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 50 year old female with a history of a previous ventricular fibrillation arrest back in , at the time ruled in for a myocardial infarction, was found to have coronary artery disease at the time, which was treated with percutaneous transluminal coronary angioplasty and stent. her course at that time was complicated by prolonged intubation, pneumonia, adult respiratory distress syndrome, status post tracheostomy and percutaneous endoscopic gastrostomy and after her prolonged hospital course was discharged to rehabilitation. the patient presented on , with chest pain to an outside hospital and was transported to for further evaluation. past medical history: 1. coronary artery disease. 2. medical history as stated above. 3. positive etoh and positive tobacco. 4. anxiety. 5. gastroesophageal reflux disease. 6. hypertension. allergies: no known drug allergies. medications on admission: 1. protonix. 2. plavix. 3. paxil. 4. seroquel. 5. lisinopril. 6. lipitor. 7. levoxyl. 8. lopressor. hospital course: the patient arrived to chest pain free. on arrival, the patient was noted to have a hematocrit of 26.8. the patient was found to be guaiac positive. the patient was transfused two units of packed red blood cells. the patient was taken to the cardiac catheterization laboratory where she was found to have an left ventricular end diastolic pressure of 27, ejection fraction of 55%, 60% distal left main, 50% left anterior descending, 90% proximal circumflex and 80% mid right coronary artery and 90% distal right coronary artery. the patient was referred for evaluation for coronary artery bypass graft. a gastroenterology consultation was obtained for evaluation of the guaiac positive stool and the anemia. it was recommended that the patient undergo an esophagogastroduodenoscopy which was positive for erythema and congestion of the mucosa with no bleeding in the stomach and multiple nonbleeding erosions in the antrum of the stomach consistent with gastritis. the patient underwent a colonoscopy that was negative for any evidence of occult bleed. the patient was also noted to have an elevated inr upon admission of 1.5. it was also noted that during her previous hospital stay the patient had a chronically elevated inr. a hematology consultation was obtained with the differential diagnosis of nutritional deficiencies the most likely culprit. the patient responded to two preoperative doses of vitamin k and felt that the patient was appropriate to be taken to surgery. the patient was taken to the operating room on , with dr. for a coronary artery bypass graft times four with left internal mammary artery to diagonal, saphenous vein graft to left anterior descending, saphenous vein graft to pl and saphenous vein graft to posterior descending artery. the patient was transported to the intensive care unit in stable condition on low dose epinephrine and propofol. please see operative note for further details. epinephrine was weaned off with good hemodynamics. the patient was weaned and extubated from mechanical ventilation. on postoperative day number one, the patient was found to be neurologically nonfocal. the patient remained on low dose neo-synephrine which was weaned off by postoperative day number two. the patient's chest tubes were removed on postoperative day number two and the patient was transferred from the intensive care unit to the regular part of the hospital. the patient was started on low dose beta blocker on postoperative day number three. the patient was found to have a hematocrit of 21.0, and the patient was transfused two units of packed red blood cells with appropriate rise in her hematocrit. the patient began ambulating with physical therapy. the patient continued to have low level oxygen requirement, saturation of 95% on two liters nasal cannula. by postoperative day number four, the patient was able to ambulate 1000 feet without difficulty. by postoperative day number five, the patient had completed physical therapy level five. with ambulation, the patient's oxygen saturation in room air was in the 80s, however, the patient was asymptomatic without complaints of shortness of breath. at rest, the patient's oxygen saturation was found to be 92%. it was felt the patient would be safe for discharge to home. chest x-ray at this time showed no significant effusion, improved congestive heart failure from previous chest x-ray, and, as the patient's vital signs were stable, it was felt the patient could be cleared for discharge to home. condition on discharge: temperature maximum 98.8, pulse 81 and sinus rhythm, blood pressure 96/60, respiratory rate 15, oxygen saturation 91% in room air. neurologically, the patient is awake, alert and oriented times three, nonfocal. heart regular rate and rhythm, without rub or murmur. respiratory - breath sounds are scattered rhonchi bilaterally. the abdomen is soft, nontender, nondistended, positive bowel sounds. sternal incision is clean and dry without erythema or drainage. staples are intact. right lower extremity vein harvest site is without erythema or drainage. there is trace to 1+ edema in bilateral lower extremities. laboratory data showed a white blood cell count 9.7, hematocrit 31.9, platelet count 361,000. sodium 142, potassium 3.7, chloride 106, bicarbonate 28, blood urea nitrogen 6, creatinine 0.6, glucose 89. discharge diagnoses: 1. coronary artery disease. 2. status post coronary artery bypass graft. 3. preoperative anemia. 4. status post esophagogastroduodenoscopy consistent with gastritis. 5. mild postoperative hypoxia. medications on discharge: 1. lasix 20 mg p.o. twice a day times seven days. 2. potassium chloride 20 meq p.o. twice a day times seven days. 3. enteric coated aspirin 325 mg p.o. once daily. 4. percocet 5/325 one to two p.o. q4-6hours p.r.n. 5. plavix 75 mg p.o. once daily. 6. protonix 40 mg p.o. once daily. 7. lipitor 30 mg p.o. once daily. 8. synthroid 175 mcg p.o. once daily. 9. paroxetine 40 mg p.o. once daily. 10. lopressor 12.5 mg twice a day. 11. seroquel 25 mg p.o. q.h.s. discharge status: the patient is to be discharged to home in stable condition. follow-up: the patient is to follow-up with dr. in three to four weeks. the patient is to follow-up with her primary care physician in one to two weeks, and the patient is to follow-up with her cardiologist in three to four weeks. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures other endoscopy of small intestine left heart cardiac catheterization other and unspecified coronary arteriography colonoscopy transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome iron deficiency anemia secondary to blood loss (chronic) old myocardial infarction other complications due to other cardiac device, implant, and graft unspecified gastritis and gastroduodenitis, with hemorrhage alcohol abuse, continuous deficiency of vitamin k 

Answer: The patient is high likely exposed to