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: service: ccu history of present illness: the patient is a 79 year-old woman with a history of coronary artery disease, coronary artery bypass graft in , diabetes mellitus type 2, cerebrovascular accident in , peripheral vascular disease and gastroesophageal reflux disease with a esophagogastroduodenoscopy who had presented to hospital on with left substernal chest pain 5 to 7 out of 10 in severity and lightheadedness, but no other symptoms. she was admitted to hospital and ruled out for myocardial infarction by enzymes and both ck and troponin. thallium test and was sent to for catheterization with a blood pressure of 180/70, pulse 81, o2 sat of 97% on room air. it was found that her saphenous vein graft to the obtuse marginal number one was completely occluded. her left main 70% lesion was stented and her 60% stenosis and her mid left circumflex was stented without complications. however, after the procedure she had 300 cc of bright red emesis. her blood pressure decreased slightly, so the patient was given one unit of packed red blood cells, transferred to the ccu and given 1 mg of vitamin k intravenously. she was admitted to the ccu for an egd, transfusion of another unit of packed red blood cell and monitoring. she had no history of upper gi bleed, melena and no history of ov positive stools in the past. past medical history: significant for diabetes type 2 treated with insulin, gastroesophageal reflux disease, schatzki's ring, cerebrovascular accident in with residual left hemiparesis treated with coumadin, tah/bso, peripheral vascular disease, status post appendectomy, coronary artery disease with coronary artery bypass graft in with a left internal mammary artery to the left anterior descending, right saphenous vein graft to the obtuse marginal number one and radial to the posterior descending artery. history of congestive heart failure with an ef of approximately 30% and hypertension and hypercholesterolemia. medications on admission: lopressor 50 b.i.d., premarin 0.625 q.d., aspirin 325 q.d., prevacid 30 q.d., captopril 12.5 t.i.d., lasix 20 b.i.d., serax 10 mg prn, insulin 70/30 30 units q.a.m. and 50/50 18 units q.p.m., lipitor 10 mg po q.h.s., coumadin 2 mg q.d., singulair 10 mg q.d. and ambien 5 mg po q.h.s. prn. allergies: barium, which causes swelling. family history: a daughter had an myocardial infarction at the age of 33. social history: negative for tobacco and alcohol. she lives alone. physical examination: temperature 96.5, blood pressure 160 to 192/60 to 70. pulse 74. respiratory rate 12. o2 sat 100% on 4 liters. general, she was awake, alert and oriented times three. she was in no adenopathy. mucous membranes are moist and pink. no jugulovenous distention appreciable. no lymphadenopathy. lungs were clear to auscultation bilaterally. heart regular rate and rhythm with a widely split s1, but no murmurs, rubs or gallops. abdomen was soft, nontender, obese with scars present from prior surgeries. extremities no edema. 1+ bilateral pulses in lower extremities and neurological examination cranial nerves ii through xii were intact. sensation was intact. motor was except for the left iliopsoas and left triceps, which were . laboratory: hematocrit 28.6. chem 7 was notable for sodium 133, potassium 5.2, bun 24, creatinine 1.0, glucose 231, ck and troponin were negative. electrocardiogram revealed normal sinus rhythm with a left bundle branch block noted to be old. normal axis. catheterization on revealed two vessel and left main disease with a 70% osteal lesion, left circumflex with a 40% osteal lesion and 60% mid segmental lesion and right coronary artery with a tubular 80% proximal stenosis. vein graft was occluded. there was a mild kink in the left internal mammary artery and moderately elevated left ventricular and diastolic pressure at 19. moderate impaired left ventricular systolic function, 36% ejection fraction with global hypokinesis. stents were placed in the mid left circumflex and the left main. mild 1+ mitral regurgitation was present. hospital course: the patient was admitted and transfused a second unit of packed red blood cells. the esophagogastroduodenoscopy was done that afternoon in the ccu, which revealed 400 cc of red blood clot in the antrum of the stomach. also a dieulafoy lesion was noted, which had epinephrine injected into it and bleeding resolved. there was also some mild gastritis noted not felt to be contributing to the bleeding. the patient was hemodynamically stable and restarted on prior medications including captopril and lopressor. she was transferred to the floor the day after admission. the patient was stable on the floor and was seen by physical therapy and hematocrit remained stable throughout her hospital course. discharge status: stable. discharge plan: the patient is to be discharged home with home physical therapy. discharge medications: lopressor 50 b.i.d., premarin 0.625 q.d., aspirin 325 q.d., prevacid 30 mg po q.d., captopril 25 mg po t.i.d., lasix 20 mg po b.i.d., insulin as before 70/30 30 units q.a.m., 50/50 18 units q.p.m., lipitor 10 mg po q.h.s. coumadin was discontinued. the patient is also discharged on serax, singulair and ambien as previously instructed. plavix was added to the patient's regimen 75 mg po q.d. the patient is to follow up with dr. , call for an appointment . final diagnosis: chest pain most likely secondary to gastritis and dieulafoy lesion. patient with severe three vessel coronary artery disease status post stent placement. , m.d. dictated by: medquist36 d: 08:02 t: 10:46 job#: 1 1 1 r procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization injection or infusion of other therapeutic or prophylactic substance endoscopic excision or destruction of lesion or tissue of stomach diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft diaphragmatic hernia without mention of obstruction or gangrene old myocardial infarction chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction unspecified gastritis and gastroduodenitis, without mention of hemorrhage 

Answer: The patient is high likely exposed to