CHIEF COMPLAINT: Had exertional symptoms of SOB and malaise prior to being
diagnosed with MI in [**Month (only) 216**]. She had no prior history of CAD.

PRESENT ILLNESS: 58 yo female with no previous history of CAD, who suffered an MI
in [**9-1**]. A stent was placed in the RCA at that time, and
follow-up ETT showed fixed defects. Repeat cath showed a patent
RCA stent, and 80% LM lesion. Her exertional sx have decreased,
and she denies rest pain. Referred to [**Hospital1 18**] for CABG with Dr.
[**Last Name (STitle) 1290**].

MEDICAL HISTORY: inferior myocardial infarction (IABP)
RCA stent [**9-1**]
elev. chol.
HTN
colon CA/colectomy [**2168**]
appy [**2141**]
ovarian cyst [**2148**]

MEDICATION ON ADMISSION: lipitor 80 mg qd
ASA 81 mg qd
lisinopril 5 mg qd
plavix 75 mg qd
lopressor 75 mg qd
citalopram 20 mg qd

ALLERGIES: Penicillins / Percocet

PHYSICAL EXAM: HR 60 120/80  62 kg
NAD, somewhat anxious
SKIN/ HEENT unremarkable, neck supple without bruits
lungs CTAB
RRR without murmur or rub
abd has well-healed scar, soft, NT, ND
no apparent varicosities, 2+ fem, DP pulses bilat, 1+ PT pulses
bilat.
neurologically grossly intact

FAMILY HISTORY: father died of MI at 66

SOCIAL HISTORY: lives with husband and a daughter
office worker
smoked [**1-29**] ppd for 40 years, quit 9 months ago
has an occasional drink
Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Mitral valve disorders,Pure hypercholesterolemia,Old myocardial infarction,Family history of ischemic heart disease,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine
Crnry athrscl natve vssl,Surg compl-heart,Atrial fibrillation,Mitral valve disorder,Pure hypercholesterolem,Old myocardial infarct,Fam hx-ischem heart dis,History of tobacco use,Hx of colonic malignancy
Admission Date:  [**2175-10-23**]              Discharge Date:   [**2175-10-29**]

Date of Birth:  [**2117-10-1**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Penicillins / Percocet

Attending:[**First Name3 (LF) 1283**]
Chief Complaint:
Had exertional symptoms of SOB and malaise prior to being
diagnosed with MI in [**Month (only) 216**]. She had no prior history of CAD.

Major Surgical or Invasive Procedure:
[**10-23**] CABG x 2


History of Present Illness:
58 yo female with no previous history of CAD, who suffered an MI
in [**9-1**]. A stent was placed in the RCA at that time, and
follow-up ETT showed fixed defects. Repeat cath showed a patent
RCA stent, and 80% LM lesion. Her exertional sx have decreased,
and she denies rest pain. Referred to [**Hospital1 18**] for CABG with Dr.
[**Last Name (STitle) 1290**].

Past Medical History:
inferior myocardial infarction (IABP)
RCA stent [**9-1**]
elev. chol.
HTN
colon CA/colectomy [**2168**]
appy [**2141**]
ovarian cyst [**2148**]


Social History:
lives with husband and a daughter
office worker
smoked [**1-29**] ppd for 40 years, quit 9 months ago
has an occasional drink

Family History:
father died of MI at 66

Physical Exam:
HR 60 120/80  62 kg
NAD, somewhat anxious
SKIN/ HEENT unremarkable, neck supple without bruits
lungs CTAB
RRR without murmur or rub
abd has well-healed scar, soft, NT, ND
no apparent varicosities, 2+ fem, DP pulses bilat, 1+ PT pulses
bilat.
neurologically grossly intact

