CHIEF COMPLAINT: 

PRESENT ILLNESS: This 52-year-old white male has
a known history of coronary artery disease.  He is status
post ST elevation myocardial infarction in [**3-/2123**] and had a
stent to the RCA and LAD.  He had a catheterization in
[**10/2125**] which showed coronary artery disease, patent stents
and he had no intervention at that time.  A stress test on
[**2126-9-4**] revealed an inferior fixed defect and he was
admitted for routine catheterization in preparation for a
lumbar laminectomy and fusion.  He denies chest pain,
palpitations, shortness of breath, edema, syncope,
diaphoresis or nausea and vomiting.

MEDICAL HISTORY: Significant for a history of coronary
artery disease, status post ST elevation myocardial
infarction in [**3-/2123**] with stents to the RCA and LAD, a
history of spinal stenosis with bilateral numbness in his
feet, a history of hypertension, history of hyperlipidemia,
and history of mitral valve prolapse.  He si status post
appendectomy, status post tonsillectomy, status post
correction of a deviated septum.

MEDICATION ON ADMISSION: 1. Plavix 75 mg p.o.  once a day.
2. Toprol 25 mg p.o.  once a day.
3. Accupril 25 mg p.o.  once a day.
4. Niaspan 500 mg p.o.  once a day.
5. Nexium 20 mg p.o.  once a day.
6. Folate 2 mg p.o.  once a day.
7. Celexa 30 mg p.o.  once a day.
8. Celebrex 200 mg p.o.  twice a day.
9. Aspirin 81 mg p.o.  once a day.
10.      Tricor 160 mg p.o.  once a day.
11.      Multivitamin 1 p.o.  once a day.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: Lives with his wife.  [**Name (NI) **] has a 50 pack year
smoking history and quit 15 years ago.  He does not drink
alcohol.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Iatrogenic pneumothorax,Mitral valve disorders,Unspecified essential hypertension,Pure hypercholesterolemia
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Iatrogenic pneumothorax,Mitral valve disorder,Hypertension NOS,Pure hypercholesterolem
Admission Date: [**2126-10-2**]        Discharge Date: [**2126-10-9**]

Date of Birth:  [**2073-11-21**]        Sex:  M

Service:  CSU


HISTORY OF PRESENT ILLNESS:  This 52-year-old white male has
a known history of coronary artery disease.  He is status
post ST elevation myocardial infarction in [**3-/2123**] and had a
stent to the RCA and LAD.  He had a catheterization in
[**10/2125**] which showed coronary artery disease, patent stents
and he had no intervention at that time.  A stress test on
[**2126-9-4**] revealed an inferior fixed defect and he was
admitted for routine catheterization in preparation for a
lumbar laminectomy and fusion.  He denies chest pain,
palpitations, shortness of breath, edema, syncope,
diaphoresis or nausea and vomiting.

PAST MEDICAL HISTORY:  Significant for a history of coronary
artery disease, status post ST elevation myocardial
infarction in [**3-/2123**] with stents to the RCA and LAD, a
history of spinal stenosis with bilateral numbness in his
feet, a history of hypertension, history of hyperlipidemia,
and history of mitral valve prolapse.  He si status post
appendectomy, status post tonsillectomy, status post
correction of a deviated septum.

He has no known drug allergies.

MEDICATIONS ON ADMISSION:
1. Plavix 75 mg p.o.  once a day.
2. Toprol 25 mg p.o.  once a day.
3. Accupril 25 mg p.o.  once a day.
4. Niaspan 500 mg p.o.  once a day.
5. Nexium 20 mg p.o.  once a day.
6. Folate 2 mg p.o.  once a day.
7. Celexa 30 mg p.o.  once a day.
8. Celebrex 200 mg p.o.  twice a day.
9. Aspirin 81 mg p.o.  once a day.
10.      Tricor 160 mg p.o.  once a day.
11.      Multivitamin 1 p.o.  once a day.


SOCIAL HISTORY:  Lives with his wife.  [**Name (NI) **] has a 50 pack year
smoking history and quit 15 years ago.  He does not drink
alcohol.

FAMILY HISTORY:  Significant for coronary artery disease.

REVIEW OF SYSTEMS:  As above.

PHYSICAL EXAMINATION:  He is a well-developed, well-nourished
white in no apparent distress.  Vital signs stable, afebrile.
HEENT:  Normocephalic, atraumatic.  Extraocular muscles are
intact.  Oropharynx benign.  Neck supple, full range of
motion, no lymphadenopathy or thyromegaly.  Carotids 2 plus
and equal bilaterally without bruits.  Lungs clear to
auscultation.  Cardiovascular:  Regular rate and rhythm,
normal S1, S2, with no rubs, murmurs or gallops.  Abdomen
soft and nontender with positive bowel sounds.  No masses or
hepatosplenomegaly.  Extremities were without clubbing,
cyanosis or edema.  Pulses were 2 plus and equal bilaterally
throughout.  Neurological examination was nonfocal.

