
TASK: Please classify the relationship between the given premise and hypothesis into one of the following labels: entailment, contradiction, or neutral. Return only the label.
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INPUT: [PRE] Prosthetic Mitral Valve Regurgitation with Paravalvular Leak, History of Rheumatic heart disease - s/p Mitral Valve Replacements [**3026**], [**3029**], [**3032**](Bjork Shiley Valve), History of Complete Heart Block - s/p Permanent Pacemaker Implantation([**Company 4**])[**3041**] and [**3043**], Diaslotic Congestive Heart Failure, Paroxsymal Atrial Fibrillation, History of Pasteurella Bacteremia secondary to Cat Scratch, Chronic Obstructive Pulmonary Disease, History of GI Bleed [**3041**] and [**3053**] secondary to Gastric Ulcer/Gastritis [HYP]  The patient is on anticoagulation. 
OUTPUT:

entailment contradiction neutral