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: dyspnea and right shoulder pain major surgical or invasive procedure: 1. cabg x3 (lima-lad, svg-pda, svg-om1) history of present illness: 67 m with cad s/p angioplasty p/w exertional dyspnea and right soulder pain. pt notes that he awoke in am with right shoulder pain and felt it could be due to the heart and so he came in the emergency department of hospital. he had associated diaphoresis with the exertional dyspnea but denied syncope, dizziness, edema, orthopnea, or pnd. he denies f/c/abdominal pain, n/v, constipation, diarrhea, or weight loss. . at hospital, the patient was afebrile, hypertensive (190/106), nontachycardic (hr 60) and saturating 96% on room air. no pathologic findings were noted on physical exam, a chest radiograph was normal, and cardiac markers were not elevated. however, his ecg showed lateral t wave inversions and elevation in lead iii as well as s waves in the precordium. . the was ruled out for mi by enzymes. a stress test with myoview was performed, which showed a moderate size region of reversible perfusion defect consistent with ischemia of the lateral and infero-lateral wall. the patient was noted to have an ef of 42% and inferior hypokinesis on wall motion analysis. . hctz were begun in addition to the patients bb. transfer summary notes that the patient was not started on an ace-i because his ef was not reduced. . cardiac cath at on showed left main and 3-vessel cad. eval for surgery. past medical history: cad s/p mi and angioplasty r shoulder surgery s/p humerus injury social history: partially retired plumber no tobacco no etoh family history: nc physical exam: t97.3f, hr 57, bp 120/87, rr 18, sao2 95%,ra. rrr without m or s3/s4. ctab without rales or wheezes abdomen soft, nt/nd, no hsm. no extremity edema. 2+ pulses x 4 extremities. skin warm and dry. pertinent results: hospital: -cxr: no acute cardiopulmonary process. -myoview spect scan with wall motion studies and ef: left ventricel normal size and configuration; moderate sized region of reversible ischmia involving lateral/inferolateral wall. no fixed perfusion abnormalities. mild septal and inferior hypokinesis; ef 42%. -ecg: st elevations in leads iii and avf; septal r waves; v4-v5 t wave inversions, v3 biphasic t wave., i and avl with st depressions. -chol-167 tg-74 hdl-32 ldl-120 -tri<0.1, ck-86, ck-mb-1.1 . laboratories: 05:20pm wbc-5.2 hct-37.9* mcv-82 rdw-13.6 plt-229 05:20pm neuts-40.2* lymphs-53.1* monos-4.7 eos-1.6 basos-0.5 05:20pm pt-21.8* ptt-79.2* inr(pt)-3.1 06:53pm pt-12.9 ptt-32.7 inr(pt)-1.1. 05:20pm sodium-131* chloride-100 urea n-17 glucose-92 potassium-3.5 total co2-22 creat-0.8 anion gap-9 alt(sgpt)-32 ast(sgot)-23 ck(cpk)-81 alk phos-34* tot bili-0.6 dir bili-0.2 indir bil-0.4 amylase-71 albumin-3.6 . ecg: left axis with st elevations in iii and f, st depresions in i, avl; j-point elevation in v2-v3, small r-wave in v1, delayed r-wave progression with lateral v4-v5 st-segment depressions and twi. . cardiac catheterization: -final diagnosis: 1. three vessel coronary artery disease. 2. mild systolic and diastolic ventricular dysfunction. -comments: 1. selective coronary angiography revealed a right-dominant system. the lmca had a 50% distal stenosis involving the origin of the lad and lcx. the lad had a 60% ostial stenosis and diffuse disease throughout. the lcx 60% ostial stenosis and 80% proximal stenosis just before the bifurcation of 2 large oms. the rca had severe diffuse disease with a 60% stenosis proximally and 70% before the pda. 2. left ventriculography revealed an estimated ejection fraction of 55% with posterobasal hk. there was no mitral regurgitation. 3. central hemodynamics revealed a mildly elevated left-sided filling pressure (lvedp 17mmhg). there was severe central arterial hypertension systolic 197mmhg). brief hospital course: 67 m with cad s/p angioplasty p/w exertional dyspnea and right soulder pain. pt notes that he awoke in am with right shoulder pain and felt it could be due to the heart and so he came in the emergency department of hospital. he had associated diaphoresis with the exertional dyspnea but denied syncope, dizziness, edema, orthopnea, or pnd. he denies f/c/abdominal pain, n/v, constipation, diarrhea, or weight loss. . at hospital, the patient was afebrile, hypertensive (190/106), nontachycardic (hr 60) and saturating 96% on room air. no pathologic findings were noted on physical exam, a chest radiograph was normal, and cardiac markers were not elevated. however, his ecg showed lateral t wave inversions and elevation in lead iii as well as s waves in the precordium. . the was ruled out for mi by enzymes. a stress test with myoview was performed, which showed a moderate size region of reversible perfusion defect consistent with ischemia of the lateral and infero-lateral wall. the patient was noted to have an ef of 42% and inferior hypokinesis on wall motion analysis. . hctz were begun in addition to the patients bb. transfer summary notes that the patient was not started on an ace-i because his ef was not reduced. . cardiac cath at on showed left main and 3-vessel cad. eval for surgery. pt was taken to the or for cabg x3 (lima-lad, svg-pda, svg-om1). for more detailed account, see operative note. post-op, he was transferred the csru where he was extubated on pod 0, chest tubes were removed on pod 1, and pericardial wires were removed on pod 2. he was transferred to the floor on pod 2 where he did well. cleared pt on . medications on admission: allergies: lipitor (myositis) meds at home: ec-asa 325 mg po daily metoprolol xl 50 mg po daily . . . meds on transfer: tylenol 650mg q4-6 hrs prn percocet 5-325mg, 1-2 tabs po q4-6 h prn shoulder pain ambien 10 mg po qhs hctz 12.5mg po daily ec-asa 325 mg po daily metoprolol xl 50 mg po 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. 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:*2* 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: 1. cad 2. htn discharge condition: good discharge instructions: 1. medications as directed. 2. call office or go to er if fever/chills, discharge from surgical sites, chest pain, shortness of breath. followup instructions: pcp, 2 weeks, please call for appointment. cardiologist, 2 weeks, please call for appointment. dr. , 4 weeks, please call for appointment. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension 

Answer: The patient is high likely exposed to