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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization coronary artery bypass graft x4: left internal mammary artery to left anterior descending artery, and saphenous vein sequential grafting to obtuse marginal and the left posterior descending artery, and saphenous vein graft to diagonal artery. history of present illness: 72 year old male that started to experience chest pain with mild activity which usually resolved with 1 sl ntg. more recently he has been woken up with chest pain at night, which resolves with position changes. he denies any shortness of breath, but does complain of occasional lightheadnedness. he had an abnormal stress test on and presented for cardiac catherization which revealed coronary artery disease and intra aortic balloon pump was placed. cardiac surgery was consulted for coronary revascularization. past medical history: sciatica mi cad s/p stent to om (bms) htn hyperlipidemia skin cancer dental extractions claudication cataract surgery years ago left leg bypass 10 yrs ago had to be redone 4 months later (used bilateral legs for vein harvesting. left with first surgery right with second )c/b "staph infection" requiring picc line and 4 weeks antibiotics cholecystectomy social history: lives with:wife supportive children and grandchildren occupation:retired custodian tobacco:quit 10 years ago. 100 pack year history etoh:denies family history: mom died age 62 h/o pvd and hf physical exam: admission physical exam pulse:48 resp:18 o2 sat: 99 2l b/p right: 155/79 left: 143/42 height: 5ft 7in weight: 215lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur iabp sound abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema +1 varicosities: none incisions on both lower extermities neuro: grossly intact pulses: femoral right: left: +2 dp right: +1 left: +1 pt : +1 left: +1 radial right: +2 left: +2 carotid bruit right: 0 left: 0 pertinent results: 04:45am blood wbc-7.7 rbc-3.21* hgb-9.6* hct-28.5* mcv-89 mch-29.9 mchc-33.6 rdw-14.8 plt ct-205 03:05pm blood wbc-7.5 rbc-4.33* hgb-12.9* hct-36.5* mcv-84 mch-29.8 mchc-35.4* rdw-14.2 plt ct-182 04:38pm blood pt-14.4* ptt-36.5* inr(pt)-1.2* 03:05pm blood pt-12.7 ptt-28.7 inr(pt)-1.1 04:45am blood glucose-101* urean-19 creat-1.0 na-142 k-4.1 cl-103 hco3-32 angap-11 03:05pm blood urean-21* creat-1.0 na-136 k-4.1 cl-101 hco3-27 angap-12 03:05pm blood alt-21 ast-22 alkphos-77 totbili-0.4 echocardiography report , portable tte (complete) done at 11:25:41 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 72 m hgt (in): 67 bp (mm hg): 91/41 wgt (lb): 215 hr (bpm): 52 bsa (m2): 2.09 m2 indication: coronary artery disease. h/o cardiac surgery. mitral valve disease. icd-9 codes: 746.4, 424.0 test information date/time: at 11:25 interpret md: , md test type: portable tte (complete) son: bzymek, rdcs doppler: full doppler and color doppler test location: / 6 contrast: definity tech quality: suboptimal tape #: 2010w051-0:41 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.7 cm <= 4.0 cm left ventricle - ejection fraction: 65% >= 55% left ventricle - stroke volume: 118 ml/beat left ventricle - cardiac output: 6.12 l/min left ventricle - cardiac index: 2.93 >= 2.0 l/min/m2 aorta - sinus level: 2.9 cm <= 3.6 cm aortic valve - peak velocity: *2.6 m/sec <= 2.0 m/sec aortic valve - peak gradient: *27 mm hg < 20 mm hg aortic valve - mean gradient: 13 mm hg aortic valve - lvot pk vel: 1.50 m/sec aortic valve - lvot vti: 34 aortic valve - lvot diam: 2.1 cm aortic valve - valve area: *2.0 cm2 >= 3.0 cm2 mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 1.25 mitral valve - e wave deceleration time: 182 ms 140-250 ms tr gradient (+ ra = pasp): *29 to 31 mm hg <= 25 mm hg findings this study was compared to the prior study of . intravenous administration of echo contrast was used due to poor native endocardial border definition. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. overall normal lvef (>55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. paradoxic septal motion consistent with prior cardiac surgery. aortic valve: mildly thickened aortic valve leaflets. minimal as. mild to moderate (+) ar. mitral valve: normal mitral valve leaflets. no ms. eccentric mr jet. moderate (2+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. no ts. mild tr. mild pa systolic hypertension. pulmonic valve/pulmonary artery: no ps. pericardium: no pericardial effusion. general comments: suboptimal image quality - bandages, defibrillator pads or electrodes. suboptimal image quality as the patient was difficult to position. conclusions suboptimal image quality. echo contrast used. left ventricular wall thickness, cavity size, and global systolic function appear normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion appear normal. the aortic valve leaflets are mildly thickened (?#). there is a minimally increased gradient consistent with minimal aortic valve stenosis. mild to moderate (+) aortic regurgitation is suggested. the mitral valve leaflets are structurally normal. on post contrast images, an eccentric, posteriorly directed jet of at least moderate (2+) mitral regurgitation is suggested but not confirmed due to poor image quality. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , the lvef appears improved. changes in mr are difficult to assess. a tee is therefore suggested. electronically signed by , md, interpreting physician 12:01 ?????? caregroup is. all rights reserved. brief hospital course: mr. presented for elective cardiac catheterization and was noted to have left main coronary artery disease. during catheterization, he had intractable anginal pain, so he underwent placement of intra-aortic balloon pump placement with resolution of chest pain. he underwent preoperative workup and in the cardiac care unit. the intra aortic balloon pump was weaned and removed. on he was brought to the operating room and underwent coronary artery bypass graft surgery x4: left internal mammary artery to left anterior descending artery, and saphenous vein sequential grafting to obtuse marginal and the left posterior descending artery, and saphenous vein graft to diagonal artery. see operative report for further details. he received vancomycin for perioperative antibiotics and was transfered to the intensive care unit for post operative management on epinephrine. in the first twenty four hours he was weaned from sedation, awoke neurologically intact, and was extubated without complications. all lines and drains were discontinued in a timely fashion. the epinephrine was weaned off and he was started on betablockers/statin/aspirin and diuresis. on pod#1 he continued to progress and was transferred to the floor for further monitoring. physical therapy worked with him on strength and mobility. the remainder of his postoperative course was essentially uneventful. on pod#5 he was cleared by dr. for discharge to home with vna. all follow up appointments were advised. medications on admission: furosemide 20 mg daily lisinopril dosage uncertain olmesartan 20 mg daily rosuvastatin 40 mg daily verapamil dosage uncertain aspirin 81 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. crestor 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 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:*0* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. furosemide 20 mg tablet sig: two (2) tablet po once a day for 10 days: then resume preop dose of 20mg once daily. disp:*90 tablet(s)* refills:*0* 6. rosuvastatin 20 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). disp:*60 tablet(s)* refills:*2* 7. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days: then decrease to 200 mg once daily. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg sciatica myocardial infarction prvious coronary stent hypertension hyperlipidemia skin cancer claudication cataracts discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with vicodin incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. edema leg left calf - healing well, no erythema or drainage. edema 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: dr phone: date/time: 1:15 cardiologist: dr - currently on vacation - cardiac surgery office will call you with appointment 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** md procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization implant of pulsation balloon diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication atrial fibrillation other and unspecified hyperlipidemia other and unspecified angina pectoris personal history of other malignant neoplasm of skin chronic diastolic heart failure 

Answer: The patient is high likely exposed to