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: honey bee venom / iv dye, iodine containing attending: chief complaint: chest pain major surgical or invasive procedure: urgent coronary artery bypass graft times 6; left internal mammary artery to left anterior descending artery; saphenous vein graft to diagonal artery. saphenous vein sequential graft, obtuse marginal i and ii. saphenous vein sequential graft to left and right posterior descending artery (pda). history of present illness: this 51 year old male has a history of htn, hyperlipidemia, copd, and gerd, had atypical chest pain for the past month which usually occurs after dinner. he has a history of etoh abuse and was admitted to mwmc in with atrial fibrillation. he stopped drinking and has not had any further atrial fibrillation. he was admitted to mwmc today and his cardiac enzymes were negative. his ekg showed new subtle inferlateral st depressions. he had a persantine ett which showed a dilated left ventricle with an ef of 53% and anterior septal ischemia. he then became acutely ill with diaphoresis, chest pain, and shortness of breath and underwent cardiac catheterization which a proximal 99% stenosis of the lad with thrombus and he had a thrombectomy and poba with residual 40% stenosis. an iabp was placed and he was transferred to . past medical history: atrial fibrillation hypertension hyperlipidemia chronic obstructive pulmonary disease gastroesophageal reflux disease etoh abuse obesity social history: race: caucasian last dental exam: lives with: room mates occupation: machine builder tobacco: 1 ppd x 40 years etoh: heavy drinking until , now sober family history: +cad physical exam: pulse: 64 resp: 16 o2 sat: 94% 2 liters b/p right: 153/65 left: height: 6'2" weight: 131.5 kg general: skin: dry heent: 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: none neuro: grossly pulses: femoral right: iabp in place left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: echo: pre-cpb: the study was limited by poor gastric windows. the left atrium and right atrium are normal in cavity size. no spontaneous echo contrast is seen in the left atrial appendage. left ventricular cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic are normal in diameter and free of atherosclerotic plaque. there is an iabp visualized to the arch, recommend pulling back 1-2cm. no aortic injury seen. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post-cpb: the patient is a-paced, on no inotropes. preserved biventricular systolic fxn. no ai, trace mr. . again the gastric views are liimited in quality so lv dimensions could not be reliably obtained. 06:30am blood wbc-9.3 rbc-3.42* hgb-10.6* hct-30.0* mcv-88 mch-31.0 mchc-35.3* rdw-14.4 plt ct-271 08:26pm blood wbc-12.8* rbc-4.46* hgb-14.2 hct-39.5* mcv-89 mch-31.7 mchc-35.8* rdw-13.4 plt ct-299 06:44am blood pt-13.4 inr(pt)-1.1 08:26pm blood pt-13.3 ptt-34.1 inr(pt)-1.1 06:44am blood urean-23* creat-1.0 na-136 k-3.8 cl-97 08:26pm blood glucose-146* urean-16 creat-0.9 na-139 k-4.4 cl-100 hco3-29 angap-14 brief hospital course: as mentioned in the hpi, mr. was transferred to follow cardiac cath at mwmc which revealed severe three vessel disease and lad thrombus. a iabp was also placed at time of cath and upon admission to he was medically managed and remained stable without chest pain. he underwent appropriate pre-operative work-up and the following day, , he was brought to the operating room where he underwent an urgent coronary artery bypass graft x 6 (left internal mammary artery to left anterior descending artery; saphenous vein graft to diagonal artery. saphenous vein sequential graft, obtuse marginal i and ii. saphenous vein sequential graft to left and right posterior descending artery). please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically and extubated. on post-op day one his iabp was removed and he was transferred to the step-down floor. beta-blockers and diuretics were started and he was gently diuresed towards his pre-op weight. on post-op day two he had episode of atrial fibrillation which was treated with amiodarone and beta-blockers. he eventually was started on coumadin for atrial fibrillation. chest tubes and epicardial pacing wires were removed per protocol. he worked with physical therapy during his post-op course for strength and mobility. he continued to make good progress and on post-op day # 6 he was discharged to home with vna services and the appropriate medications and follow-up appointments were advised. clinic at medical group (via pcp . will follow his inr and coumadin. medications on admission: at home: asa 81 coreg 37.5 albuterol prn discharge medications: 1. folic acid 1 mg sig: one (1) po daily (daily). 2. pantoprazole 40 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po q24h (every 24 hours). disp:*30 , delayed release (e.c.)(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 (s)* refills:*0* 4. atorvastatin 20 mg sig: one (1) po daily (daily). disp:*30 (s)* refills:*2* 5. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). disp:*30 , delayed release (e.c.)(s)* refills:*2* 6. potassium chloride 10 meq extended release sig: two (2) extended release po q12h (every 12 hours) for 10 days. disp:*40 extended release(s)* refills:*0* 7. lasix 40 mg sig: one (1) po twice a day for 10 days. disp:*40 (s)* refills:*0* 8. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for bronchospasm. 9. thiamine hcl 100 mg sig: one (1) po daily (daily). disp:*60 (s)* refills:*2* 10. amiodarone 200 mg sig: two (2) po bid (2 times a day): x 3 days, then decrease to 1 tab by mouth x7 days, then decrease to 1 tab by mouth x 7 days. disp:*120 (s)* refills:*2* 11. warfarin 1 mg sig: md po once daily at 4 pm: indication: postoperative atrial fibrillation, inr goal=. 12. warfarin 5 mg sig: one (1) po once (once) for 1 doses. disp:*1 (s)* refills:*0* 13. metoprolol tartrate 25 mg sig: three (3) po tid (3 times a day). disp:*270 (s)* refills:*2* 14. warfarin 1 mg sig: md once a day: indication: postoperative atrial fibrillation, inr goal=. disp:*150 (s)* refills:*2* discharge disposition: home with service facility: bayada nursing discharge diagnosis: coronary artery disease s/p urgent coronary artery bypass graft x 6 past medical history: atrial fibrillation hypertension hyperlipidemia chronic obstructive pulmonary disease gastroesophageal reflux disease etoh abuse obesity discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage edema 2+ 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. on at 1:00, # cardiologist: dr. on at 3pm 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** labs: pt/inr for coumadin ?????? indication: atrial fibrillation goal inr first draw results to phone: clinic at medical group (pcp-. following) md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery injection or infusion of platelet inhibitor (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia obesity, unspecified acute myocardial infarction of other specified sites, initial episode of care 

Answer: The patient is high likely exposed to