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: ciprofloxacin hcl attending: chief complaint: chest tightness major surgical or invasive procedure: cabgx4(lima-lad, svg-om1, svg-diag, svg-pda) history of present illness: 64yom with 3 week history of chest tightness. positive ett at cardiologists office. followed by cardiac cath at which showed multivessel disease then referred to cardiac surgery past medical history: dm ^chol htn sleep apnea excision of precancerous lesion(nose) social history: lives with wife as machinist remote tobacco- quit 15 years ago remote etoh- quit 5 years ago family history: non contributory physical exam: admission: vs t 98 hr 71 bp 142/62 rr 18 o2sat.. ht 5'" wt 205lbs gen nad skin unremarkable neuro grossly intact heent unremarkable, neck supple pulm cta-bilat cv rrr abdm soft, nt/nd/+bs ext warm, well perfused w/bilat varicosities pertinent results: echocardiography report , portable tte (focused views) done at 2:45:57 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 64 m hgt (in): 71 bp (mm hg): 127/48 wgt (lb): 205 hr (bpm): 68 bsa (m2): 2.13 m2 indication: focused study to evaluate for pericardial effusion icd-9 codes: 423.9 test information date/time: at 14:45 interpret md: , md test type: portable tte (focused views) son: , rdcs doppler: limited doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: adequate tape #: 2008w006-1:34 machine: vivid echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - systolic dimension: 3.0 cm left ventricle - fractional shortening: 0.33 >= 0.29 left ventricle - ejection fraction: >= 60% >= 55% tr gradient (+ ra = pasp): *34 mm hg <= 25 mm hg findings left ventricle: suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. overall normal lvef (>55%). tricuspid valve: normal tricuspid valve leaflets. mild tr. mild pa systolic hypertension. pericardium: small pericardial effusion. no echocardiographic signs of tamponade. conclusions due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). there is mild pulmonary artery systolic hypertension. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. electronically signed by , md, interpreting physician 15:34 radiology final report chest (portable ap) 12:36 pm chest (portable ap) reason: eval ptx s/p ct d/c medical condition: 64 year old man s/p cabg reason for this examination: eval ptx s/p ct d/c history: chest tube removal, to assess for pneumothorax. findings: in comparison with study of , all of the tubes have been removed. no evidence of pneumothorax or acute pneumonia. dr. 09:12am blood wbc-8.8# rbc-2.93* hgb-9.3* hct-26.6* mcv-91 mch-31.8 mchc-35.1* rdw-14.5 plt ct-195 04:10am blood pt-11.6 ptt-31.1 inr(pt)-1.0 09:12am blood glucose-224* urean-35* creat-1.1 na-136 k-4.5 cl-99 hco3-25 angap-17 brief hospital course: mr was transferred from mc for coronary bypass grafting after cardiac catheterization which showed multivessel coronary disease with normal ef and valve function. he was brought to the operating room on where he had coronary bypass x4, please see or report for details. in summary had cabgx4 with lima-lad, svg-diag, svg-om1, svg-pda his bypass time was 86 minutes with a crossclamp of 68 minutes. he tolerated the operation well and was transferred to the cardiac surgery icu in stable condition. he did well in the immediate post-op period but because he was a difficult intubation he remained sedated and ventilated until the morning of pod1 at which point he was extubated without difficulty. later on pod1 he was transferred to the step down floor for continued post-op care. on pod2 he was noted to be oliguric with a rise in creatine and drop in hematocrit. he was transferred back to the icu for monitoring, with tranfusion oliguria resolved and creatinine corrected. he was monitored in icu for additional 24 hours then transferred back to step down floor. over the next several days he advanced his activity and endurance. he was discharged to home in stable condition on pod#8. medications on admission: lisinopril 10' pravachol 40' asa 81' actos 30' glyburide 10" metformin 1000" gemfibrozil 600" b12 garlic flax seed oil cod liver oil discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): 20mg x 7days then 20mg qd x 10days. disp:*24 tablet(s)* refills:*0* 3. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours): 20meq x 7days then 20meq qd x 10days. disp:*24 packet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. 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* 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. pravastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. tramadol 50 mg tablet sig: one (1) tablet po every 4-6 hours as needed. disp:*50 tablet(s)* refills:*0* 9. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 10. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400mg qd x 7days then 200mg qd. disp:*37 tablet(s)* refills:*1* 11. pioglitazone 30 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 12. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home with service facility: americare at home inc discharge diagnosis: s/p cabgx4(lima-lad, svg-diag, svg-om1, svg-pda) pmh: cad, dm, ^chol, htn, osa discharge condition: stable discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds. followup instructions: wound clinic in 2 weeks dr in weeks dr in 4 weeks dr in 4 weeks vascular surgeon( referal per drs /love) patient to call for all appointments procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation peripheral vascular disease, unspecified personal history of tobacco use occlusion and stenosis of carotid artery without mention of cerebral infarction long-term (current) use of insulin diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled asymptomatic varicose veins hemophthalmos, except current injury 

Answer: The patient is high likely exposed to