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: patient is an 84-year-old female with severe coronary artery disease status post multiple myocardial infarctions in the past with an ejection fraction of 25% in . she is not a cabg or angioplasty candidate. the patient was transferred from hospital on for right leg ischemia. the patient underwent thrombectomy and embolectomy on , but suffered from a perioperative myocardial infarction with troponins greater than 50. in the pacu, the patient had a metabolic acidosis and intermittent hypotension that was fluid responsive. the patient was transferred to the micu for observation at the request of the medical floor team. past medical history: 1. coronary artery disease status post catheterization in which showed severe three vessel disease. the patient is status post multiple myocardial infarctions. 2. congestive heart failure with an ejection fraction of 25% in . 3. type 2 diabetes mellitus. 4. hypothyroidism. 5. hyperlipidemia. allergies: no known drug allergies. medications on admission: 1. levothyroxine. 2. aspirin. 3. metoprolol. 4. insulin-sliding scale. 5. lipitor. hospital course by systems: 1. cardiovascular: patient was admitted with a right ischemic leg following thrombectomy on . the patient was found to have a creatinine kinase of 8,800 likely secondary to rhabdomyolysis from ischemia. the patient also had an elevated creatinine kinase, mb, and a troponin that was greater than 50 postoperatively. the patient was not given heparin secondary to a left neck hematoma and heme-positive stool, as well as a hematocrit of 24 on presentation. in addition, her platelets were found to be trending down. heparin-induced thrombocytopenia laboratories were sent off. the patient was instead started on coumadin on . the patient was continued on metoprolol, aspirin, lipitor, and she was transfused to keep her hematocrit greater than 30. the patient was not considered to be a candidate to return to the operating room for vascular surgery. in terms of the patient's congestive heart failure, the patient was thought to be euvolemic with a cvp of 4. 2. renal: the patient was admitted with mild acute renal failure and anion gap acidosis that was likely from lactic acidosis. she was gently hydrated with intravenous fluids and her medications were dosed for a creatinine clearance of about 20 ml/minute. 3. endocrine: the patient has type 2 diabetes mellitus and hypothyroidism. she was continued on her insulin-sliding scale and her levothyroxine. 4. gi: the patient was found to have heme-positive stool, however, her hematocrit remained stable at 33. she was given a proton-pump inhibitor for prophylaxis, and was followed with twice daily hematocrits. the patient was also given a swallow evaluation on , which was repeated on , and she was found to tolerate oral diet without any aspiration risk. 5. heme: the patient was found to have a gi bleed and a left cervical hematoma from an internal jugular access attempt in the postoperative unit for which she received 5 units of packed red blood cells and 2 units of fresh-frozen plasma after heparin was discontinued. therefore, heparin and plavix were both held postprocedure. the patient did maintain a stable hematocrit through the rest of her hospital stay. 6. pulmonary: the patient, on admission to the micu, had sats of 98% on 2 liters nasal cannula. she did have moderate bilateral pleural effusions on admission, but she maintained a good oxygen saturations throughout her stay. 7. id: the patient was continued on levofloxacin for empiric urinary tract infection based on a urinalysis from an outside hospital. the levofloxacin was to total a seven day course, and was continued once the patient was transferred to the floor. on the day prior to discharge, the patient was found to have an inr of 3.5, and her coumadin was subsequently held. laboratories on admission: the patient's laboratories on admission were a sodium of 140, chloride of 104, glucose of 210, bun of 38, and creatinine of 1.7 with a ck mb of 35, and a troponin of 17.4. the patient had a transthoracic echocardiogram on in order to rule out thrombus. the echocardiogram showed that the left atrium was mildly dilated, left ventricular wall thickness were normal. the left ventricular cavity size was normal. overall, left ventricular systolic function was moderately to severely depressed with an ejection fraction of 30% secondary to akinesis of the inferior and posterior wall and hypokinesis of the inferior septum and lateral wall. no masses or thrombi were seen in the left ventricle. the aortic valve leaflets were mildly thickened. trace aortic regurg was seen. mitral valve leaflets were mildly thickened. there was mitral valve prolapse, 1+ mitral regurgitation was seen. there was a small pericardial effusion primarily by the right atrial free wall. there were no signs of tamponade. discharge medications: 1. coumadin 2 mg daily. 2. metoprolol 50 mg half a tablet daily. 3. levofloxacin 250 mg one tablet daily for two days. 4. aspirin 81 mg one tablet daily. 5. levothyroxine 75 mcg one tablet daily. 6. isosorbide mononitrate 30 mcg one tablet daily. 7. sertraline 50 mg one tablet daily. 8. atorvastatin 10 mg one tablet daily. discharge instructions: the patient was discharged with visiting nurse services in order to check her inr twice a week with a goal inr of .5. vna was also to take her staples out in 14 days after the procedure. the patient has insulin-sliding scale administered to her by her husband at home. the patient is to followup with a primary care physician in three weeks. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries arterial catheterization incision of vessel, lower limb arteries repair of blood vessel with synthetic patch graft diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified hematoma complicating a procedure pneumonitis due to inhalation of food or vomitus other complications due to other vascular device, implant, and graft arterial embolism and thrombosis of lower extremity 

Answer: The patient is high likely exposed to