. 04:54am blood wbc-7.9 rbc-4.20* hgb-11.7* hct-36.0* mcv-86 mch-27.9 mchc-32.6 rdw-13.0 plt ct-254 05:15am blood wbc-6.5 rbc-4.18* hgb-11.9* hct-35.8* mcv-86 mch-28.4 mchc-33.2 rdw-13.1 plt ct-221 05:58am blood wbc-7.9 rbc-4.26* hgb-12.2* hct-36.3* mcv-85 mch-28.7 mchc-33.7 rdw-13.2 plt ct-199 05:20am blood pt-12.5 inr(pt)-1.2* 05:20am blood urean-20 creat-1.0 na-136 k-4.6 cl-100 04:54am blood urean-24* creat-0.9 na-140 k-4.3 cl-102 05:15am blood glucose-149* urean-16 creat-0.9 na-139 k-4.3 cl-104 hco3-25 angap-14 brief hospital course: mr. was brought to the operating room on where the patient underwent cabg x 3 with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient 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. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. anti-hypertensives were titrated. anti-hyperglycemic regimen was slowly resumed. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he had several brief bursts of rapid atrial fibrillation. amiodarone was initiated. he was in sinus rhythm at the time of discharge but had multiple episodes of atrial fibrillation and was started on coumadin. he was given 5 mg coumadin x 2 doses and his inr was 1.2 at the time of discharge. the next inr draw is scheduled for . by the time of discharge on pod 7 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna in good condition with appropriate follow up instructions. medications on admission: amlodipine 10 mg daily atenolol 50 mg daily butalbital-aspirin-caffeine 50 mg-325 mg-40 mg tablet - 1-2 tablets tid prn clonazepam 0.5 mg tablet - 1-2 tablets prn glipizide 5 mg tablet - 0.5-1 tablets daily/pm if blood sugar greater than 180 after pm meal. lantus 65 units daily hs lidocaine 5 % (700 mg/patch) adhesive patch, medicated - apply for 12 hours a day as needed for pain lisinopril 20 mg tablet metformin 850 mg tablet - 1 tablet am and 2 tablets pm nitroglycerin 0.4 mg tablet prn omeprazole 20 mg daily oxycodone-acetaminophen 5 mg-325 mg tablet - 1 tablet q4hrs prn crestor 40 mg daily valacyclovir 1,000 mg tid prn zolpidem 10 mg hs ascorbic acid 1,000 mg daily aspirin 81 mg daily multivitamin dosage uncertain cinnamon tablets garlic tablets discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while taking narcotics. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain/fever. 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. glipizide 5 mg tablet sig: one (1) tablet po daily (daily): take in pm if blood sugar greater than 180. 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 8. lisinopril 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. rosuvastatin 40 mg tablet sig: one (1) tablet po once a day. 10. ascorbic acid 1,000 mg tablet sig: one (1) tablet po once a day. 11. metformin 850 mg tablet sig: one (1) tablet po bid (2 times a day): increase pm dose to 2 tablets if blood sugars are consistenly high. 12. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 13. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 5 days. disp:*5 tablet extended release(s)* refills:*0* 14. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 15. clonazepam 0.5 mg tablet sig: 1-2 tablets po every twelve (12) hours as needed. 16. insulin glargine 100 unit/ml solution sig: sixty five (65) units subcutaneous at bedtime. 17. valacyclovir 500 mg tablet sig: two (2) tablet po three times a day. 18. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) topical once a day: take as previous. 19. coumadin 5 mg tablet sig: one (1) tablet po once a day: take as directed for inr goal 2.0-2.5. disp:*60 tablet(s)* refills:*0* 20. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take 400 mg x 2 weeks then 200 mg x 2 weeks then 200 mg daily x 1 month then as directed by cardiologist. disp:*80 tablet(s)* refills:*0* 21. outpatient lab work inr check for afib, goal results to be sent to , rn at the anticoagulation management service phone ( fax ( plan confirmed with on discharge disposition: home with service facility: vna of discharge diagnosis: coronary artery disease hypercholesterolemia hypertension herpes simplex migraine ha allergic rhinitis type 2 diabetes shoulder arthralgias anxiety gerd past surgical history: bilateral eye surgery wisdom teeth extraction discharge condition: alert and oriented x3 nonfocal ambulating sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage trace le edema 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** followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office , 10:10 surgeon dr. , 1:00 cardiologist dr. , at 1:00p please call to schedule the following: primary care dr. ,hikaru in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation anxiety state, unspecified examination of participant in clinical trial migraine, unspecified, without mention of intractable migraine without mention of status migrainosus herpes simplex without mention of complication 

Answer: The patient is high likely exposed to