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: fatigue, weakness, dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the posterior left ventricular branch artery and the obtuse marginal artery history of present illness: 56 year old male with known coronary artery disease status post stents to right coronary artery and left anteriopr descending artery who now has complaints of fatigue and weakness. several weeks ago he presented to hospital with complaints of chest pain, ruled out for myocardial infarction, and was sent home for outpatient stress test which was abnormal. he presented on for cardiac catheterization which revealed three vessel coronary artery disease. now presents for surgical revascularization. past medical history: coronary artery disease s/p cypher stents to rca and lad , s/p lad stent in hypertension hyperlipidemia copd chronic cough/bronchitis bipolar disease diverticulitis recent "spot on liver"-found on imaging study for abdominal pain ***episodes of epistaxis. stopped asa but continued plavix and epistaxis stopped. left ankle bullet wound injury, s/ s/p tonsillectomy ear surgery as child social history: race: caucasian last dental exam: many years lives with: wife occupation: on disability tobacco: 1ppd x45 years etoh: rare recreational drugs: marijuana daily family history: father died of mi age 59 physical exam: pulse:83 resp:16 o2 sat: 100%ra b/p right:130/83 left: 151/94 height: 5'7" weight:260 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema +2 varicosities: none neuro: grossly intact pulses: femoral right: dressing left: +2 dp right: +1 left: +1 pt : +1 left: +1 radial right: +2 left: +2 carotid bruit right: 0 left:0 pertinent results: echo: pre bypass the left atrium is moderately dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium.. no thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is moderate global left ventricular hypokinesis. in addition, the distal lateral, anterolateral, and anterior walls seem more hypokinetic than the other segments. the overall ejection fraction is about 35%. the right ventricle displays borderline normal free wall function. the aortic root is mildly dilated at the sinus level. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. postbypass the patient is atrially paced on a phenylephrine infusion. global left ventricular function is now slightly improved (overall ejection fracture about 40-45%) although global left ventricular hypokinesis persists. the distal lateral, anterolateral, and anterior walls continue to be more hypokinetic than the other segments. valvular function is essentially unchanged. thoracic aorta is unchanged after decannulation. brief hospital course: mr. was a same day admit after undergoing his cardiac cath and pre-admission testing during previous hospital visit. on he was brought directly to the operating room where he underwent a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one his chest tubes were removed and he was transferred to the telemetry floor for further care. beta blockers and diuretics were started and he was diuresed towards his pre-op weight. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 7 the patient was ambulating freely, the wound was healing well and his pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. medications on admission: albuterol 90mcg inhaler-2 puffs prn plavix 75mg po daily diltiazem 120mg po q12 hrs advair diskus 1 puff ih furosemide 20mg po daily atrovent 2 puffs ih four times a day risperidone 2mg po qhs sertraline 200mg po qhs simvastatin 80mg po daily mvi 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:*90 tablet, delayed release (e.c.)(s)* refills:*2* 3. 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* 4. zocor 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 5. risperidone 2 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 6. zoloft 100 mg tablet sig: two (2) tablet po at bedtime. disp:*60 tablet(s)* refills:*2* 7. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: 1 puff disk with device inhalation (2 times a day). disp:*1 disk with device(s)* refills:*2* 9. atrovent hfa 17 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation four times a day. disp:*1 mdi* refills:*2* 10. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation four times a day as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*2* 11. lasix 20 mg tablet sig: take 2 tabs daily for 7 days, then decrease dose to 20mg daily. tablet po qam: take 2 tablets (40mg) daily with 20meq potassium for 7 days, then decrease dose to 20mg daily without potassium supplement. disp:*30 tablet(s)* refills:*2* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po qam for 7 days: take for 7 days with lasix and then stop. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: hypertension hyperlipidemia s/p cypher stents to rca and lad , s/p lad stent in copd chronic cough/bronchitis bipolar disease diverticulitis recent "spot on liver"-found on imaging study for abdominal pain ***episodes of epistaxis. stopped asa but continued plavix and epistaxis stopped. left ankle bullet wound injury, s/ s/p tonsillectomy ear surgery as child discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet prn incisions: sternal - healing well, no erythema or drainage. no instability. leg right/left - healing well, no erythema or drainage. edema 1+ bilaterally discharge instructions: 1. 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 2. please no lotions, cream, powder, or ointments to incisions 3. each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4. no driving for approximately one month until follow up with surgeon 5. no lifting more than 10 pounds for 10 weeks please call with any questions or concerns 6. take lasix 40mg (2 - 20mg tablets) once daily in the morning for 1 week, then decrease dose to 1 tablet (20mg) daily thereafter as per prior to surgery. you will take a potassium supplement 20meq daily with your lasix dose of 40mg for for 1 week and then stop. 7. 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 wednesday at 1:00pm please call to schedule appointments with your primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris family history of ischemic heart disease obesity, unspecified bipolar disorder, unspecified obstructive chronic bronchitis without exacerbation 

Answer: The patient is high likely exposed to