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: abnormal ekg, no symptoms major surgical or invasive procedure: coronary artery bypass grafts x 4(left internal mammary artery > left anterior descending, saphenous vein graft > obtuse marginal, saphenous vein graft > diagonal, saphenous vein graft > posterior descending artery) history of present illness: 64 year old white male underwent a strees test, which was positive due to an abnormal ekg on routine examination. he underwent cardiac catherization at outside hospital which revealed coronary artery disease. he was referred for surgical intervention. past medical history: diabetes mellitus ( diet-controlled) hypertension hyperlipidemia s/p melanoma resection social history: works as a custodian. 52 pack year smoker, quit 20 years ago. drinks 8 shots/weekend lives with his wife family history: non contributory physical exam: pulse:55 resp: 18 o2 sat: 100 ra b/p right: 116/76 left: height: 6 feet weight: 91.2 kg 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 varicosities: bilat neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: conclusions pre-bypass: 1. the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the diameters of aorta at the sinus, ascending and arch levels are normal. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. 7. there is no pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is in sinus rhythm. mid-esophageal views are very sub-optimal. 1. biventricular function is intact. 2. arch and descending aorta are intact. dr. was notified in person of the results. electronically signed by , md, md, interpreting physician 14:26 portable chest radiograph of with comparison to and indication of chest tube removal. findings: various indwelling devices have been removed, with no evidence of pneumothorax. cardiomediastinal contours are unchanged in appearance in the postoperative period. patchy areas of atelectasis are present in both retrocardiac regions, and a small left pleural effusion is also demonstrated. dr. approved: mon 10:15 am imaging lab hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:55am 10.9 3.17* 10.1* 28.7* 91 31.9 35.2* 13.2 190 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:55am 190 basic coagulation (fibrinogen, dd, tt, reptilase, bt) fibrino 01:57pm 317 chemistry renal & glucose glucose urean creat na k cl hco3 angap 06:55am 127* 19 0.9 134 4.7 96 28 15 estimated gfr (mdrd calculation) estgfr 11:45pm using this1 using this patient's age, gender, and serum creatinine value of 1.0, estimated gfr = 75 if non african-american (ml/min/1.73 m2) estimated gfr = >75 if african-american (ml/min/1.73 m2) for comparison, mean gfr for age group 60-69 is 85 (ml/min/1.73 m2) gfr<60 = chronic kidney disease, gfr<15 = kidney failure enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 11:45pm 21 24 187 51 0.4 chemistry totprot albumin globuln calcium phos mg uricacd iron 06:55am 2.0 diabetes monitoring %hba1c 11:45pm 6.2*1 recommendations:; <7% goal of therapy; >8% warrants therapeutic action ?????? caregroup is. all rights reserved. brief hospital course: he was transferred for surgical evaluation and underwent preoperative work up. on he went to the operating room and underwent coronary artery bypass graft surgery. see operative note for details. he received vancomycin for perioperative antibiotics. he was transferred to the intensive care unit for hemodynamic management. he was weaned from sedation, awoke neurologically intact, and was extubated without complications. he was transferred to the floor on post operative day one. chest tubes and pacing wires removed per protocol. physical therapy worked with him on strength and mobility. he continued to progress and was ready for discharge home with services on post operative day four.pt. is to make all followup appts as per discharge instructions. medications on admission: crestor 5mg/d lisinopril 20mg/hctz 25mg/d amlodipine 2.5 mg/d atenolol 25 mg/d asa 162mg/d mvi discharge medications: 1. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*30 tablet(s)* refills:*0* 4. 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* 5. 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* 6. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 weeks. disp:*14 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts hypertension diabetes mellitus type 2 ( diet-controlled) hypercholesterolemia h/o melanoma discharge condition: good discharge instructions: please shower daily including washing incisions, 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: please call to schedule appointments dr. in 4 weeks () dr. in weeks () dr. in 2 weeks wound check 6 - please schedule with rn procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia personal history of malignant melanoma of skin 

Answer: The patient is high likely exposed to