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: history of present illness: this is a 75 year old female with a history of mitral regurgitation, hypertension and hyperlipidemia who was transferred to cardiology from for cardiac catheterization after new onset atrial fibrillation, low ejection fraction and severe mitral regurgitation. the patient presented to her primary care physician's office complaining of shortness of breath on when she was found to be in rapid atrial fibrillation with a ventricular rate to the 150s. she was sent to by ambulance where she was rate controlled with diltiazem and anticoagulated. electrocardiogram performed at showed a decreased left ventricular ejection fraction to 25% (prior ejection fraction 60% in ). she was transferred to on for cardiac catheterization. the patient's anticoagulation was reversed and she underwent cardiac catheterization on which showed no flow limiting disease in the coronary arteries. she had moderate to severe mitral regurgitation with mitral valve prolapse, moderate to severe left ventricular systolic dysfunction, normal biventricular diastolic function, heavy mitral annular calcification and an ejection fraction of 35%. cardiothoracic surgery was consulted for a potential mitral valve replacement surgery for this patient. the patient underwent transesophageal echocardiogram and cardioversion on with amiodarone loading. she was anticoagulated after cardioversion. on , the patient was found to have a 10 point hematocrit drop with left lower quadrant abdominal pain. computerized tomography scan of the abdomen showed a large acute anterior abdominal wall hematoma extending from the left rectus abdominis muscle with extension within the retroperitoneal space bilaterally. the patient was taken off of heparin and a surgical consult was obtained. throughout the day on , the patient had episodes of hypotension with systolic blood pressures into the 70s and was therefore transferred to the medical intensive care unit. upon arrival to the medical intensive care unit the patient's systolic blood pressure was 110 and she appeared comfortable and stable. the patient receive 2 units of packed red blood cells and her hematocrit was stable on a repeated hematocrit checks. she was called out to the medical floor to the acove service on . past medical history: 1. hypercholesterolemia; 2. hypertension; 3. glaucoma, status post laser therapy; 4. history of right breast cancer, status post lumpectomy t1 n0m0 status post radiation, axillary dissection; 5. osteoporosis; 6. osteopenia of the hip; 7. history of mitral annular calcification on an echocardiogram in ; 8. status post colonic pull-up polypectomy. note that prior echocardiogram also showed severe mitral valve prolapse with 3+ mitral regurgitation. medications on admission: diamox 500 mg p.o. b.i.d.; timoptic drops as directed; pilocarpine drops as directed; colace 100 mg p.o. b.i.d.; multivitamin one p.o. q.d.; diltiazem 90 mg p.o. q. 6 hours; lopressor 50 mg p.o. b.i.d.; lasix 40 mg p.o. q.d.; digoxin 0.25 mg p.o. q.d.; coumadin 2.5 mg p.o. q.d. allergies: no known drug allergies. family history: history of mitral regurgitation. social history: the patient lives alone and denies tobacco or alcohol use. performs all activities of daily living. physical examination: vital signs reveal the patient is afebrile, blood pressure is 120/70, pulse 80, respirations 18, weight 72.6 kg. in general, comfortable-appearing female in no apparent distress, alert and oriented times three. cardiovascular, irregularly irregular rate and rhythm, s1 and s2 present, grade ii/vi low pitched systolic murmur at the left lower sternal border. jugulovenous pressure 8 to 9 cm, no carotid bruits. pulmonary: bibasilar crackles. abdomen: soft, nondistended, nontender. bowel sounds present. no hepatosplenomegaly. extremities, 1+ pitting edema, bilaterally with 2+ pulses peripherally. neurologic, alert and oriented times three. cranial nerves ii through xii intact. strength 5/5 in upper and lower extremities bilaterally. normal finger-to-nose and rapid