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: lipitor attending: chief complaint: positive stress test with severe cad on cath major surgical or invasive procedure: s/p cabgx3(lima->lad, svg->om, pda) history of present illness: 57 y/o male with recent stress test who underwent cardiac cath which found severe three vessel disease. past medical history: hypertension, hypercholesterolemia, diabetes mellitus, depression, sleep apnea, s/p tonsillectomy, s/p removal of left ear benign tumor social history: smoke 1ppd x 40yrs. denies etoh use. family history: non-contributory physical exam: vs: 53 100/72 18 gen: nad, a&o x 3 lungs: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs, very obese pertinent results: cxr: patient is status post coronary artery bypass graft. multiple sternal wires are unchanged in configuration. the cardiomediastinal silhouette is upper limits of normal but stable. the pulmonary vasculature is not engorged. the lung volumes are low with bibasilar atelectasis. small bilateral pleural effusions are new since . echo: pre cpb the left atrium is moderately dilated. the left atrium is elongated. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. there are simple atheroma in the aortic arch. there are focal calcifications in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) 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. physiologic mitral regurgitation is seen (within normal limits). post cpb normal biventricular systolic function. ascending aorta intact. 05:30am blood wbc-6.2 rbc-4.00* hgb-12.3* hct-35.1* mcv-88 mch-30.6 mchc-35.0 rdw-14.8 plt ct-250 06:00am blood wbc-5.8 rbc-2.90* hgb-8.8* hct-25.4* mcv-88 mch-30.4 mchc-34.7 rdw-14.9 plt ct-176 06:10am blood hct-28.0* 05:30am blood pt-11.9 ptt-26.8 inr(pt)-1.0 02:07am blood pt-12.2 ptt-32.5 inr(pt)-1.0 05:30am blood glucose-90 urean-16 creat-0.9 na-140 k-3.7 cl-103 hco3-27 angap-14 06:00am blood glucose-95 urean-22* creat-1.1 na-140 k-3.8 cl-105 hco3-27 angap-12 brief hospital course: mr. was transferred from osh for surgical revascularization. he underwent usual pre-operative work-up and remained stable under medical management for several days. on 0/17 he was brought 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 csru for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. beta blockers and diuretics were started on post-op day one and he was gently diuresed towards his pre-op weight. on post-op day two he was transferred to the sdu for further care. his chest tubes were removed on this day. on post-op day three his epicardial pacing wires were removed. he worked with physical therapy during his entire post-op course for strength and mobility. he appeared to be doing well on post-op day five and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: zoloft 150mg qd, metformin 500mg qhs, tricor 45mg qd, diovan 160/25mg qd, aspirin discharge medications: 1. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. sertraline 100 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 8. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 9. lopressor 50 mg tablet sig: 0.5 tablet po twice a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: , nh discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 pmh: hypertension, hypercholesterolemia, diabetes mellitus, depression, sleep apnea discharge condition: good. discharge instructions: follow medications on discharge instructions. do not lift more than 10 lbs. for 2 months. do not drive for 4 weeks. shower daily, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office with sternal drainage, temps.>101.5 followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) 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 depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to