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 / percocet / percodan / albuterol / nsaids attending: chief complaint: angina major surgical or invasive procedure: cabg x4 (lima to lad, svg to , svg to om, svg to pda) history of present illness: mr. is a 75 male with pmh significant for hypertension, hyperlipidemia, and single vessel cad s/p bare metal stent to mid and proximal rca in . pt was in his usual state of health until ~4am on , when he felt r sided chest pain, close to his sternum, that woke his up from sleep and was in intensity. his pain did not radiate, but he was diaphoretic. the pt. took 1 sublingual nitro, some antacid, and some pepto-bismol, which provided some relief. of note, he reports starting antibiotics yesterday for his root canal. his pain remained significant, and his wife called 911 at 4.30am. ems gave him two more sublingual nitros and 325 aspirin. his bp was 179/80 (his normal bp is ~130/80). for the past several weeks, he felt a dull "vibration" on his l chest, but no pressure, pain, or other discomfort. he also reports having lots of indigestion lately. in the ed, his initial vitals were 97.2 52 130/71 18 99% 2l. pt had troponin < 0.01 and was sent for nuclear stress test, which showed a reversible, large, moderate severity perfusion defect involving the pda/om territory, and he was admitted for pci. ultimately, he was evaluated and referred for surgery. past medical history: coronary artery disease s/p cabg x4 -dyslipidemia -hypertension -cardiac history: -percutaneous coronary interventions: -single vessel cad s/p bare metal stent to mid and proximal rca in -gerd -gout -h/o ulcer disease with nsaids past surgical history: -umbilical hernia repair -bilateral inguinal hernia repair "decades ago" -shoulder operation in -s/p t+a social history: lives with: wife contact: phone # occupation: retired cigarettes: smoked no yes last cigarette _1980____ hx: other tobacco use: 15 pk yr etoh: < 1 drink/week drinks/week >8 drinks/week family history: -brother "has lots of heart problems" -father died of mi at 75 -sister died of lung cancer at 42 (heavy smoker) -mother, emphysema physical exam: pulse: 62 resp: 20 o2 sat: 99 ra b/p right: 138/61 left: height: 68" weight: 87.7 kg general: 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 __no___ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ cath site carotid bruit right: no left: no pertinent results: intra-op tee pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). the right ventricular cavity is mildly dilated with borderline normal free wall function. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results at the time of procedure. post-bypass: the patient is on a phenylephrine infusion. left ventricular function is improved (lvef > 55%). right ventricular function is unchanged. mild mitral regurgitation (1+) is seen. the ascending aorta, aortic arch and descending aorta are intact. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician 05:50am blood hct-26.2*# 07:25am blood wbc-6.9 rbc-2.24* hgb-7.2* hct-20.5* mcv-92 mch-32.2* mchc-35.1* rdw-13.8 plt ct-212 07:25am blood glucose-145* urean-19 creat-1.1 na-136 k-4.5 cl-99 hco3-32 angap-10 06:20am blood glucose-171* urean-18 creat-1.0 na-134 k-5.0 cl-98 hco3-30 angap-11 brief hospital course: admitted and underwent coronary artery bygraft x4 (lima-lad, svg to , , pda) with dr. . see operative note for details. admitted to the cvicu intubated and sedated in stable condition on titrated phenylephrine and propofol drips. his drips were weaned off and he was hemodynamically stable, awoke neurologically intact and was weaned and extubated without difficulty. he was transferred from the icu to the stepdown unit on pod#1. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he was on plavix pre-operatively. this was not resumed, as the stent was bypassed. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he received two units of packed red blood cells on pod 4 for anemia. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: acetaminophen-codeine - 300 mg-30 mg 1-2 tabs q6h prn knee pain carvedilol - 12.5 mg po bid clonazepam - 1 mg tablet - 1-2 tabs po daily prn anxiety hydrocodone-acetaminophen - 5 mg-500 mg tablet - tab prn pain losartan - 100 mg daily nitroglycerin - 0.3 mg tablet, sublingual - 1 tablet(s) sublingually as directed as needed for chest pain can repeat every 5minutes three times, call 911 if chest pain not resolved omeprazole - 20 mg po daily simvastatin - 80 mg po daily aspirin 325 mg po daily centrum silver po daily. plavix last dose: 75mg discharge medications: 1. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 6. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours): maximum 4g apap per day. tablet(s) 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 9. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety . disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p cabg x4 -dyslipidemia -hypertension -cardiac history: -percutaneous coronary interventions: -single vessel cad s/p bare metal stent to mid and proximal rca in -gerd -gout -h/o ulcer disease with nsaids past surgical history: -umbilical hernia repair -bilateral inguinal hernia repair "decades ago" -shoulder operation in -s/p t+a discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg /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: dr. , thursday, at 1:00pm , wound check on at 10:15am cardiologist:dr. date/time: 10:40 primary care dr. date/time: 9:10 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension gout, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris examination of participant in clinical trial 

Answer: The patient is high likely exposed to