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: cardiac catherization off pump coronary artery bypass graft (left internal mammary artery -> left anterior descending) history of present illness: 46 year old male with two days of chest and arm pain. occurred with waling up stairs. the pain last 15 minutes resolving with rest. he now presents for cardiac catheterization. past medical history: hyperlipidemia hypertension social history: employed as an analyst in . he smokes tobacco and occasional etoh (/week). he is married with children. family history: mother with valvular disease and icd. no history of sudden cardiac death or premature cad. physical exam: vs- 97.9 90-125/58-85 50-60 18 96%ra gen- well appearing male in nad heent- mmm, anicteric neck- supple, no jvd cor- rrr, no m/r/g chest- cta bilaterally abd- soft, nt, nd, pos bs ext- no edema. right groin c/d/i; no hematoma or oozing; no bruit. distal pulses 2+ neuro- aaox3; no focal findings skin- no lesions identified discharge wound c/d/i afebrile bp 100/56. hr sr 86 pertinent results: 03:10pm pt-12.9 ptt-32.4 inr(pt)-1.1 03:10pm plt count-228 03:10pm wbc-8.9 rbc-5.03 hgb-15.2 hct-42.7 mcv-85 mch-30.1 mchc-35.5* rdw-12.9 03:10pm %hba1c-5.0 -done -done 03:10pm alt(sgpt)-29 ast(sgot)-20 alk phos-59 tot bili-1.3 03:10pm glucose-115* urea n-17 creat-0.8 sodium-134 potassium-3.8 chloride-100 total co2-25 anion gap-13 06:45am blood wbc-12.7* rbc-3.76* hgb-11.9* hct-32.1* mcv-85 mch-31.7 mchc-37.3* rdw-12.8 plt ct-183 06:45am blood plt ct-183 06:45am blood glucose-92 urean-19 creat-1.0 na-141 k-4.5 cl-104 hco3-29 angap-13 echo conclusions: pre-bypass: no spontaneous echo contrast is seen in the left atrial appendage. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. cardiac catheterization 1. coronary angiography of this right dominant system demonstrated single vessel coronary artery disease. the lmca had mild diffuse plaquing. the lad had diffuse disease proximally with a large (greater than 6 mm by qca) aneurysm in the mid-lad with significant stenoses at both ends of the aneurysm (likely 60-70% stenoses). the d1 arose from the proximal end of the aneurysm and the d2 arose from the distal end. there was diffuse plaquing in the mid-lad. the distal lad wrapped around the apex. the lcx had diffuse mild proximal disease. the proximal lcx was smaller than the om. the rca had mild diffuse plaquing to 30# with a large rpl system. 2. limited resting hemodynamics revealed a mildly elevated left sided filling pressure with an lvedp of 18 mmhg. systemic arterial pressures were normal with a bp of 124/77 mmhg. there was no transaortic gradient upon pullback of the catheter from the lv to the aorta. there was a 20 mmhg pulsus paradoxus. 3. left ventriculography showed no mitral regurgitation. the calculate lvef was 66%. there was mild anterolateral hypokinesis. brief hospital course: mr. was admitted to the on for a cardiac catheterization and further evaluation of his chest pain. the catheterization revealed a large left anterior descending artery aneurysm with a 70% stenosis at both the origin and end of the aneurysm. given the anatomy of his disease, the cardiac surgical service was consulted. mr. was worked-up in the usual preoperative manner. on , mr. was taken to the operating room where he underwent off-pump coronary artery bypass grafting to the left anterior descending artery. please see operative note for details. postoperatively he was transferred to the intensive care unit for monitoring. by postoperative day one, mr. was awake, extubated and neurologically intact. beta blockade, a statin and aspirin were resumed. he was then transferred to the step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service worked with him daily to increase his strength and mobility. mr. continued to make steady progress and was discharged home on postoperative day 2. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: medications on transfer: asa 325 plavix 75 qd lopressor 12.5 lipitor 80 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. 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* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. 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:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p off pump coronary artery bypass graft hypercholesterolemia hypertension discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr in 1 week () please call for appointment dr in weeks () please call for appointment wound check appointment 2 as instructed by nurse () procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension other and unspecified angina pectoris aneurysm of coronary vessels 

Answer: The patient is high likely exposed to