CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 75 year old
woman with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty and stent
placement in [**2167**], for angina.  She has been well for the
past five and one half years until one week prior to
admission where she developed crescendo angina with episodes
occurring at rest.  Workup at [**Hospital3 **] ruled out a
myocardial infarction.  However, Persantine Thallium showed a
reversible defect in the posterolateral wall with an ejection
fraction of 60%.  She was referred for catheterization at
[**Hospital1 69**].

MEDICAL HISTORY: Significant for:
1.  Coronary artery disease, status post stent in [**2167**], as
    above.
2.  Hyperlipidemia.
3.  Noninsulin dependent diabetes mellitus.
4.  History of deep vein thrombosis times two in the right
    lower extremity, status post venous ligation with veins
    left in situ by report.
5.  Status post cholecystectomy.
6.  Arthritis in both knees, status post steroid injections.

MEDICATION ON ADMISSION: 1.  Glucophage 1000 milligrams p.o. q.d.
2.  Glucotrol 10 milligrams q.d.
3.  Actos 45 milligrams q.d.
4.  Lipitor 20 milligrams q.d.
5.  Lopressor 25 milligrams q.d.
6.  Vasotec 10 milligrams q.d.
7.  Aspirin 81 milligrams q.d.
8.  Coumadin which was held for catheterization.

ALLERGIES: Morphine, Codeine which cause nausea and
vomiting.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Iron deficiency anemia, unspecified,Arthropathy, unspecified, lower leg,Personal history of venous thrombosis and embolism,Percutaneous transluminal coronary angioplasty status
Crnry athrscl natve vssl,Intermed coronary synd,Surg compl-heart,Atrial fibrillation,DMII wo cmp nt st uncntr,Iron defic anemia NOS,Arthropathy NOS-l/leg,Hx-ven thrombosis/embols,Status-post ptca
Admission Date:  [**2173-3-12**]     Discharge Date:  [**2173-3-21**]

Date of Birth:   [**2097-5-3**]     Sex:  F

Service:  CT SURGERY

ADMISSION DIAGNOSIS:  Coronary artery disease.

DISCHARGE DIAGNOSIS:  Coronary artery disease, status post
coronary artery bypass graft times five.

HISTORY OF PRESENT ILLNESS:  The patient is a 75 year old
woman with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty and stent
placement in [**2167**], for angina.  She has been well for the
past five and one half years until one week prior to
admission where she developed crescendo angina with episodes
occurring at rest.  Workup at [**Hospital3 **] ruled out a
myocardial infarction.  However, Persantine Thallium showed a
reversible defect in the posterolateral wall with an ejection
fraction of 60%.  She was referred for catheterization at
[**Hospital1 69**].

Her catheterization showed 70 to 80% left main and left
anterior descending stent D1 disease.  No significant
circumflex disease.  Left to right collaterals to the right
posterior descending artery.  Right coronary artery with a
tight midlesion and proximal ostial posterior descending
artery lesion.  The ejection fraction was preserved at 60%.

PAST MEDICAL HISTORY:  Significant for:
1.  Coronary artery disease, status post stent in [**2167**], as
    above.
2.  Hyperlipidemia.
3.  Noninsulin dependent diabetes mellitus.
4.  History of deep vein thrombosis times two in the right
    lower extremity, status post venous ligation with veins
    left in situ by report.
5.  Status post cholecystectomy.
6.  Arthritis in both knees, status post steroid injections.

MEDICATIONS ON ADMISSION:
1.  Glucophage 1000 milligrams p.o. q.d.
2.  Glucotrol 10 milligrams q.d.
3.  Actos 45 milligrams q.d.
4.  Lipitor 20 milligrams q.d.
5.  Lopressor 25 milligrams q.d.
6.  Vasotec 10 milligrams q.d.
7.  Aspirin 81 milligrams q.d.
8.  Coumadin which was held for catheterization.

ALLERGIES:  Morphine, Codeine which cause nausea and
vomiting.

PHYSICAL EXAMINATION:  On admission, significant for regular
rate and rhythm.  The lungs are clear.  Palpable distal
pulses.

