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: the patient was an 87 year-old female with a past medical history of coronary artery disease status post myocardial infarction with congestive heart failure and a known ef of 20%. she presented with increasing back pain for several days that worsened two days prior to admission. she had been taking increasing doses of ibuprofen as frequently as 400 mg every four hours. on the day prior to admission she had nausea and vomiting times two without coffee grounds or hematemesis. however, she did have frequent dark tarry stools without diarrhea. on the morning of admission she felt increasing dizzy and unsteady and was seen by her who found the patient to be presyncopal with low blood pressure. emt was called. her blood pressures were equal in both arms at 84/palp. she was given 500 cc bolus in the field and transferred to the emergency department for further evaluation where a rectal examination was positive for ob stool. nasogastric lavage showed minimal coffee grounds that had cleared with 60 cc. she was given 5 mg of subcutaneous vitamin k and gentle hydration and transferred to the intensive care unit for further monitoring. review of systems: negative for chest pain. she has chronic shortness of breath on exertion that is stable. she denies any abdominal pain or rectal pain. past medical history: 1. coronary artery disease status post inferior myocardial infarction in , status post catheterization with three vessel disease, status post percutaneous transluminal coronary angioplasty with stent to the right coronary artery. 2. congestive heart failure with an ef of 20 to 25%. 3. chronic atrial fibrillation on coumadin. 4. nonsustained ventricular tachycardia status post an aicd placement currently on amiodarone. 5. hypertension. 6. hypothyroidism. 7. chronic obstructive pulmonary disease on oxygen at home. 8. type 2 diabetes. 9. hearing loss. 10. history of cerebrovascular accident. 11. chronic renal insufficiency with a baseline creatinine of 1.2. 12. aortic aneurysms thoracic 4 cm, infrarenal is 3.9 by 4.4 cm. allergies: no known drug allergies. social history: she lives alone. she is dnr/dni. her daughter and granddaughter live about two hours away and are her closest support. she has a remote history of tobacco use and denies alcohol use. her daughter is , phone number is and her granddaughter is , . physical examination on admission: she is alert and oriented times three and in no acute distress. temperature 97.6. heart rate 60. blood pressure 101/54. respirations 14. oxygen saturation 98%. her heent examination is unremarkable. her neck is supple without jvd or lymphadenopathy. her lungs are clear to auscultation bilaterally. her cardiac examination is irregularly irregular. she has normal s1 and s2 with a 2 out of 6 systolic murmur at the left sternal border without radiation. her adomen was obese, soft, nontender, nondistended. she has a palpable epigastric pulsatile mass without bruits. extremities are no edema. she has 2+ femoral and dorsalis pedis pulses bilaterally. neurological examination is grossly intact. rectal examination black tarry stool, guaiac positive. laboratories on admission: hemoglobin is 9.1, hematocrit 26.5, platelets are 209, inr 1.9, creatinine is 2.5. electrocardiogram is paced at 64 beats per minute. st segment elevations 1 mm in 2, 3 and avf, she has biphasic t waves in v5 and 6 as well as 3 and f. poor r wave progression 1 through 4. st depressions of half to 1 mm in v5 and v6. hospital course: the patient had her inr reversed with vitamin k and bolus with intravenous fluids as needed. she eventually went for an esophagogastroduodenoscopy that was without evidence for a clear bleeding source, although the gastrointestinal service felt that an upper gastrointestinal bleed secondary to non-steroidal anti-inflammatory drugs was the most likely etiology of her blood loss. she was treated with proton pump inhibitor and transfused as needed to keep over 30 without recurrence of bleeding. the patient continued to have atrial fibrillation and was reloaded on her coumadin prior to discharge. the patient ruled in for a myocardial infarction during her intensive care unit stay and was presumed to be secondary to the strain of aggressive fluid and her known congestive heart failure. she was treated medically with a beta blocker and an ace inhibitor was started. her cks peaked at 411 with a troponin of 6.3. the mb fraction remained negative. aspirin was held throughout, because the process was not thought to be a plaque rupture and there was more concern for her bleeding then for a plaque rupture. the patient did subsequently have serology that was positive for helicobacter pylori and was treated appropriately. discharge medications: multivitamin, levoxyl 0.1 mg po q.d., protonix 40 mg b.i.d., amiodarone 100 mg po q.d., atrovent mdi two puffs q.i.d., serevent two puffs b.i.d., lasix 60 mg po q.d., atenolol 12.5 mg po q.d., coumadin 3 mg po q.h.s., glyburide 5 mg po b.i.d., univasc 3.75 mg po q.d. the patient was discharged to rehab. follow up will be with her primary care physician . . , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified acute posthemorrhagic anemia unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft unspecified gastritis and gastroduodenitis, with hemorrhage abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to