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 78 year old female was admitted to an outside hospital with recent onset of heart failure. at the outside hospital she ruled in for a non-q wave myocardial infarction by enzymes. she was transferred to the for cardiac catheterization. past medical history: 1. coronary artery disease; 2. status post non-q wave myocardial infarction; 3. type 2 diabetes mellitus; 4. hypercholesterolemia; 5. gastroesophageal reflux disease; 6. atrial fibrillation; 7. congestive heart failure; 8. carotid artery disease status post cerebrovascular accident on coumadin without a residual deficit; 9. hypertension; 10. irritable bowel syndrome; 11. hypothyroid; 12. pernicious anemia; 13. diabetic neuropathy; 14. loss of vision in the right eye due to a detached retina. social history: the patient lives alone with a remote tobacco history. allergies: penicillin. medications on admission: 1. thyrolar two tablets p.o. q.d.; 2. nadolol40 mg p.o. b.i.d.; 3. glucophage 850 mg p.o. b.i.d.; 4. cozaar 50 mg p.o. b.i.d.; 5. glyburide 5 mg p.o. q.d.; 6. coumadin 5 mg p.o. q. day; 7. clonidine 0.2 mg p.o. q. day; 8. norvasc 10 mg p.o. q. day; 9. lipitor 20 mg p.o. q. day; 10. multivitamin; 11. iron. hospital course: cardiac catheterization showed two vessel coronary artery disease, ejection fraction by echocardiogram was 45 to 50%. the patient was admitted to . the patient had been transferred from the outside hospital on lovenox and aspirin. these were discontinued. the patient continued on intravenous nitroglycerin infusion. as part of the patient's preoperative workup a urinalysis was sent which showed a urinary tract infection. it was also noted that the patient was significantly anemic with hematocrit down to 25. hematology consult was obtained for the history of chronic anemia. the patient was transfused 2 units of packed red blood cells. hematology service felt that there was no contraindication to proceeding with coronary artery bypass , the patient was taken to the operating room on for coronary artery bypass times three with left internal mammary artery to left anterior descending, saphenous vein to obtuse marginal and saphenous vein to plv. the patient was transported to the intensive care unit in stable condition on propofol and dobutamine infusion. the patient was weaned the next day from mechanical ventilation on her first postoperative evening. the dobutamine as weaned off over night. on the morning of postoperative day #1 the patient was noted to be tachycardiac and hypertensive. the patient was given intravenous lopressor and started on nitroglycerin and a nitroprusside drip. the patient progressed into atrial fibrillation on the afternoon of postoperative day #1 which was consistent with her preoperative rhythm. the patient's lopressor dose was increased. on postoperative day #2 the patient began working with physical therapy. the patient was transferred from the intensive care unit to the regular part of the hospital. the patient began on low dose coumadin for the atrial fibrillation. on postoperative day #4, the patient had one episode of bradycardia to the 30s which quickly resolved back to a heart rate in the 90s to 100. the patient had been started on amiodarone postoperatively. a cardiology consult was obtained which recommended discontinuing the amiodarone and using the beta blocker for rate control and anticoagulating the patient. the patient's pacing wires were removed on postoperative day #5. the patient was restarted on coumadin. on postoperative day #9, the patient's inr had risen to 2.0. the patient's heparin drip was discontinued and the patient remained in rate-control fibrillation and the patient was cleared for discharge to a rehabilitation facility on postoperative day #10. condition on discharge: temperature maximum 97.5, pulse 86 in atrial fibrillation, blood pressure 153/64, respiratory rate 16, room air oxygen saturation 98%. the patient is awake, alert and oriented times three. cardiovascular: irregularly irregular without rub or murmur. respiratory breath sounds are clear bilaterally without wheezes, rhonchi or rales. abdomen is soft, nontender, nondistended. the patient is tolerating a regular diet. extremities are warm and well perfused with 1 to 2+ pitting edema. sternal incision is clean and dry with staples intact. incision is open to air. left leg steri-strips are clean, dry and intact. there is no erythema or drainage. laboratory data revealed white blood cells 9.7, hematocrit 27.5, platelet count 561, sodium 138, potassium 4.7, chloride 103, bicarbonate 27, bun 16, creatinine 1.2, glucose 119. discharge medications: 1. colace 100 mg p.o. b.i.d. 2. lipitor 20 mg p.o. q. day 3. enteric coated aspirin 81 mg p.o. q.d. 4. percocet 5/325 one to two p.o. q. 4-6 hours prn 5. glyburide 5 mg p.o. q.d. 6. miotrix i 120 mg p.o. q. day 7. iron 325 mg p.o. b.i.d. 8. lasix 20 mg p.o. b.i.d. times seven days 9. potassium chloride 20 meq p.o. q. day times seven days 10. lopressor 100 mg p.o. b.i.d. 11. glucophage 850 mg p.o. b.i.d. 12. coumadin titrated for an inr of 2.0 to 2.5, please check discharge paperwork for the dose on discharge instructions: the patient is to be discharged to home in stable condition. she should have the staples removed at rehabilitation on postoperative day #21. she should follow up with dr. in one month. she should follow up with her primary care physician, . in one to two weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes occlusion and stenosis of carotid artery without mention of cerebral infarction pernicious anemia 

Answer: The patient is high likely exposed to