CHIEF COMPLAINT: 

PRESENT ILLNESS: Briefly, this is a 43-year-old
male who had been feeling deconditioned since [**2120-12-10**] who noticed increased swelling in his lower extremities
and increasing dyspnea on exertion.  Recently diagnosed with
cardiomyopathy with an ejection fraction of about 15%.  ETT
during which systolic blood pressure dropped to 65.  The
patient underwent catheterization on the day of admission at
[**Hospital3 1280**] and confirmed severe cardiomyopathy, critical left
main coronary artery stenosis 90%, and was transferred to
[**Hospital1 69**] for intra-aortic balloon
pump placement and possible coronary artery bypass graft.

MEDICAL HISTORY: Hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient had no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient was a nonsmoker and used only
occasional alcohol.
Coronary atherosclerosis of native coronary artery,Other postoperative infection,Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Pure hypercholesterolemia
Crnry athrscl natve vssl,Other postop infection,Cellulitis of leg,CHF NOS,Pure hypercholesterolem
Admission Date:  [**2122-1-30**]       Discharge Date:  [**2122-2-19**]

Date of Birth:   [**2079-1-1**]       Sex:  M

Service:  Cardiothoracic Surgery

HISTORY OF PRESENT ILLNESS:  Briefly, this is a 43-year-old
male who had been feeling deconditioned since [**2120-12-10**] who noticed increased swelling in his lower extremities
and increasing dyspnea on exertion.  Recently diagnosed with
cardiomyopathy with an ejection fraction of about 15%.  ETT
during which systolic blood pressure dropped to 65.  The
patient underwent catheterization on the day of admission at
[**Hospital3 1280**] and confirmed severe cardiomyopathy, critical left
main coronary artery stenosis 90%, and was transferred to
[**Hospital1 69**] for intra-aortic balloon
pump placement and possible coronary artery bypass graft.

PAST MEDICAL HISTORY:  Hypercholesterolemia.

ALLERGIES:  The patient had no known drug allergies.

MEDICATIONS:
1. Lipitor 10 q day.
2. Lisinopril 10 q day.

SOCIAL HISTORY:  The patient was a nonsmoker and used only
occasional alcohol.

PHYSICAL EXAMINATION:  On examination, the patient was in no
acute distress.  Regular, rate, and rhythm.  He had bibasilar
crackles in the lungs, otherwise clear, and 2+ pitting edema
in the lower extremities.

Patient's white count is 8.1, hematocrit of 45.1, platelets
of 208.  Patient had an INR of 1.9, PTT of 46.1.
Electrolytes were within normal limits.  T bilirubin 2.4,
direct bilirubin of 0.8, and indirect bilirubin of 1.6, ALT
22, AST 23, alkaline phosphatase 101.

Patient underwent intra-aortic balloon placement without
complication.  Patient was seen by Heart Transplant Team who
felt him to be a decent candidate for transplant in the
future.  The patient was also evaluated for coronary artery
bypass grafting as the patient was shown to have severe
disease at the right coronary artery.

The patient underwent a CABG x3 on [**2122-2-2**] for two
vessel disease, decreased ejection fraction and left main
disease.  The patient was unstable postoperatively requiring
multiple pressors intra-aortic balloon pump.  Patient
remained intubated and sedated.  The patient had an
intra-aortic balloon pump removed on postoperative day six.
Patient had an echocardiogram which showed an ejection
fraction of 10%, mild mitral regurgitation, tricuspid
regurgitation, mild pericardial effusion, and no change
compared to previous on [**2122-1-31**].  The patient was
extubated on postoperative day 10.

He was transferred to the floor on postoperative day 14.  He
continues to do well and he was continued on antibiotics for
a noted cellulitis on his right lower extremity, which
continued to improve.  Otherwise, the patient had an
uncomplicated hospital course.  He was on a Heparin drip
pending an EPS study upon transfer to his original hospital.

By[**Last Name (STitle) 14810**]perative day 12, the patient was felt to be doing
well as he was tolerating regular diet, ambulating well with
good po pain control.  The patient continued on Heparin drip,
Vancomycin, and Cipro, and felt to be ready for transfer to
the outside hospital, [**Hospital3 1280**] in order to undergo his EP
study with possible placement of an ICD which was scheduled
to occur on [**2122-2-20**].  Patient will be following up
with Dr. [**Last Name (Prefixes) **] in four weeks and his primary care
physician [**Last Name (NamePattern4) **] [**12-11**] weeks and his cardiologist in [**1-12**] weeks.

TR[**Last Name (STitle) **] MEDICATIONS:
1. Heparin drip at 1300 units an hour.
2. Captopril 100 mg po tid.
3. Albuterol 1-2 puffs q6h.
4. Amiodarone 400 mg po q day.
5. Valsartan 80 mg q day.
6. Ciprofloxacin 500 mg po q12h.
7. Vancomycin 1 gram IV q12h.
8. Percocet 1-2 tablets po q4-6h prn pain.
9. Tylenol 650 mg po q4h prn.
10. Aspirin 325 mg po q day.
11. Zantac 150 mg po bid until followup with Dr. [**Last Name (Prefixes) **].
12. Colace 100 mg po bid.
13. Lasix 20 mg po q12h.
14. Potassium 20 mEq po q12h.

CONDITION ON DISCHARGE:  Good.

DISCHARGE STATUS:  To [**Hospital3 1280**] Hospital.

DIAGNOSIS:  Status post coronary artery bypass graft x3.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Name8 (MD) 5915**]
MEDQUIST36

D:  [**2122-2-19**]  11:58
T:  [**2122-2-19**]  12:03
JOB#:  [**Job Number 48940**]
{'Coronary atherosclerosis of native coronary artery,Other postoperative infection,Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Pure hypercholesterolemia'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: 

PRESENT ILLNESS: Briefly, this is a 43-year-old
male who had been feeling deconditioned since [**2120-12-10**] who noticed increased swelling in his lower extremities
and increasing dyspnea on exertion.  Recently diagnosed with
cardiomyopathy with an ejection fraction of about 15%.  ETT
during which systolic blood pressure dropped to 65.  The
patient underwent catheterization on the day of admission at
[**Hospital3 1280**] and confirmed severe cardiomyopathy, critical left
main coronary artery stenosis 90%, and was transferred to
[**Hospital1 69**] for intra-aortic balloon
pump placement and possible coronary artery bypass graft.

MEDICAL HISTORY: Hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient had no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient was a nonsmoker and used only
occasional alcohol. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other postoperative infection,Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Pure hypercholesterolemia'}
