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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting x 3, left internal mammary artery graft, left anterior descending, reverse saphenous vein graft to the marginal branch of the posterior descending artery. history of present illness: this is a 63 year old male who presents with exertional dyspnea and chest tightness. recent stress test was positive for ischemia. subsequent cardiac catheterization revealed severe three vessel coronary artery disease. he was referred for surgical revascularization. cardiac catheterization @ : right dominant. mid lad 60%, ramus 80%, circumflex 70%, rca 90% @ origins of the pda and plv. lvef 59%. mean wedge pressure of 15mmhg. cardiac echocardiogram: lvef 60-65%. trivial mr. aortic root and ascending aorta, measuring about 3.9cm. past medical history: hypertension dyslipidemia chronic renal insufficiency(preop creatinine 1.3) hypothyroidism past surgical history: lumbar surgery left hand surgery social history: race: caucasian last dental exam: n/a lives: alone occupation: retired tobacco: denies etoh: social family history: mother with mi in late 60's physical exam: pulse: 80 resp: 18 o2 sat: 98% b/p right: 125/94 left: 122/85 height: 5'" weight: 226 general: well-developed male in no acute distress skin: warm dry intact heent: ncat perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - varicosities: superficial neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: 04:55am blood wbc-9.5 rbc-3.00* hgb-9.3* hct-27.7* mcv-92 mch-31.1 mchc-33.6 rdw-13.9 plt ct-222# 11:10am blood fibrino-231 04:55am blood glucose-118* urean-34* creat-1.1 na-137 k-4.1 cl-97 hco3-33* angap-11 12:11pm blood alt-15 ast-23 ld(ldh)-207 alkphos-56 amylase-29 totbili-0.4 12:11pm blood albumin-3.7 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent coronary artery bypass grafting x 3, left internal mammary artery graft, left anterior descending, reverse saphenous vein graft to the marginal branch of the posterior descending artery. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with visiting nurse services in good condition with appropriate follow up instructions. medications on admission: diltiazem 240 daily, lisinopril 10 daily, simvastatin 40 daily, gemfibrozil 600 twice daily, aspirin 81 daily, levothyroxine 100 mcg daily, omeprazole 20mg daily, bupropion 100mg tid, glucosamine, vitamin e allergies: nkda discharge disposition: home with service discharge diagnosis: coronary artery disease s/p cabg hypertension dyslipidemia chronic renal insufficiency(preop creatinine 1.3) hypothyroidism 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 right/left - 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 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: you are scheduled for the following appointments surgeon: dr. @ 1:45pm cardiologist: dr on at 9:45am 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** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia other and unspecified angina pectoris 

Answer: The patient is high likely exposed to