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: morphine attending: chief complaint: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts x 4 history of present illness: this 64 year old male has a history of a v-fib arrest and a cardiac catheterization was done and revealed an occluded rca and d1 and moderate cx disease. no pci was undertaken at this time. an icd was implanted on . after developing endocarditis in , he had his icd extracted. he chose not to have another icd implanted and has had no further issues. he recently underwent stress testing for complaints of increasing symptoms of a "racing heart" in early exercise. he was found to have severe triple vessel disease and was referred for operation. he was admitted now for elective revascularization. past medical history: hypertension hyperlipidemia coronary artery disease status post inferior myocardial infarction staus post ventricular fibrillation arrest obstructive sleep apnea torn acl restless leg syndrome removal of skin cancer from back, social history: lives in with his wife. tobacco, no etoh. runs a wc ramp installation business. family history: negative for premature cad physical exam: pulse:68 resp:18 o2 sat:97/ra b/p left:172/81 height:5'" weight:230 lbs 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 none varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt :+2 left:+2 radial right: cathe site- i-band left:+2 carotid bruit none right: +2 left:+2 pertinent results: 04:03am blood wbc-10.7 rbc-3.75* hgb-11.2* hct-31.3* mcv-84 mch-29.8 mchc-35.6* rdw-14.3 plt ct-147* 12:36pm blood wbc-12.4*# rbc-3.70*# hgb-11.4*# hct-29.9*# mcv-81* mch-30.7 mchc-36.8* rdw-13.7 plt ct-163 08:12am blood urean-17 creat-1.1 na-139 k-4.1 cl-104 findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: mildly depressed lvef. right ventricle: mild global rv free wall hypokinesis. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. trace ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) 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 patient was under general anesthesia throughout the procedure. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. gastric views are technically limited in quality. overall left ventricular systolic function is mildly depressed (lvef= 40 - 45 %). with inferior and apical hypokinesis. there is mild global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. there is trace aortic regurgitation. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is in sr, on no inotropes. again, gastric views are of poor quality. unchanged biventricular systolic fxn. trace ai, trace mr. aorta intact. brief hospital course: following admission he was taken to the operating room where quadruple bypass was performed. he tolerated the operation well and was extubated easily and was stable. cts and temporary pacing wires were removed per protocols and he was begun on beta blockers and diuresed towards his preoperative weight. he transferred to the floor on pod 1 and physical therapy worked with him for mobility and strength. he was ready for discharge home on pod 4 with appropriate follow up appointments and medications. all wounds were healing well. he was discharged on a weeks course of lasix as he remained 5 kg over the preoperative weight. medications on admission: alfuzosin 10 mg daily losartan 50 mg daily metoprolol succinate 25 mg daily simvastatin 20 mg daily 5-hydroxytryptophan 50 mg daily aspirin 325 mg daily calcium-mag-vit b6-d3-minerals - dosage uncertain coenzyme q10 100 mg daily diphenhydramine hcl 50 mg hs discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. alfuzosin 10 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (). 6. coenzyme q10 100 mg capsule sig: one (1) capsule po daily (). 7. calcium carbonate 500 mg calcium (1,250 mg) tablet, chewable sig: one (1) tablet, chewable po once a day. 8. 5-hydroxytryptophan 50 mg capsule sig: one (1) capsule po daily (). 9. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 10. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 12. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 13. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts hyperlipidemia h/o ventricular fibrillatory arrest s/p implant and removal of aicd h/o endocarditis ventral hernia h/o nephrolithiasis stable pulmonary granulomas peptic ulcer disease obstructive sleep apnea 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon:dr.(on at 1:15pm cardiologist:dr. on at 10am () wound check in 2a on at 10am please call to schedule appointments with: 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: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin old myocardial infarction examination of participant in clinical trial restless legs syndrome (rls) personal history of sudden cardiac arrest 

Answer: The patient is high likely exposed to