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: angina major surgical or invasive procedure: - off pump coronary artery bypass surgery (lima->lad) history of present illness: 53 yo male with chest pressure for the past year, increasing in frequency. presented to and then transferred to for cath. he ruled in for nstemi. cath revealed 100% lad, 40% prox. cx, rca nl., ef 45%, no mr. past medical history: niddm htn skin nodule excision social history: part-time handyman, now unemployed quit smoking 20 years ago 3 beers per week lives with significant other family history: nc physical exam: hr 54 rr 16 right 142/74 left 128/66 68" 185# skin/heent unremarkable neck supple, full rom, no carotid bruits appreciated ctab anteriorly rrr soft, nt, nd, +bs warm, well-perfused, no edema or varicosities neuro grossly intact 2+ bil. fems/dp/ pt/ radials pertinent results: 07:03am blood wbc-11.6* rbc-4.17* hgb-12.5* hct-36.6* mcv-88 mch-30.1 mchc-34.3 rdw-13.0 plt ct-265 07:33am blood pt-14.1* ptt-30.1 inr(pt)-1.3* 07:03am blood plt ct-265 07:03am blood glucose-121* urean-12 creat-1.0 na-139 k-3.8 cl-100 hco3-31 angap-12 cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: intra-op tee for off pump cabg status: inpatient date/time: at 09:33 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw02-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left ventricle - ejection fraction: 55% (nl >=55%) interpretation: findings: left atrium: normal la size. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv cavity size. overall normal lvef (>55%). lv wall motion: regional lv wall motion abnormalities include: anterior apex - hypo; septal apex - hypo; apex - hypo; remaining lv segments contract normally. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. focal calcifications in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: no ms. trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally conclusions: 1. the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. 2. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the remaining left ventricular segments contract normally. 3. right ventricular chamber size and free wall motion are normal. 4. there are focal calcifications in the aortic arch. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. trivial mitral regurgitation is seen. 7. there is no pericardial effusion. post opcab: pt is receiving an infusion of pheylephrine. 1. biventricular function is preserved. 2. other findings are unchanged physician: brief hospital course: admitted on nitroglycerin and aggrastat drips,and underwent opcabg x 1 with dr. . transferred to the csru in stable condition on phenylephrine, propofol, and insulin drips. extubated later that afternoon and transferred to the floor on pod #1 to begin increasing his activity level.chest tubes and pacing wires removed without incident. gentle diuresis continued and beta blockade titrated. made good progress and cleared for discharge to home on pod #4. pt is to make all follow-up appts. as per discharge instructions. medications on admission: metformin 500 mg asa 81 mg daily lisinopril 10 mg daily hctz 25 mg daily plavix (600 mg , 75 mg ) aggrastat nitroglycerin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*2* 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:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: - do not drive while taking this medication. disp:*40 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 5 days. disp:*20 capsule, sustained release(s)* refills:*0* 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: nursing services discharge diagnosis: - single-vessel coronary artery disease with total occlusion of his left anterior descending coronary artery --> s/p off-pump coronary artery bypass grafting x2 with left internal mammary artery to the left anterior descending coronary artery. pmh diabetes mellitus hypertension discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. please shower and wash incisions daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns . followup instructions: **it is very important that the following appintments are made / confirmed** - you will need to schedule a follow-up appointment with dr. in 4 weeks -> please call his office at ( to schedule this appointment - you will need to schedule an appointment with your primary care physician (dr ) in 2 weeks -> this is for post-hospitalization visit, - you need to schedule an appointment with your cardiologist in the next 2-3 weeks procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to