LABORATORY DATA:  On admission, significant for a white count
of 10.0, hematocrit 30.0.  Normal chemistries.  Normal
coagulation studies.  Electrocardiogram shows sinus rhythm at
78 with left axis deviation and left ventricular hypertrophy.
Chest x-ray showed no acute cardiopulmonary process.  Venous
duplex of the lower extremity veins was done which revealed
patent greater and lesser saphenous veins.

HOSPITAL COURSE:  The patient was admitted to the Cardiology
Service where she remained pain free until she was taken for
coronary artery bypass graft on [**2173-3-15**].  She had coronary
artery bypass graft times five with left internal mammary
artery to the left anterior descending, saphenous vein graft
to the posterior descending artery and sequential to the PL,
saphenous vein graft to the OM and to the diagonal.  The
patient tolerated the procedure well and was taken to the
Cardiothoracic Intensive Care Unit postoperatively where on
postoperative day number one she was extubated and
transferred to the floor.  She was evaluated by physical
therapy.

On the morning of postoperative day number three, she was
found to be in atrial fibrillation.  She was rate controlled
with Lopressor and converted with Procainamide.  She
continued to work with physical therapy.  She remained in
sinus rhythm throughout the remainder of her hospital stay
and on postoperative day number six was found to be suitable
for discharge to home.  She is to follow-up with [**First Name8 (NamePattern2) **] [**Doctor Last Name 1537**]
in three weeks time and with [**First Name8 (NamePattern2) **] [**Last Name (un) 18323**] tomorrow who will
also follow her INR.  Given her history of deep vein
thrombosis, the patient's Coumadin was resumed on
postoperative day number two.

DISCHARGE MEDICATIONS:
1.  Coumadin dose per [**First Name8 (NamePattern2) **] [**Last Name (Titles) 18323**].
2.  Lopressor 100 milligrams p.o. b.i.d.
3.  Lipitor 20 milligrams p.o. q.h.s.
4.  Procainamide SR 500 milligrams p.o. q6hours.
5.  Glucophage 1000 milligrams p.o. q.a.m..
6.  Glucotrol 10 milligrams p.o. q.d.
7.  Actos 45 milligrams p.o. q.a.m.
8.  Lasix 20 milligrams p.o. q.d. times five days.
9.  KayCiel 20 meq p.o. q.d. times five days.
10. Colace 100 milligrams p.o. b.i.d.
11. Vasotec 20 milligrams p.o. b.i.d.
12. Percocet one to two tablets p.o. q4hours p.r.n.




                          [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**Last Name (NamePattern1) 22884**]

MEDQUIST36

D:  [**2173-3-21**]  13:33
T:  [**2173-3-21**]  15:50
JOB#:  [**Job Number 33605**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Iron deficiency anemia, unspecified,Arthropathy, unspecified, lower leg,Personal history of venous thrombosis and embolism,Percutaneous transluminal coronary angioplasty status'}


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: The patient is a 75 year old
woman with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty and stent
placement in [**2167**], for angina.  She has been well for the
past five and one half years until one week prior to
admission where she developed crescendo angina with episodes
occurring at rest.  Workup at [**Hospital3 **] ruled out a
myocardial infarction.  However, Persantine Thallium showed a
reversible defect in the posterolateral wall with an ejection
fraction of 60%.  She was referred for catheterization at
[**Hospital1 69**].

MEDICAL HISTORY: Significant for:
1.  Coronary artery disease, status post stent in [**2167**], as
    above.
2.  Hyperlipidemia.
3.  Noninsulin dependent diabetes mellitus.
4.  History of deep vein thrombosis times two in the right
    lower extremity, status post venous ligation with veins
    left in situ by report.
5.  Status post cholecystectomy.
6.  Arthritis in both knees, status post steroid injections.

MEDICATION ON ADMISSION: 1.  Glucophage 1000 milligrams p.o. q.d.
2.  Glucotrol 10 milligrams q.d.
3.  Actos 45 milligrams q.d.
4.  Lipitor 20 milligrams q.d.
5.  Lopressor 25 milligrams q.d.
6.  Vasotec 10 milligrams q.d.
7.  Aspirin 81 milligrams q.d.
8.  Coumadin which was held for catheterization.

ALLERGIES: Morphine, Codeine which cause nausea and
vomiting.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Iron deficiency anemia, unspecified,Arthropathy, unspecified, lower leg,Personal history of venous thrombosis and embolism,Percutaneous transluminal coronary angioplasty status'}