alternating movements. gait is slow but steady. deep tendon reflexes, 2+ upper and 1+ lower bilaterally, symmetric. laboratory data: outside hospital laboratory data from - complete blood count, white blood cell count 5.0, hematocrit 37.2, platelets 187. , pt 24.4, inr 3.0, ptt 35.4. sodium 135, potassium 3.4, chloride 103, bicarbonate 19, bun 20, creatinine 0.9, glucose 110, calcium 9.6, protein 6.7, albumin 4.5, tsh 3.2, alkaline phosphatase 75, ldl to hdl ratio of 2.49, ldl 40, hdl 37, triglycerides 76, cholesterol 92. electrocardiogram , atrial fibrillation with rate 100 beats/minute, diffuse t wave abnormalities. electrocardiogram , atrial fibrillation with left ventricular hypertrophy, nonspecific interventricular conduction delay, st-t segment abnormalities consistent with left ventricular hypertrophy. echocardiogram , severely depressed left ventricular systolic function with global hypokinesis. moderate to severe 3+ mitral regurgitation. hospital course: the majority of the hospital course is as noted in the history of present illness. on , the patient was transferred to the acove service. the patient experienced no further episodes of bleeding and maintained a stable hematocrit. cardiovascular - her cardiac medications were optimized although she transiently did not receive beta blockers and ace inhibitors secondary to low systolic blood pressures (approximately 100). she was started on digoxin for her cardiomyopathy. at the time of discharge her rhythm was atrial fibrillation which was rate-controlled. the patient has been seen by cardiothoracic surgery and is under consideration at the time of this dictation for mitral valve repair. hematologic - the patient was maintained on intravenous heparin with ptt goals in the 50s to 60s. she was started on coumadin and intravenous heparin is continued pending a therapeutic inr. at the time of this dictation, at discharge the patient's inr is 1.3 and she is taking a coumadin dose of 5 mg daily. she continues to be on intravenous heparin until her inr becomes therapeutic (between 2 and 3). hematoma - the hematoma remained clinically stable throughout the hospitalization. at discharge the patient had a stable hematocrit of 31.9. condition on discharge: stable. discharge status: the patient will be discharged on , to rehabilitation. discharge diagnosis: 1. severe mitral regurgitation 2. severely depressed left ventricular systolic function 3. anterior abdominal wall hematoma discharge medications: lipitor 10 mg p.o. q.d. protonix 40 mg p.o. q.d. pilocarpine 0.5% one drop both eyes q. 6 hours timolol one drop both eyes b.i.d. amiodarone 400 mg p.o. b.i.d. digoxin 0.125 mg p.o. q.d. colace 100 mg p.o. q.d. prn dulcolax 10 mg p.o. q.d. prn lactulose 30 cc p.o. q. 6 hours prn milk of magnesia 30 cc p.o. q. 6 hours prn oxycodone 5 mg p.o. q. 6 hours prn tylenol 500 mg p.o. q. 6 hours prn maalox 30 cc p.o. prn lopressor 100 mg p.o. b.i.d., (hold for heartrate less than 60, systolic blood pressure less than 110) coumadin 10 mg p.o. times one on and then 5 mg p.o. q.h.s. (please check inr q.d. with a goal inr between 2 and 3) intravenous heparin at 1000 units/hour at the time of discharge, goal ptt is 50s to 60s, (please check ptt q. 6 hours until ptt is stable) please start ace inhibitor for afterload reduction at rehabilitation and titrate after discharge discharge instructions: the patient is to continue with physical therapy. diet is cardiac, low sodium as tolerated. activity as tolerated with assistance. follow up: the patient will follow up with dr. at , phone . the patient would benefit from cardiology (phone ) and cardiothoracic surgery (phone ) follow up appointments. , m.d. dictated by: medquist36 d: 14:10 t: 18:15 job#: procedure: venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart other esophagoscopy atrial cardioversion diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute posthemorrhagic anemia atrial fibrillation hematoma complicating a procedure paroxysmal ventricular tachycardia anticoagulants causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to