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: cabg x5 (lima to lad, svg to diag, svg to ramus sequentially to om2, svg to pda) history of present illness: 60 yo male present to outside er with 48 hours of jaw pain, and numbness in fingers and hand. ekg changes lead to cath which revealed ef 40-50%, lad 100%, 70-80% prox. cx, rca 100%. transferred to for cabg. past medical history: obesity ( no health care for 10 years) social history: lives with girlfriend current 1 ppd x 40 years drinks per week retired banker family history: brother with mi at 70 physical exam: nad lying in bed mae, alert and oriented x 3, nonfocal exam perrl, anicteric, mmm, nl. buccal membrane neck supple, no lymphadenopathy/thyromegaly rrr s1 s2 no m/r/g ctab abd obese, soft, nt, +bs extrems, warm, well-perfused, palpable distal pulses no varicosities or edema t 98 hr 69 sr rr 22 154/84 98% 2l nc 68" 119 kg pertinent results: 05:45am blood wbc-9.9 rbc-2.85* hgb-8.9* hct-26.7* mcv-94 mch-31.3 mchc-33.5 rdw-13.9 plt ct-233 05:45am blood pt-12.6 ptt-33.7 inr(pt)-1.1 05:45am blood plt ct-233 05:45am blood glucose-103 urean-13 creat-0.8 na-139 k-3.9 cl-99 hco3-29 angap-15 03:48am blood calcium-8.4 phos-3.5 mg-2.4 cardiology report echo study date of patient/test information: indication: intraop cabg. evaluate aortic atheroma, ventricular function, valve status height: (in) 68 weight (lb): 262 bsa (m2): 2.29 m2 bp (mm hg): 135/70 hr (bpm): 70 status: inpatient date/time: at 09:28 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw2-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *5.8 cm (nl <= 4.0 cm) left atrium - four chamber length: 4.4 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.3 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.3 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 4.6 cm left ventricle - fractional shortening: *0.13 (nl >= 0.29) left ventricle - ejection fraction: 45% to 55% (nl >=55%) aorta - valve level: 3.5 cm (nl <= 3.6 cm) aorta - ascending: 2.7 cm (nl <= 3.4 cm) aorta - arch: 3.0 cm (nl <= 3.0 cm) aorta - descending thoracic: 2.4 cm (nl <= 2.5 cm) mitral valve - peak velocity: 0.7 m/sec mitral valve - mean gradient: 1 mm hg mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 1.00 mitral valve - e wave deceleration time: 140 msec interpretation: findings: left atrium: moderate la enlargement. no thrombus in the laa. right atrium/interatrial septum: normal ra size. lipomatous hypertrophy of the interatrial septum. no asd or pfo by 2d, color doppler or saline contrast with maneuvers. left ventricle: normal lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. mildly depressed lvef. lv wall motion: regional lv wall motion abnormalities include: mid anterior - normal; anterior 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. no atheroma in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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. the patient was under general anesthesia throughout the procedure. no tee related complications. suboptimal image quality - body habitus. the patient appears to be in sinus rhythm. conclusions: pre bypass: the left atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with distal and apical anterior hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch and the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post bypass: patient is av paced, then a paced on phenylepherine infusion. lv wall motion appears imrproved to normal. lvef 55%. normal rv function. mr is still mild. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. electronically signed by , md on 11:20. physician: () brief hospital course: admitted and pre-op workup completed over the weekend. underwent cabg x5 with dr. on . transferred to the cvicu in stable condition on phenylephrine and propofol drips. extubated that evening and transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed without incident. pt works with pt / pt cleares for home with vna. foley dc'd without incident. medications on admission: none at home at transfer: asa 325 mg dialy lopressor 12.5 mg protonix 40 mg daily nicotine patch 21 daily iv heparin iv integrilin plavix 75 mg daily thiamine 100 mg daily 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:*0* 3. 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* 4. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 7 days. disp:*14 packet(s)* refills:*0* 10. 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* discharge disposition: home with service facility: vna discharge diagnosis: cad s/p cabg x5 obesity discharge condition: good discharge instructions: shower daily and pat incisions dry no lotions, creams or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness, or drainage followup instructions: see dr. in weeks see dr. in 4 weeks please get an appt. with a primary care in weeks md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute myocardial infarction of other inferior wall, initial episode of care family history of ischemic heart disease obesity, unspecified chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to