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: ekg changes major surgical or invasive procedure: cardiac catheterization cabg x5 (lima->lad, svg->dlad, svg->om, svg->pda-pl) history of present illness: mr. is a 65m smoker with h/o hypertension and hyperlipidemia who presented to his pcp with 3 days of chills, low grade fever (99f), and increase in his usual morning cough. he denies any chest discomfort, palpitations, lightheadedness, shortness of breath, nausea, or diaphoresis. his pcp performed an ekg, which revealed st-segment elevation inferiorly. the pcp 911, and he was brought to the ed. in the ed, ekg again revealed st elevations in the inferior leads. he as given metoprolol 5 iv x1, 600 mg of clopidogrel, 325 mg of aspirin, and heparin and eptifibatide drips were started, and he was immediately brought to the catheterization lab. past medical history: hypertension hypercholesterolemia s/p clavicle and pelvic fxs mva s/p subarachnoid hemorrhage mva social history: social history is significant for to 1 ppd smoking x40 years. there is no history of alcohol abuse, only social etoh. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: ccu exam vs: t 99.3, bp 127/81, hr 80, rr 23, o2 100% on 2lnc gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, soft s1, s2. no s4, no s3. chest: resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi anteriorly. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; 2+ dp pertinent results: cardiac cath : 1. coronary angiography of this right dominant system revealed a lmca with a 70-80% ostial stenosis. the lad had an 80% distal stenosis. the lcx had mild diffuse disease. the rca was found to be 100% occluded proximally. 2. resting hemodynamics revealed low-normal systemic arterial pressure with an sbp of 110/68. 3. left ventriculography was deferred. 4. successful thrombectomy and balloon angioplasty of the mid/distal rca and pl. carotid ultrasound : impression: there is a less than 40% right ica stenosis and a less than 40% left ica stenosis with antegrade flow in both vertebral arteries.. echo : pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. the remaining left ventricular segments contract normally. ef=40-45%. right ventricular chamber size and free wall motion are normal. the ascending is moderately dilated. there are simple atheroma in the ascending . there are simple atheroma in the descending thoracic . there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. epi-aortic scan: grade 1 plaque posteriorly, minimal disease anteriorly. helped decide best cannula and x- clamp placement. post-cpb: nsr, on phenylephrine. ef now 45-50%, with improved inferior wall motion. rv systolic fxn preserved. no ai. trace mr. . cxr : in comparison with the study of , there is indistinctness of the left hemidiaphragm with some suggested increased opacification in the left retrocardiac region, consistent with atelectatic change or pneumonia. otherwise, no change. 06:00pm blood wbc-21.4* rbc-4.30* hgb-14.1 hct-38.7* mcv-90 mch-32.7* mchc-36.3* rdw-13.6 plt ct-344 07:10am blood wbc-11.1* rbc-3.21* hgb-10.4* hct-29.2* mcv-91 mch-32.3* mchc-35.5* rdw-13.5 plt ct-372 05:55am blood wbc-12.8* rbc-3.19* hgb-10.0* hct-29.9* mcv-94 mch-31.3 mchc-33.4 rdw-13.5 plt ct-809* 06:00pm blood pt-12.4 ptt-27.8 inr(pt)-1.1 04:45am blood pt-15.0* ptt-29.0 inr(pt)-1.3* 06:00pm blood glucose-125* urean-31* creat-1.1 na-133 k-3.7 cl-96 hco3-26 angap-15 07:10am blood glucose-97 urean-16 creat-0.9 na-135 k-4.0 cl-101 hco3-24 angap-14 05:55am blood glucose-77 urean-25* creat-1.6* na-137 k-4.7 cl-96 hco3-29 angap-17 04:30am blood calcium-9.0 phos-4.1 mg-2.2 brief hospital course: pt underwent cardiac catheterization and was found 3-vessel disease, 70-80% left main stenosis and diffuse disease distally with successful thrombectomy & angioplasty of the rca vessel. transfered from cath to the ccu. due to his hx of subarachnoid hemorrhage, integrillin was stopped following angioplasty. heparin was continued, after discussion with neuro who indicated that no contraindication for heparin as pt's cva > 1yr ago. he was started on beta blockade and ace inhibitor, atorvastatin, and a daily aspirin. given his left main coronary disease, he is to be taken to the operating room for cabg. he was transferred to the service. he was taken to the operating room on where he underwent cabg x5 (lima->lad, svg->dlad, svg->om, svg->pda-pl). please see operative report for surgical details. following surgery he was transferred to the cvicu in critical but stable condition for invasive monitoring. within 24 hours he was weaned from sedation, awoke neurologically and extubated. on post-op day one he was started on diuretics and beta blockers. he was gently diuresed towards his pre-op weight. also on post-op day one he was transferred to the sdu for further management. chest tubes and epicardial pacing wires were removed pre protocol. he had several episodes of atrial fibrillation which were appropriately treated and amiodarone was eventually started. he remained in sinus rhythm for several days prior to discharge. beta blockers were titrated for maximum hemodynamics. electrolytes were also repleted. he worked with physical therapy for strength and mobility. antibiotic was started for small amount of sternal drainage. on post-op day nine a left chest tube was re-inserted for small pneumothorax and effusion. chest tube was eventually removed on post-op day eleven. he appeared to be doing well the following day and was discharged home with the appropriate meds and follow-up appointments. medications on admission: amlodipine 10 mg daily atorvastatin 20 mg daily valsartan 160/hctz 12.5 daily metoprolol xl 50 daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. 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:*0* 5. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 mdi* refills:*2* 8. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 mdi* refills:*2* 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 weeks. disp:*14 tablet(s)* refills:*0* 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for 2 weeks: while on levofloxacin. disp:*300 ml(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 pmh: hypertension, hypercholesterolemia, s/p clavicle and pelvic fx, subarachnoid hemorrhage mva, chronic obstructive pulmonary disease discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 1 months dr. 2 weeks procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation iatrogenic pneumothorax acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to