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: chest pain major surgical or invasive procedure: - cabgx4 (left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal, ramus and right coronary artery. history of present illness: 60 year old gentleman with chest discomfort. sent for an exercise test which was positive for ischemia. he was subsequently sent for a cardiac catheterization which was significant for left main and three vessel disease. given these findings, he was transferred to the for surgical management. past medical history: htn hyperlipidemia diabetes cad social history: stopped smoking 13 years ago. drinks 12 beers per week. lives with wife in . family history: mother died of mi at age 52. father died of heart problems at age 62. physical exam: nad cv: rrr, no m/r/g lungs: cta abd: obese, soft, nt/nd/nabs ext: no edema, + palpable pulses neck: supple, no carotid bruit pertinent results: 07:35pm pt-13.8* ptt-27.5 inr(pt)-1.2* 07:35pm wbc-8.1 rbc-4.66 hgb-11.8* hct-36.1* mcv-77* mch-25.4* mchc-32.8 rdw-14.7 07:35pm alt(sgpt)-29 ast(sgot)-29 alk phos-97 amylase-71 tot bili-0.5 07:35pm glucose-88 urea n-15 creat-0.9 sodium-140 potassium-4.0 chloride-104 total co2-26 anion gap-14 10:12pm urine blood-neg nitrite-neg protein-neg glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg echo prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. significant pulmonic regurgitation is seen. (mild-moderate) postbypass preserved biventricular systolic function. study otherwise unchanged from prebypass. brief hospital course: mr. was admitted to the via transfer from for surgical management of his coronary artery disease. he was worked-up in the usual preoperative manner and deemed suitable for surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by day one, mr. neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. he was transfused with a unit of packed red blood cells for anemia. on day two, mr. was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his strength and mobility. mr. continued to make steady progress and was discharged home with a visiting nurse day 4. medications on admission: pravachol 80mg qd niaspan er 1000mg qd actos 50mg qd quinapril 40mg prilosec 20mg qd toprol xl 50mg qd flaxseed oil 6grams qd aspirin 81mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. pravachol 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. actos 45 mg tablet sig: one (1) tablet po once a day. 6. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 12. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 13. niaspan 1,000 mg tablet sustained release sig: one (1) tablet sustained release po once a day. 14. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: cad s/p cabg hyperlipidemia htn diabetes discharge condition: good. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any weight gain greater then 2 pounds in 24 hours or 5 pounds in one week. 3) you may shower. no bathing or swimming until seen in clinic. no lotions, creams or powders to incison. 4) no driving for 1 month. 5) no lifting greater then 10 pounds for 10 weeks. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in 2 weeks. follow-up with pcp . in weeks. ( please call all providers for appointments. md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to