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: penicillins attending: chief complaint: angina major surgical or invasive procedure: coronary artery bypass grafting x3: left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the first marginal and first diagonal branches. history of present illness: 81m s/p mi/angioplasty in tn. he had occ. angina with exertion susequently, but none in years until yeaterday. after driving a friend to the hospital he developed "funny" feeling in chest w/ sever diaphoresis. took one sl ntg with resolution but it "wiped him out for an hour or so as it used to do. felt fine after. today on scheduled pmd visit had enzymes checked and found to have trop 2.7. referred here for cath. given 600mg plavix on . past medical history: coronary artery disease s/p myocardial infarction/angioplasty remote gi bleed cataract surgery social history: moved to ma from tn about 2 years ago with wife to live with daughter. wife passed away last year from liver failure. pt previously worked as a music director and youth counselor for a church. -tobacco history: denies -etoh: denies -illicit drugs: denies family history: family history of depression and hypertension. father died of mi at 42 years of age brother died of physical exam: pulse: resp: o2 sat: b/p right: left: height:68" weight:155# general:wdwn,nad skin: dry intact x heent: perrla eomi bifocals 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 _____ varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:1 carotid bruit right:n left:n pertinent results: cath: 1. selective coronary angiography in this right dominant system demonstrates two vessel coronary disease. the left anterior descending contains a 90% calcified lesion in the mid vessel. there is a 60% lesion in the ostial circumflex. the left main coronary artery and right coronary artery are free of angiographically apparent disease. 2. limited resting hemodynamics notable for moderate elevation of left ventricualr filling pressures and systemic hypertension. chest ct: mild-moderate aortic arch calcifications, as detailed above, without signicant ascending aortic calcifications carotid u/s: right ica <40% stenosis. left ica <40% stenosis. tee : left atrium: mild spontaneous echo contrast in the body of the la. mild spontaneous echo contrast in the laa. right atrium/interatrial septum: pfo is present. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv systolic function. aorta: simple atheroma in aortic root. normal ascending aorta diameter. simple atheroma in aortic arch. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: pulmonic valve not visualized. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: the patient was under general anesthesia throughout the procedure. no tee related complications. results conclusions pre-bypass: -mild spontaneous echo contrast is seen in the body of the left atrium. -mild spontaneous echo contrast is present in the left atrial appendage. -a patent foramen ovale is present. -left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). with normal free wall contractility. -there are simple atheroma in the aortic root. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. -the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. -the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. - there is no pericardial effusion. postbypass: the patient is a paced on low dose phenylephrine infusion. the valves remain unchanged. the biventricular function is maintained. the aorta remains intact. 05:50am blood wbc-9.3 rbc-3.52* hgb-11.0* hct-32.5* mcv-92 mch-31.2 mchc-33.8 rdw-12.1 plt ct-241 02:28am blood pt-12.9 ptt-35.2* inr(pt)-1.1 05:50am blood glucose-100 urean-22* creat-1.1 na-141 k-4.0 cl-103 hco3-29 angap-13 06:11am blood ck-mb-4 ctropnt-0.21* 05:53am blood ck-mb-2 ctropnt-0.26* 05:50am blood mg-2.2 03:14pm blood %hba1c-5.7 eag-117 06:10am blood urean-20 creat-1.2 na-139 k-4.6 cl-102 06:10am blood mg-2.4 brief hospital course: 81 yo male with history of hyperlipidemia admitted for cardiac cath following episode of anxiety and diaphoresis, found to have elevated troponin/nstemi and cath revealed severe 2vd requiring cabg. he was loaded with plavix 600 mg and underwent a plavix washout prior to being taken for surgery. the patient was brought to the operating room on where the patient underwent coronary artery bypass grafting x3: left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the first marginal and first diagonal branches. 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, weaned from inotropic and vasopressor support. beta blocker was initiated and titrated up for better heart rate and blood pressure control. 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 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with visitng nurse services in good condition with appropriate follow up instructions. medications on admission: procar 5mg daily, aspirin 81mg daily, zantac 150mg prn, sl ntg prn, remeron 30mg daily, effexor 37.5mg daily discharge medications: 1. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 2. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 9. mirtazapine 15 mg tablet sig: two (2) tablet po hs (at bedtime). 10. venlafaxine 75 mg tablet sig: 0.5 tablet po daily (daily). 11. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 12. lopressor 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 13. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 14. 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: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x past medical history: s/p myocardial infarction/angioplasty remote gi bleed cataract surgery discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: 1. 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 2. please no lotions, cream, powder, or ointments to incisions 3. each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4. 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 5. no lifting more than 10 pounds for 10 weeks **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 1:45pm cardiologist: dr. at 1:00pm wound check on at 10:00am st ma 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 coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia old myocardial infarction family history of ischemic heart disease pain in joint, shoulder region 

Answer: The patient is high likely exposed to