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: chest discomfort major surgical or invasive procedure: coronary artery bypass graft x 3 (lima to lad, svg to om, svg to pda) history of present illness: 71 y/o male with increasing chest discomfort and b/l arm pain with activity. he underwent a cardiac cath which revealed severe three vessel coronary artery disease. then referred for bypass surgery. past medical history: coronary artery disease and myocardial infarction s/p ptca to rca , hypertension, hypercholesterolemia, obesity, diabetes mellitus psh: left eye surgery, parotid cyst surgery social history: quit smoking after 1ppd x 45 yrs. drinks 1 beer/day. lives with spouse family history: nc physical exam: v: 68 18 126/83 5'8" 195lbs gen: wdwn male in nad skin: unremarkable neck: supple, from, -jvd, -carotid bruits chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused, -edema, +varicosities neuro: a&o x 3, mae, non-focal pertinent results: 05:25am blood wbc-9.2 rbc-3.52* hgb-10.7* hct-31.3* mcv-89 mch-30.3 mchc-34.1 rdw-13.6 plt ct-196 08:49pm blood wbc-6.9 rbc-4.89 hgb-15.1 hct-41.9 mcv-86 mch-31.0 mchc-36.1* rdw-12.9 plt ct-156 05:25am blood plt ct-196 08:49pm blood pt-12.5 ptt-25.0 inr(pt)-1.1 05:25am blood glucose-101 urean-16 creat-0.8 na-141 k-4.3 cl-104 hco3-28 angap-13 08:49pm blood glucose-178* urean-14 creat-1.0 na-141 k-3.9 cl-105 hco3-26 angap-14 08:49pm blood alt-23 ast-18 ld(ldh)-176 alkphos-60 amylase-82 totbili-0.7 08:49pm blood lipase-41 05:25am blood mg-2.4 08:49pm blood %hba1c-6.7* chest (portable ap) 5:05 pm chest (portable ap) reason: eval for effusions medical condition: 71 year old man s/p cabg reason for this examination: eval for effusions chest radiograph indication: followup. comparison: . findings: as compared to the previous radiograph, there is no major change. status post cabg. unchanged cardiomegaly with no obvious signs of hyperhydration or cardiac failure. the minimal pleural effusion left has slightly increased in extent and causes moderate retrocardiac atelectasis. otherwise, no focal parenchymal opacities. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 12:18 am echocardiography report , (complete) done at 12:28:47 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 71 m hgt (in): 68 bp (mm hg): 123/67 wgt (lb): 196 hr (bpm): 72 bsa (m2): 2.03 m2 indication: intraoperative tee for cabg procedure icd-9 codes: 786.05, 786.51, 440.0, 424.0 test information date/time: at 12:28 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw3-: machine: aw3 echocardiographic measurements results measurements normal range left atrium - peak pulm vein s: 0.6 m/s left atrium - peak pulm vein d: 0.3 m/s left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *6.1 cm <= 5.6 cm left ventricle - systolic dimension: 5.2 cm left ventricle - fractional shortening: *0.15 >= 0.29 left ventricle - ejection fraction: 40% >= 55% aorta - annulus: 2.1 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aortic valve - peak velocity: 1.4 m/sec <= 2.0 m/sec aortic valve - peak gradient: 9 mm hg < 20 mm hg aortic valve - mean gradient: 5 mm hg mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 0.71 findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. moderately dilated lv cavity. mild-moderate regional lv systolic dysfunction. mildly depressed lvef. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: trivial/physiologic 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. 3. there is mild to moderate regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and mid portions of the anterior septum and anterior wall. mid portion of the inferior wall is also hypokinetic. . overall left ventricular systolic function is mildly depressed (lvef= 40 %). 4.right ventricular chamber size and free wall motion are normal. 5.there are simple atheroma in the descending thoracic aorta. 6.the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8.there is a trivial/physiologic pericardial effusion. 9.dr. was notified in person of the results on during the operative procedure. post cpb normal right ventricular systolic function. left ventricle with continued apical, distal anterior, and anteroseptal hypokinesis. overall left ventricular ejection fraction is slightly improved from pre-cpb study, now 45-50%. mild mitral regurgitation remains. no other significant change from pre-cpb study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:35 brief hospital course: mr. was transferred from outside hospital following his cardiac catherization which showed severe three vessel coronary artery disease. upon admission he underwent pre-operative work-up which included a cardiac echocardiogram. on he was brought to the operating room where he underwent a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one his chest tubes were removed and he was transferred to the telemetry floor for further care. beta blockers and diuretics were started and he was gently diuresed towards his pre-op weight. late on post-op day one his heart rhythm went into rapid atrial fibrillation and he was started on amiodarone. he converted back to normal sinus rhythm with beta blockers and amiodarone. physical therapy worked with him for strength and mobility. he continued to progress and was ready for discharge home pod 4 with vna services. medications on admission: aspirin 325mg qd, lopressor 75mg , zocor 80mg qd, lisinopril 10mg qd, metformin 500mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 5. metformin 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once (once) for 7 doses. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 8. percocet 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 9. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. metoprolol tartrate 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: home health and hospice discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 post-operative atrial fibrillation pmh: myocardial infarction s/p ptca to rca , hypertension, hypercholesterolemia, obesity, diabetes mellitus psh: left eye surgery, parotid cyst surgery discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation other and unspecified angina pectoris surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction 

Answer: The patient is high likely exposed to