CHIEF COMPLAINT: Angina

PRESENT ILLNESS: 47 year old male s/p acute myocardial infarction in [**Month (only) 321**]
[**2166**] with recurrent angina who underwent cardiac catherization
that revealed two vessel CAD

MEDICAL HISTORY: CAD s/p stent implantation (at age ~35), recent acute MI
attempted fibrinolysis, which failed, then rescue PCI failed at
OSH, Cath [**11-25**] revealed 2VD and persistently occluded LAD
Hypertension
Hypercholesterolemia
Atrial fibrillation
h/o SVT s/p ablation
s/p Appendectomy
Sleep apnea, not on CPAP as he could not tolerate it

MEDICATION ON ADMISSION: Metoprolol 100mg tid, lisinorpil 40mg daily, diltiazem 120mg
daily, HCTZ 12.5mg daily, nitro patch 0.1 daily, crestor 10mg
daily, zetia 10mg daily, [**First Name (STitle) **] 325mg daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: At the time of discharge [**Known firstname **] [**Known lastname 68554**] was in no acute
distress.  He was awake, alert, and oriented times three.  His
lungs were clear to auscultation bilaterally.  His heart was of
regular rate and rhythm.  The mediastinal incision was noted to
be clean, dry, and intact and his sternum was stable.  Mr.
[**Known lastname 68555**] abdomen was soft, non-tneder, and non-distended.  His
extremities were warm and +1 edema was noted.  The right sided
endovascular harvest site was clean, dry, and intact.

FAMILY HISTORY: Mother had a CABG and died from a myocardial infarction at the
age of 62. Father had a CABG, cerebrovascular accident,
diabetes, myocardial infarction and CHF. He died at the age of
76 from CHF.

SOCIAL HISTORY: Single with no children. Has been living with his girlfriend
since his MI. He is currently not working, on disability.
Non-smoker, rare EtOH, no drugs.
Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Anemia, unspecified,Pure hypercholesterolemia
Crnry athrscl natve vssl,Surg compl-heart,Angina pectoris NEC/NOS,Atrial fibrillation,Hypertension NOS,Anemia NOS,Pure hypercholesterolem
Admission Date:  [**2167-12-10**]              Discharge Date:   [**2167-12-15**]

Date of Birth:  [**2119-12-30**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
Angina

Major Surgical or Invasive Procedure:
Coronary Artery Bypass Graft X 2 (Left internal mammary artery
-> Left anterior descending, Saphenous vein graft -> obtuse
marginal) [**2167-12-10**]


History of Present Illness:
47 year old male s/p acute myocardial infarction in [**Month (only) 321**]
[**2166**] with recurrent angina who underwent cardiac catherization
that revealed two vessel CAD

Past Medical History:
CAD s/p stent implantation (at age ~35), recent acute MI
attempted fibrinolysis, which failed, then rescue PCI failed at
OSH, Cath [**11-25**] revealed 2VD and persistently occluded LAD
Hypertension
Hypercholesterolemia
Atrial fibrillation
h/o SVT s/p ablation
s/p Appendectomy
Sleep apnea, not on CPAP as he could not tolerate it

Social History:
Single with no children. Has been living with his girlfriend
since his MI. He is currently not working, on disability.
Non-smoker, rare EtOH, no drugs.


Family History:
Mother had a CABG and died from a myocardial infarction at the
age of 62. Father had a CABG, cerebrovascular accident,
diabetes, myocardial infarction and CHF. He died at the age of
76 from CHF.


Physical Exam:
At the time of discharge [**Known firstname **] [**Known lastname 68554**] was in no acute
distress.  He was awake, alert, and oriented times three.  His
lungs were clear to auscultation bilaterally.  His heart was of
regular rate and rhythm.  The mediastinal incision was noted to
be clean, dry, and intact and his sternum was stable.  Mr.
[**Known lastname 68555**] abdomen was soft, non-tneder, and non-distended.  His
extremities were warm and +1 edema was noted.  The right sided
endovascular harvest site was clean, dry, and intact.


Pertinent Results:
[**2167-12-15**] 09:40AM BLOOD WBC-8.8 RBC-3.22* Hgb-9.8* Hct-28.8*
MCV-89 MCH-30.3 MCHC-34.0 RDW-14.6 Plt Ct-303
[**2167-12-15**] 09:40AM BLOOD Plt Ct-303
[**2167-12-15**] 09:40AM BLOOD Glucose-112* UreaN-13 Creat-1.0 Na-139
K-4.0 Cl-99 HCO3-29 AnGap-15