He underwent cardiac catheterization on [**2126-10-2**] which
revealed a 70 to 80 percent LAD stenosis, 50 percent distal
left main stenosis, 70 percent diagonal stenosis and a patent
RCA stent with an ejection fraction of 35 to 40 percent.  Dr.
[**First Name (STitle) **] [**Name (STitle) **], M.D. was consulted.  On [**2126-10-3**], the
patient underwent a coronary artery bypass graft times three
with LIMA to the LAD, reverse saphenous vein graft to ramus
and OM.  Cross clamp time was 54 minutes.  Total bypass time
71 minutes.  He was transferred to the CSRU on Propofol and
was extubated that evening.  He was on an insulin drip.  He
did have a slight respiratory acidosis but this resolved and
he was transferred to the floor on postoperative day no. 1.
He had a right pneumothorax, 20 percent pneumo, on
postoperative day 1, but did not have a chest tube in that
position.  On postoperative day 2, his chest tubes were
placed to water seal and they were discontinued on
postoperative day no. 3.  He also was transfused 2 units of
blood on postoperative day no. 2 for a hematocrit of 21.9.
He had his epicardial pacing wires discontinued on
postoperative day 3 and continued to have a stable
postoperative course.  He was discharged to home on
postoperative day no. 6 in stable condition.

LABORATORY DATA ON DISCHARGE:  Hematocrit 34, white count
8,500, potassium 4.7, BUN 19, creatinine  1.1.  Platelet
count 290.

DISCHARGE MEDICATIONS:
1. Colace 100 mg p.o.  twice a day.
2. Aspirin 81 mg p.o.  once a day.
3. Percocet 1 to 2 p.o.  q.4-6h. p.r.n. pain.
4. Plavix 75 mg p.o.  once a day.
5. Celexa 30 mg p.o.  once a day.
6. Niacin 500 mg p.o.  once a day.
7. Nexium 20 mg p.o.  once a day.
8. Ibuprofen 600 mg p.o.  q.6h. p.r.n.
9. Quinapril 10 mg p.o.  once a day.
10.      Toprol XL 25 mg p.o.  once a day.
11.      Ferrous Gluconate 325 mg p.o.  once a day.
12.      Vitamin C 500 mg p.o.  twice a day.
13.      Multivitamin one p.o.  once a day.
14.      Fenofibrate micronized 160 mg p.o.  once a day.


DISCHARGE DIAGNOSES:  Coronary artery disease, hypertension,
hypercholesterolemia.

He will be followed by Dr. [**Last Name (STitle) 17029**] in one to two weeks, Dr.
[**Last Name (STitle) 54514**] in two to three weeks, and Dr. [**First Name (STitle) **] [**Name (STitle) **], M.D. in
four weeks.



                        [**Name6 (MD) **] [**Name8 (MD) **], M.D. [**MD Number(2) 5897**]

Dictated By:[**Last Name (NamePattern1) 18588**]
MEDQUIST36
D:  [**2126-10-9**] 13:28:00
T:  [**2126-10-9**] 13:59:08
Job#:  [**Job Number 54515**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Iatrogenic pneumothorax,Mitral valve disorders,Unspecified essential hypertension,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: This 52-year-old white male has
a known history of coronary artery disease.  He is status
post ST elevation myocardial infarction in [**3-/2123**] and had a
stent to the RCA and LAD.  He had a catheterization in
[**10/2125**] which showed coronary artery disease, patent stents
and he had no intervention at that time.  A stress test on
[**2126-9-4**] revealed an inferior fixed defect and he was
admitted for routine catheterization in preparation for a
lumbar laminectomy and fusion.  He denies chest pain,
palpitations, shortness of breath, edema, syncope,
diaphoresis or nausea and vomiting.

MEDICAL HISTORY: Significant for a history of coronary
artery disease, status post ST elevation myocardial
infarction in [**3-/2123**] with stents to the RCA and LAD, a
history of spinal stenosis with bilateral numbness in his
feet, a history of hypertension, history of hyperlipidemia,
and history of mitral valve prolapse.  He si status post
appendectomy, status post tonsillectomy, status post
correction of a deviated septum.

MEDICATION ON ADMISSION: 1. Plavix 75 mg p.o.  once a day.
2. Toprol 25 mg p.o.  once a day.
3. Accupril 25 mg p.o.  once a day.
4. Niaspan 500 mg p.o.  once a day.
5. Nexium 20 mg p.o.  once a day.
6. Folate 2 mg p.o.  once a day.
7. Celexa 30 mg p.o.  once a day.
8. Celebrex 200 mg p.o.  twice a day.
9. Aspirin 81 mg p.o.  once a day.
10.      Tricor 160 mg p.o.  once a day.
11.      Multivitamin 1 p.o.  once a day.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: Lives with his wife.  [**Name (NI) **] has a 50 pack year
smoking history and quit 15 years ago.  He does not drink
alcohol. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Iatrogenic pneumothorax,Mitral valve disorders,Unspecified essential hypertension,Pure hypercholesterolemia'}
