CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 41-year-old male
with no significant past medical history whose cardiac risk
factors include smoking and a strong family history of
coronary artery disease who presented to an outside hospital
complaining of six hours of stuttering substernal chest pain
with left arm radiation.  He was found to have anterolateral
ST elevations on electrocardiogram.  He was given a single
bolus of thrombolytics and then transferred to [**Hospital1 **] [**First Name (Titles) **] [**Last Name (Titles) 38785**] angioplasty.  Patient reports nausea and
vomiting for the past two days with the chest pain beginning
the night prior to admission.  The patient was taken
immediately to the catheterization laboratory which
diagnostically revealed a right dominant system with 90% mid
left axis deviation lesion, 50% proximal left anterior
descending lesion, with two stents placed.  He had normal
patency of his right coronary artery, left circumflex
arteries.  Following the catheterization, the patient was
chest pain free.

MEDICAL HISTORY: Congenital single kidney, otherwise, no past medical history.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: Father had a coronary artery bypass graft in
his 50s, mother had a coronary artery bypass graft in her 50s
and mother had prothrombin mutation and is on Coumadin.

SOCIAL HISTORY: The patient works as a construction worker.
Has a 20 pack year smoking history.  Occasionally uses
alcohol and denies drug use, however, does have a history of
cocaine and marijuana use ten years ago.
Acute myocardial infarction of other anterior wall, initial episode of care,Cocaine abuse, unspecified,Coronary atherosclerosis of native coronary artery,Renal agenesis and dysgenesis
AMI anterior wall, init,Cocaine abuse-unspec,Crnry athrscl natve vssl,Renal agenesis
Admission Date:  [**2102-1-1**]     Discharge Date:  [**2102-1-3**]

Date of Birth:   [**2059-4-17**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  Patient is a 41-year-old male
with no significant past medical history whose cardiac risk
factors include smoking and a strong family history of
coronary artery disease who presented to an outside hospital
complaining of six hours of stuttering substernal chest pain
with left arm radiation.  He was found to have anterolateral
ST elevations on electrocardiogram.  He was given a single
bolus of thrombolytics and then transferred to [**Hospital1 **] [**First Name (Titles) **] [**Last Name (Titles) 38785**] angioplasty.  Patient reports nausea and
vomiting for the past two days with the chest pain beginning
the night prior to admission.  The patient was taken
immediately to the catheterization laboratory which
diagnostically revealed a right dominant system with 90% mid
left axis deviation lesion, 50% proximal left anterior
descending lesion, with two stents placed.  He had normal
patency of his right coronary artery, left circumflex
arteries.  Following the catheterization, the patient was
chest pain free.

PAST MEDICAL HISTORY:
Congenital single kidney, otherwise, no past medical history.

SOCIAL HISTORY:  The patient works as a construction worker.
Has a 20 pack year smoking history.  Occasionally uses
alcohol and denies drug use, however, does have a history of
cocaine and marijuana use ten years ago.

FAMILY HISTORY:  Father had a coronary artery bypass graft in
his 50s, mother had a coronary artery bypass graft in her 50s
and mother had prothrombin mutation and is on Coumadin.

MEDICATIONS:  None.

ALLERGIES:  None.

LABS ON ADMISSION:  CBC and Chem-7 were within normal limits.
Initial CPK was 438 and fibrinogen was 330.
Electrocardiogram revealed normal sinus rhythm at 61 beats
per minute with a normal axis and normal intervals, ST
elevations in V1 through V6.

BRIEF SUMMARY OF HOSPITAL COURSE:  Coronary artery disease,
status post interior myocardial infarction and single vessel
disease, status post two stents to the left anterior
descending.  Patient was continued on Integrilin, Plavix,
aspirin, beta-blocker, ACE inhibitor, Lipitor, nitro drip and
heparin.  The Integrilin, heparin and nitrodrips were
discontinued and he was discharged home on aspirin, Plavix,
beta-blocker, ACE inhibitor and Lipitor.  He was initially
admitted to the coronary Intensive Care Unit for monitoring
and was stable throughout his hospital course. Lifestyle
modification was encouraged specifically smoking cessation.
Lastly, patient has a family history of prothrombin gene
mutation to be brought to the attention of the primary care
physician for outpatient [**Name9 (PRE) 8019**].  Echocardiogram revealed an
ejection fraction of 40-45% on the day following the
catheterization.  He will likely need a repeat echocardiogram
in a few months.

DISCHARGE DIAGNOSIS:  Acute anterolateral myocardial
infarction, status post cardiac catheterization with two
stents to the left anterior descending.

FOLLOW-UP:  Patient is to follow-up with Dr. [**Last Name (STitle) **], his
primary care physician, [**Name10 (NameIs) **] one week's time.

DISCHARGE CONDITION:  Stable.  Patient ambulating without
symptoms and maintaining oxygenation.

DISCHARGE MEDICATIONS:
1.  Aspirin 325 mg po q.d.
2.  Plavix 75 mg po q.d.
3.  Lipitor 10 mg po q.h.s.
4.  Lisinopril 10 mg po q.d.
5.  Metoprolol 75 mg po q.d. this is Toprol XL.  Patient was
given a prescription for sublingual nitroglycerin tablets
prn.



                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1008**], M.D.  [**MD Number(1) 1009**]

Dictated By:[**Last Name (NamePattern1) 2543**]

MEDQUIST36

D:  [**2102-3-17**]  03:39
T:  [**2102-3-19**]  12:11
JOB#:  [**Job Number 54264**]
{'Acute myocardial infarction of other anterior wall, initial episode of care,Cocaine abuse, unspecified,Coronary atherosclerosis of native coronary artery,Renal agenesis and dysgenesis'}


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: Patient is a 41-year-old male
with no significant past medical history whose cardiac risk
factors include smoking and a strong family history of
coronary artery disease who presented to an outside hospital
complaining of six hours of stuttering substernal chest pain
with left arm radiation.  He was found to have anterolateral
ST elevations on electrocardiogram.  He was given a single
bolus of thrombolytics and then transferred to [**Hospital1 **] [**First Name (Titles) **] [**Last Name (Titles) 38785**] angioplasty.  Patient reports nausea and
vomiting for the past two days with the chest pain beginning
the night prior to admission.  The patient was taken
immediately to the catheterization laboratory which
diagnostically revealed a right dominant system with 90% mid
left axis deviation lesion, 50% proximal left anterior
descending lesion, with two stents placed.  He had normal
patency of his right coronary artery, left circumflex
arteries.  Following the catheterization, the patient was
chest pain free.

MEDICAL HISTORY: Congenital single kidney, otherwise, no past medical history.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: Father had a coronary artery bypass graft in
his 50s, mother had a coronary artery bypass graft in her 50s
and mother had prothrombin mutation and is on Coumadin.

SOCIAL HISTORY: The patient works as a construction worker.
Has a 20 pack year smoking history.  Occasionally uses
alcohol and denies drug use, however, does have a history of
cocaine and marijuana use ten years ago. 

### Response:
{'Acute myocardial infarction of other anterior wall, initial episode of care,Cocaine abuse, unspecified,Coronary atherosclerosis of native coronary artery,Renal agenesis and dysgenesis'}