Brief Hospital Course:
Mr. [**Known lastname 68554**] was brought to the operating room on [**2167-12-10**] and
underwent a coronary artery bypass times two (LIMA to LAD and
SVG to OM).  This procedure was performed by Dr. [**First Name (STitle) **] [**Name (STitle) **].
The patient tolerated this procedure well and was able to be
transferred in critical but stable condition to home.
In the surgical intensive care unit Mr. [**Known lastname 68554**] [**Last Name (Titles) 27836**]
well. He was extubated by post-operative day one, his chest
tubes were removed, and he was gently diuresed.  By
post-operative day two he was ready for transfer to the surgical
step-down floor.
Mr. [**Known lastname 68555**] course on the step-down floor was unremarkable.
His wires were removed and his blood pressure regimen was
maximized.  He experienced atrial fibrillation, for which he was
seen in consultation by the cardiology service.  He was placed
on amiodarone per their recommendations and converted to sinus
rhythm.  He declined coumadin and stated that he understood the
risk involved with atrial fibrillation in a patient without
anticoagulation including stroke, which was discussed with Dr
[**First Name (STitle) **].  By post-operative day five he was ready for discharge
in stable condition to home.

Medications on Admission:
Metoprolol 100mg tid, lisinorpil 40mg daily, diltiazem 120mg
daily, HCTZ 12.5mg daily, nitro patch 0.1 daily, crestor 10mg
daily, zetia 10mg daily, [**First Name (STitle) **] 325mg daily

Discharge Medications:
1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*0*
2. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 5 days.
Disp:*10 Tablet(s)* Refills:*0*
3. Hydromorphone 4 mg Tablet Sig: One (1) Tablet PO Q4H (every 4
hours) as needed.
Disp:*50 Tablet(s)* Refills:*0*
4. Metoprolol Tartrate 50 mg Tablet Sig: Two (2) Tablet PO TID
(3 times a day).
Disp:*180 Tablet(s)* Refills:*0*
5. Rosuvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*0*
6. Ezetimibe 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*0*
7. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO three times a
day for 6 weeks.
Disp:*126 Tablet(s)* Refills:*0*
8. Aspirin EC 325 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO once a day.
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
9. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
Coronary Artery Disease AFib
Hypertension
dyslipidemia


Discharge Condition:
good


Discharge Instructions:
[**Month (only) 116**] shower, no baths or swimming
Monitor wounds for infection - redness, drainage, or increased
pain
Report any fever greater than 101
Report any weight gain of greater than 2 pounds in 24 hours or 5
pounds in a week
No creams, lotions, powders, or ointments to incisions
No driving for approximately one month
No lifting more than 10 pounds for 10 weeks
Please call with any questions or concerns


Followup Instructions:
with Dr. [**First Name (STitle) **] in 1 week ([**Telephone/Fax (1) 41961**]) call for appt
with Dr. [**Last Name (STitle) 5686**] in [**1-23**] weeks - call for appt
with Dr. [**Last Name (STitle) **] in 4 weeks ([**Telephone/Fax (1) 170**]) call for appt
with [**First Name4 (NamePattern1) 402**] [**Last Name (NamePattern1) 7173**] NP in 4 weeks ([**Telephone/Fax (1) 8793**] call for appt
[**Doctor Last Name **] Hearts monitor with daily recordings



Completed by:[**2167-12-17**]
{'Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Anemia, unspecified,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: Angina

PRESENT ILLNESS: 47 year old male s/p acute myocardial infarction in [**Month (only) 321**]
[**2166**] with recurrent angina who underwent cardiac catherization
that revealed two vessel CAD

MEDICAL HISTORY: CAD s/p stent implantation (at age ~35), recent acute MI
attempted fibrinolysis, which failed, then rescue PCI failed at
OSH, Cath [**11-25**] revealed 2VD and persistently occluded LAD
Hypertension
Hypercholesterolemia
Atrial fibrillation
h/o SVT s/p ablation
s/p Appendectomy
Sleep apnea, not on CPAP as he could not tolerate it

MEDICATION ON ADMISSION: Metoprolol 100mg tid, lisinorpil 40mg daily, diltiazem 120mg
daily, HCTZ 12.5mg daily, nitro patch 0.1 daily, crestor 10mg
daily, zetia 10mg daily, [**First Name (STitle) **] 325mg daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: At the time of discharge [**Known firstname **] [**Known lastname 68554**] was in no acute
distress.  He was awake, alert, and oriented times three.  His
lungs were clear to auscultation bilaterally.  His heart was of
regular rate and rhythm.  The mediastinal incision was noted to
be clean, dry, and intact and his sternum was stable.  Mr.
[**Known lastname 68555**] abdomen was soft, non-tneder, and non-distended.  His
extremities were warm and +1 edema was noted.  The right sided
endovascular harvest site was clean, dry, and intact.

FAMILY HISTORY: Mother had a CABG and died from a myocardial infarction at the
age of 62. Father had a CABG, cerebrovascular accident,
diabetes, myocardial infarction and CHF. He died at the age of
76 from CHF.

SOCIAL HISTORY: Single with no children. Has been living with his girlfriend
since his MI. He is currently not working, on disability.
Non-smoker, rare EtOH, no drugs. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Anemia, unspecified,Pure hypercholesterolemia'}