Pertinent Results:
[**2175-10-25**] 07:10AM BLOOD WBC-6.9 RBC-3.59* Hgb-11.3* Hct-31.9*
MCV-89 MCH-31.5 MCHC-35.6* RDW-14.9 Plt Ct-125*
[**2175-10-25**] 07:10AM BLOOD Plt Ct-125*
[**2175-10-25**] 07:10AM BLOOD Glucose-119* UreaN-17 Creat-0.8 Na-135
K-4.9 Cl-102 HCO3-28 AnGap-10
[**2175-10-26**] 07:10AM BLOOD UreaN-18 Creat-0.8 K-5.5*
[**2175-10-24**] 01:24AM BLOOD Calcium-8.6 Phos-5.1* Mg-1.9

pre-op CXR [**10-4**]: no significant abnormalities

Brief Hospital Course:
59 yo female admitted [**10-23**] and underwent CABG x2 by Dr.
[**Last Name (STitle) 1290**] on the same day (LIMA to LAD, SVG to OM). Transferred
to CSRU in stable condition on titrated neosynephrine and
propofol drips. Extubated later that day, on insulin, nipride
and nitroglycerin drips. Beta blockade and diuresis were begun
on POD #1, as well as lisinopril for BP management. Plavix was
also restarted for coverage of the RCA stent.Transferred to the
floor also on POD #1. CTs were removed on POD #3 after some
continued drainage on POD #2. Pacing wires were also removed on
POD #3. Pt did very well and was discharged home on POD 6.

Medications on Admission:
lipitor 80 mg qd
ASA 81 mg qd
lisinopril 5 mg qd
plavix 75 mg qd
lopressor 75 mg qd
citalopram 20 mg qd


Discharge Medications:
1. Docusate Sodium 100 mg PO BID
2. Clopidogrel 75 mg PO DAILY
3. Ranitidine 150 mg PO BID
4. Aspirin 81 mg Tablet Daily
5. Citalopram 20 mg PO DAILY
6. Atorvastatin 80 mg Tablet PO DAILY
7. Dilaudid
8. Lasix 40 mg PO BID


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
CAD s/p RCA stent ([**9-1**])
HTN
s/p CABG x2
elev. chol.
myocardial infarction [**9-1**]


Discharge Condition:
Good.


Discharge Instructions:
Call with fever, redness or drainage from incision, or weight
gain more than 2 pounds in one day or five in one week.
Shower, wash incision with soap and water and pat dry.
No driving until follow up with surgeon at 4 weeks.
No lifting greater than 10 pounds for 10 weeks.

[**Last Name (NamePattern4) 2138**]p Instructions:
Dr. [**Last Name (Prefixes) **] 4 weeks
Dr. [**Last Name (STitle) 10755**] 2 weeks
Dr. [**Last Name (STitle) 32255**]/ Dr. [**Last Name (STitle) 1295**] in 2 weeks
{'Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Mitral valve disorders,Pure hypercholesterolemia,Old myocardial infarction,Family history of ischemic heart disease,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine'}


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: Had exertional symptoms of SOB and malaise prior to being
diagnosed with MI in [**Month (only) 216**]. She had no prior history of CAD.

PRESENT ILLNESS: 58 yo female with no previous history of CAD, who suffered an MI
in [**9-1**]. A stent was placed in the RCA at that time, and
follow-up ETT showed fixed defects. Repeat cath showed a patent
RCA stent, and 80% LM lesion. Her exertional sx have decreased,
and she denies rest pain. Referred to [**Hospital1 18**] for CABG with Dr.
[**Last Name (STitle) 1290**].

MEDICAL HISTORY: inferior myocardial infarction (IABP)
RCA stent [**9-1**]
elev. chol.
HTN
colon CA/colectomy [**2168**]
appy [**2141**]
ovarian cyst [**2148**]

MEDICATION ON ADMISSION: lipitor 80 mg qd
ASA 81 mg qd
lisinopril 5 mg qd
plavix 75 mg qd
lopressor 75 mg qd
citalopram 20 mg qd

ALLERGIES: Penicillins / Percocet

PHYSICAL EXAM: HR 60 120/80  62 kg
NAD, somewhat anxious
SKIN/ HEENT unremarkable, neck supple without bruits
lungs CTAB
RRR without murmur or rub
abd has well-healed scar, soft, NT, ND
no apparent varicosities, 2+ fem, DP pulses bilat, 1+ PT pulses
bilat.
neurologically grossly intact

FAMILY HISTORY: father died of MI at 66

SOCIAL HISTORY: lives with husband and a daughter
office worker
smoked [**1-29**] ppd for 40 years, quit 9 months ago
has an occasional drink 

### Response:
{'Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Mitral valve disorders,Pure hypercholesterolemia,Old myocardial infarction,Family history of ischemic heart disease,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine'}
