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: no known allergies / adverse drug reactions attending: chief complaint: syncope major surgical or invasive procedure: coronary artery bypass grafting times two(left interior mammary artery to left anterior descending, saphenous vein grafting to obtuse marginal) on history of present illness: mr. is a 57 year-old white male with known coronary artery disease/ischemic cardiomyopathy who presented to on with two syncopal episodes while at rest. he was admitted and ruled out for a myocardial infarction by enzymes. an interrogation of his aicd was benign. a cardiac catheterization revealed multi-vessel disease and a depression ejection fraction of 25%. he was transferred for surgical work-up for his coronary artery disease. past medical history: left anterior descending pci/stent , non-insulin dependent diabetes mellitus, dilated cardiomyopathy, hypertension, hyperlipidemia, depression, st. aicd () social history: mr. lives with:friend in rooming house. he is an unemployed beer truck driver. he last smoked a cigarette on and reports smoking two packs per day. he smokes crack cocaine every tuesday, last on . family history: non-contributory physical exam: pulse: resp:14 o2 sat: b/p right:122/70 left: 122/70 general:thin , appears sl cachectic and older than stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema lt 2nd toe surgically absent, well healed. varicosities: none few spider veins rt thigh medially 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:n left:n pertinent results: echocardiography report , (complete) done at 12:44:02 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 57 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. icd-9 codes: 424.1, 424.0, 424.2 test information date/time: at 12:44 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2011aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 3% to 40% >= 55% findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness and cavity size. moderate-severe regional left ventricular systolic dysfunction. lv wall motion: regional left ventricular wall motion findings as shown below; 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 descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. moderate thickening of mitral valve chordae. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic 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 tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with akinetic apex. the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are mildly thickened (3 leaflets). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is moderate thickening of the mitral valve chordae. trivial mitral regurgitation is seen. there is no pericardial effusion. post cpb: 1. unchanged left and right ventricular systolci function 2. no change in valve structure and function 3. intact aorta brief hospital course: mr. was admitted for pre-operative work-up for a coronary artery bypass grafting. he underwent and echocardiogram which showed no significant valve disease and an ejection fraction of less than 40% and a carotid ultrasound which revealed less than 40% stenosis bilaterally. his surgery was delayed for a plavix washout as he was given plavix after his cardiac catheterization. on he had chest pain with ekg changes and was transferred to the surgical intensive care unit for heparin and nitroglycerin infusions. his chest pain quickly abated. he began treatment for a urinary tract infection. he was transferred back to the floor. lantus was started for better glucose management. on he underwent a coronary artery bypass grafting times two(left interior mammary artery to left anterior descending, saphenous vein grafting to obtuse marginal) performed by dr. . please see the operative note for details. during the procedure he underwent an inappropriate aicd shock and was assessed by electrophysiology. they felt the shock was due to electrocautery. he was transferred in critical but stable condition to the surgical intensive care unit. he quickly extubated on the day of surgery. by the following day he weaned from neosynepherine and was transferred to the floor. he was started on betablocker, statins, and gently diuresed toward his pre-op weight. he was evaluated by physical therapy and discharge to rehab was recommended. on pod#3 he experienced a brief episode of post-op afib. on pod#4 he was cleared for discharge to blueberry rehab. his expected lenth of stay at rehab is less than 30 days. medications on admission: plavix 75mg daily, gabapentin 800mg , zocor 40mg daily, asa 81mg daily, glipizide 5mg , metformin 500mg , trazadone 50mg daily discharge medications: 1. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 2. gabapentin 400 mg capsule sig: two (2) capsule po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 9. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): on decrease to 400mg daily for 7 days then decrease to 200mg daily. 12. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 13. metformin 500 mg tablet sig: 0.5 tablet po bid (2 times a day). 14. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 15. lasix 40 mg tablet sig: one (1) tablet po once a day: stop when edema resolves and at pre-op weight 79kg. 16. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours): while on lasix. discharge disposition: extended care facility: blueberry healthcare - discharge diagnosis: coronary artery disease lad pci/stent ,niddm,ischemic dilated cardiomyopathy,htn,hyperlipidemia, depression,st. aicd (), left 2nd toe amp discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: , md phone: on at 1:30pm in the medical office building , cardiologist: on at 3:00pm please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to