CHIEF COMPLAINT: 

PRESENT ILLNESS: This is an 84-year-old gentleman
with a history of severe coronary artery disease status post
coronary artery bypass graft x2, recent admission to [**Hospital1 1444**] for ST elevation myocardial
infarction on [**2154-10-12**], moderate aortic stenosis,
congestive heart failure, and chronic renal insufficiency,
admitted again on [**2154-10-25**] for failure to thrive
secondary to decompensated congestive heart failure.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Congestive heart failure, unspecified,Ventricular fibrillation,Mitral valve disorders,Diseases of tricuspid valve,Adult failure to thrive,Cardiomegaly,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery
CHF NOS,Ventricular fibrillation,Mitral valve disorder,Tricuspid valve disease,Failure to thrive-adult,Cardiomegaly,DMII wo cmp nt st uncntr,Crnry athrscl natve vssl
Admission Date:  [**2154-10-25**]     Discharge Date:  [**2154-10-30**]


Service:  CCU

HISTORY OF PRESENT ILLNESS:  This is an 84-year-old gentleman
with a history of severe coronary artery disease status post
coronary artery bypass graft x2, recent admission to [**Hospital1 1444**] for ST elevation myocardial
infarction on [**2154-10-12**], moderate aortic stenosis,
congestive heart failure, and chronic renal insufficiency,
admitted again on [**2154-10-25**] for failure to thrive
secondary to decompensated congestive heart failure.

On admission, patient appeared very cachectic and fluid
overloaded.  Swan Ganz catheter revealed CVP pressure of 22,
PA systolic and diastolic pressures of 68/26, with capillary
wedge pressure of 30.  He was started on dobutamine and
dopamine drip and was aggressive diuresed with Lasix.

After a long discussion with patient and his family, decision
was made to continue medical management, but not to pursue
any invasive interventions including valvuloplasty for the
aortic stenosis.  His code status was changed to DNR/DNI.
However, despite aggressive medical management, the patient
arrested around 10 pm on [**2154-10-30**] after a run of
V-T which turned into torsade V-fib.  When on the on-call
house staff was called to examine the patient, the patient
had already been in cardiopulmonary arrest.  Death was
pronounced and family was informed.  The family declined a
postmortem examination.

DIAGNOSES:  Cardiac arrest, coronary artery disease, aortic
stenosis, congestive heart failure, chronic renal
insufficiency.


                          [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 4786**]

Dictated By:[**Last Name (NamePattern1) 225**]

MEDQUIST36

D:  [**2154-11-5**]  15:20
T:  [**2154-11-11**]  08:57
JOB#:  [**Job Number **]
{'Congestive heart failure, unspecified,Ventricular fibrillation,Mitral valve disorders,Diseases of tricuspid valve,Adult failure to thrive,Cardiomegaly,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery'}


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: This is an 84-year-old gentleman
with a history of severe coronary artery disease status post
coronary artery bypass graft x2, recent admission to [**Hospital1 1444**] for ST elevation myocardial
infarction on [**2154-10-12**], moderate aortic stenosis,
congestive heart failure, and chronic renal insufficiency,
admitted again on [**2154-10-25**] for failure to thrive
secondary to decompensated congestive heart failure.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Congestive heart failure, unspecified,Ventricular fibrillation,Mitral valve disorders,Diseases of tricuspid valve,Adult failure to thrive,Cardiomegaly,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery'}
