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 66 year old female with paroxysmal atrial fibrillation, status post prior ablation and cardioversion with a recent recurrence of her a fib who is admitted for a reablation procedure. she had hypotension during the procedure to the 60s systolic. she was found to have a hematocrit drop from 41 to 29 at this time and was found to have a retroperitoneal bleed and a rectus sheath bleed on ct scan done emergently. the patient was transfused two units of blood and placed on a dopamine drip with good blood pressure response to the 120s to 150s and was transferred to the ccu for her critical care intubated. the patient had been intubated electively prior to the procedure. her heparin was reversed with protamine after her drop in hematocrit. past medical history: paroxysmal atrial fibrillation starting in , status post ablation in , cardioversion in 12/. she has been treated in the past with sotalol and cardizem. echocardiogram on showing an ejection fraction of greater than 55%, mildly dilated left atrium and a small secundum atrial septal defect. also a history of hypertension, dyslipidemia, mitral valve prolapse, status post hysterectomy, appendectomy, right leg vein ligation. also status post a recent left eye hemorrhage and a right ankle fracture. allergies: no known drug allergies. medications on admission: 1. accupril 10 p.o. q d. 2. propafenone 300 mg q a.m., 225 mg q noon time and q p.m. 3. coumadin 2.5 mg p.o. q hs which was stopped two days prior to admission. 4. multivitamin. 5. atenolol 25 mg p.o. q d. social history: the patient is a part time teacher. no tobacco, no alcohol. no drug use. she is divorced. she has four grown children. physical examination on admission to the ccu: temperature, 94.8; pulse, 87; blood pressure, 130/76; saturation, 100% on ventilator of ac, 614; peep, 5; fio2, 0.4. general, she is intubated and sedated on propofol. head, eyes, ears, nose and throat, pupils were mid size and sluggish. anicteric sclera. mucous membranes, dry. left subconjunctival hemorrhage. neck, without jugular venous distention. chest, clear to auscultation. vented breath sounds anterolaterally. cardiac, regular rate and rhythm. s1, s2. no rubs, gallops or murmurs. abdomen, soft, hypoactive but present bowel sounds. left rectus abdominal mass. no ecchymoses. extremities, there is a cast on her right lower extremity. pulses are 1+ in the left dorsalis pedis with good capillary refill. extremities are cool. no edema. mild cyanosis of her nail beds. the patient had a left femoral a line and two right groin venous lines and one femoral venous line. her popliteal pulse on the right leg was intact. laboratory on admission to the ccu: show a white blood count of 12; hematocrit, 32; platelets, 173. inr, 1.3; ptt, 30. sodium, 143; potassium, 3.7; chloride, 112; bicarbonate, 20; bun, 17; creatinine, 0.7. glucose, 219. calcium, 6.8. magnesium, 1.3. free calcium, 0.98. initial blood gas, 7.28/41/473. lactate, 3.0. subsequent blood gas of 7.48/26/200 on fio2 of 40%. ct of abdomen shows left rectus sheath hematoma 4.9 x 7 cm. pelvic ct shows 5.5 x 4.7 right pelvic and 7.8 x 6 cm hematoma which is likely bleeding from the left common femoral vein. hospital course: this is a 66 year old female with paroxysmal atrial fibrillation which is recurrent, status post past ablation procedures in cardioversion and trials of antiarrhythmics, now with large retroperitoneal bleed status post atrial fibrillation ablation with hypotension. the hospital course was complicated by a demand ischemic event to her myocardium with elevation in her ck and troponin, a right common and superficial femoral deep venous thrombosis with subsequent multiple small pulmonary emboli and urinary tract infection. 1. hypotension - the patient was hypovolemic status post large bleed with good response to dopamine and blood, status post a bleed. her blood pressure normalized after this volume repletion and the patient actually became hypertensive later in her hospital course. 2. atrial fibrillation - the patient had a history of recurrent atrial fibrillation with completed ablation this admission. she did have brief episodes of atrial fibrillation and atrial tachycardia on one to two occasions during this hospital admission. she was started on flecainide which was discontinued status post her myocardial infarction and started on sotalol which was also discontinued. she will just be continued for now on metoprolol 100 mg p.o. b.i.d. for rate control. she will follow up with the ep service with dr. for further management of her atrial fibrillation. 3. right lower extremity deep vein thrombosis/pulmonary embolus - the patient began having increased right lower extremity edema after being transferred to the floor from the unit. this is the leg in which she has a cast for her right ankle fracture. lower extremity ultrasound showed a common femoral and superficial femoral deep vein thrombosis in her right leg. because the patient was still showing evidence of decreasing hematocrit at this time and had a contraindication to anticoagulation initially with this decreasing hematocrit, an ivc filter was placed. this was placed through the left femoral vein without rebleed. the patient tolerated this procedure well. one day after placement of the ivc filter, the patient started to complain of feeling short of breath and began to require o2 via nasal cannula to keep her sats in the 90%, with her room sat being in the high 80 percents. a trial ct scan done at that time showed multiple small pulmonary emboli in the second and third order pulmonary arteries. at this time her hematocrit had been stable and she was started on heparin with a goal ptt of 50 to 60. after 72 hours of a stable hematocrit on the heparin gtt, she was started on coumadin for her deep vein thrombosis, pulmonary emboli and atrial fibrillation. she was given 5 mg q d and finally reached therapeutic coumadin level on the 26th. she will be discharged on her former coumadin dose of 2.5 mg p.o. q hs with follow up of her inrs with her primary care physician in . 4. myocardial ischemia - the patient did show evidence of myocardial infarction in the setting of her bleed. this was most likely a low flow demand infarct rather than an acute coronary syndrome. her peak ck was 300 and she did rule in by index. 5. pump function - an echocardiogram done after her rule in showed a decrease in her ejection fraction from 55% to 50%. she had normal pa pressures of 18 mm of mercury. she did have evidence of global right ventricular free wall hypokinesis which was most likely secondary to her multiple small pulmonary emboli. 6. urinary tract infection - the patient was found to have a urinary tract infection after complaining of abdominal pain. she was started on a three day course of ciprofloxacin and tolerated this well. discharge plan: the patient was discharged after demonstrating a stable hematocrit while being therapeutic on her coumadin for 24 hours. she will follow up with her primary care doctor , which is in 24 hours after discharge, for checking of her inr. she will follow up with dr. to follow up on her atrial fibrillation and ablation this week. she has decided to keep her ivc filter in place. it had the option of being a removable ivc filter, however, she felt that she would feel more comfortable leaving the ivc filter in place and remaining on her anticoagulation as she would need to anyway. condition on discharge: good. discharge diagnosis: 1. atrial fibrillation. 2. deep venous thrombosis with pulmonary embolism. 3. urinary tract infection. 4. hypertension. 5. demand ischemic myocardial infarction. medications on discharge: 1. accupril 20 mg p.o. q d. 2. coumadin 2.5 mg p.o. q hs as dose per inr. 3. metoprolol 100 mg p.o. b.i.d. 4. ciprofloxacin. 5. .................... 40 mg p.o. q d. 6. senna. 7. colace. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization diagnostic ultrasound of heart interruption of the vena cava catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping angiocardiography of venae cavae diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified acute posthemorrhagic anemia atrial fibrillation hemorrhage complicating a procedure other pulmonary embolism and infarction aftercare for healing traumatic fracture of lower leg 

Answer: The patient is high likely exposed to