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: gerd like symtpoms- chest pressure after eating relived with belching. major surgical or invasive procedure: coronary artery bypass graft x5 (left internal mammary artery to the left anterior descending artery and saphenous vein sequential grafting to the right posterior descending artery and the right posterolateral artery and saphenous vein graft to the diagonal artery and to the obtuse marginal).- history of present illness: mr. is an otherwise healthy 60 year old man who has had 2months of intermittant "gerd-like" symptoms and went to pcp for evaluation. pcp recommended stress test at mwmc which was positive. cardiac cath at mwmc on / revealed 3vessel disease and mr. was transferred to for evalution for revascularization. past medical history: gerd, barretts esophagus, sleep apnea-unable to tolerate bipap at home social history: lives with: wife occupation: advertisement sales tobacco: former use - 3 ppd x 20 years - quit 30 years ago etoh: ~1 glass wine daily smokes marijuana daily family history: family history: father mi/cabg in 60's - still living physical exam: admission physical exam pulse: resp:15 o2 sat: 95% ra b/p right:142/85 left: height:5'7" weight:201# general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - none 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:2+ left:2+ pt :2+ left:2+ radial right:cath site left:2+ carotid bruit right:none left:none pertinent results: 05:40pm blood wbc-5.7 rbc-3.64* hgb-10.7* hct-29.9* mcv-82 mch-29.5 mchc-35.9* rdw-13.9 plt ct-89* 06:49pm blood wbc-5.8 rbc-5.15 hgb-15.0 hct-41.5 mcv-81* mch-29.1 mchc-36.1* rdw-13.8 plt ct-163 02:24pm blood pt-13.8* ptt-30.2 inr(pt)-1.2* 06:49pm blood pt-12.3 ptt-25.3 inr(pt)-1.0 05:40pm blood glucose-117* urean-11 creat-0.9 na-139 k-3.8 cl-102 hco3-28 angap-13 06:49pm blood glucose-93 urean-17 creat-1.0 na-141 k-3.8 cl-102 hco3-27 angap-16 06:49pm blood alt-23 ast-24 ld(ldh)-174 alkphos-64 totbili-0.7 brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass graft x5 (left internal mammary artery to the left anterior descending artery and saphenous vein sequential grafting to the right posterior descending artery and the right posterolateral artery and saphenous vein graft to the diagonal artery and to the obtuse marginal)with dr.. please refer to the operative report for further details. mr. the procedure well and was transferred to the cvicu intubated and sedated in critical but stable condition. he awoke neurologically intact and was weaned to extubate without difficulty. all lines and drains were discontinued in a timely fashion. beta-blocker/statin/aspirin and diuresis were initiated. he continued to progress and was transferred to the step down unit on pod#2. physical therapy was consulted for evaluation of strength and mobility. the remainder of his postoperative course was essentially uneventful. on pod#4 dr. cleared him for discharge to home with vna. all follow up appointments were advised. medications on admission: asa 81 daily, omeprazole 20 discharge medications: 1. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. 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* 5. furosemide 40 mg tablet sig: 0.5 tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 8. atorvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: gerd, barrett's esophagus, coronary artery disease 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. 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 **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: provider: , md phone: date/time: 1:30 cardiologist: at 9:30am with dr 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** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux barrett's esophagus long-term (current) use of aspirin 

Answer: The patient is high likely exposed to