CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1.  Hypertension.
2.  Barrett's esophagitis.
3.  Prostatectomy in [**2150**], for prostate cancer.
4.  Herniated lumbar disc.
5.  Renal stone obstruction with acute renal failure episode
in [**2163**].  He had bilateral stents placed.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute myocardial infarction of inferolateral wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension
AMI inferolateral, init,Crnry athrscl natve vssl,Atrial fibrillation,Hx-prostatic malignancy,Hypertension NOS
Admission Date:  [**2165-10-21**]       Discharge Date:  [**2165-10-27**]

Date of Birth:   [**2088-5-5**]       Sex:  M

Service:  C-MEDICINE

HISTORY OF PRESENT ILLNESS;  This is a 77 year old man with
no prior history of coronary artery disease, presenting with
two episodes of chest pain the day before admission.  The
patient had not experienced such substernal symptoms before.
The symptoms lasted only a few minutes and resolved with
TUMS.  A third episode occurred when the patient was at
physical therapy for his herniated disc; he was walking on a
treadmill when the same symptoms occurred and physical
therapy staff called for ambulance.  The symptoms did not
radiate and were not associated with nausea, vomiting,
diaphoresis, and were described as a "tightness".

The patient went to [**Last Name (un) 4068**] Emergency Department, where CK was
158, troponin was 1.4 (reference less than 1.5), CK MB 7.27
(reference less than 5.0), but CK MB was 4.6 (reference
0-5.0).  Electrocardiogram was noted to have inverted T waves
in leads II, III, and aVF.  The patient was also reported to
be guaiac negative and so was started on Heparin drip, given
325 mg of Aspirin, and transferred to [**Hospital1 190**] Emergency Department for catheterization.

In [**Hospital1 69**], vital signs were
temperature 98.4, heart rate 53, blood pressure 180/100,
respiratory rate 16, oxygen saturation 97%.  The patient was
continued on Heparin drip, started on Integrilin and admitted
to C-Medicine for cardiac catheterization.

PAST MEDICAL HISTORY:
1.  Hypertension.
2.  Barrett's esophagitis.
3.  Prostatectomy in [**2150**], for prostate cancer.
4.  Herniated lumbar disc.
5.  Renal stone obstruction with acute renal failure episode
in [**2163**].  He had bilateral stents placed.

PHYSICAL EXAMINATION:  His physical examination was
remarkable for jugular venous pressure of approximately six
centimeters and otherwise the neck was supple.  Lungs were
bilaterally clear.  Cardiovascular - normal S1 and S2, no
murmurs, rubs or gallops.  The abdomen was soft, nontender,
nondistended.  Extremities - no edema.

LABORATORY DATA:  White blood cell count was 7.7, hematocrit
40.3, platelet count 200,000.  CK MB was 17 and CK MB index
was 9.9.  Troponin was 15.8.

Electrocardiogram showed 55 beats per minute, sinus rhythm,
left axis deviation, old Q waves in lead III, T wave
inversion in leads II, V4, aVF.

HOSPITAL COURSE:  The patient was admitted to C-Medicine on
[**2165-10-21**].  He was taken to catheterization on [**2165-10-22**], which
found the patient's left ventricular ejection fraction was
45% and the patient had severe apical hypokinesis.  The left
anterior descending was 99% stenosed, mid after major
diagonal with filling of distal left anterior descending via
right to left collaterals, left circumflex 70% stenosed mid,
99% second major OM and right coronary artery was 95%
occluded.  At that time, the patient's anatomy was thought to
be best suited for coronary artery bypass graft at which time
a cardiothoracic surgical consultation was obtained.

The patient was optimized for surgery in subsequent days, and
the patient was brought to the operating room on [**2165-10-23**], at
which time a coronary artery bypass graft times two vessels
was performed.  The operation consisted of bringing the left
internal mammary artery to the left anterior descending, and
reversed saphenous vein graft to the right posterior
descending artery.

The patient tolerated the procedure well and was brought to
the Cardiothoracic Surgical Intensive Care Unit in good
condition.  The patient remained hemodynamically stable
postoperatively and was subsequently transferred to the
surgical floor where he continued to do well until
postoperative day number two where the patient was found to
be in atrial fibrillation.

The patient was subsequently treated with intravenous
Lopressor, intravenous bolus of Amiodarone and p.o.
Amiodarone as well as p.o. Lopressor.  The patient converted
early in the morning of the next day and was continued on 400
mg three times a day Amiodarone as well as 75 mg p.o. twice a
day of Lopressor.  The remainder of the [**Hospital 228**] hospital
stay was uneventful, and throughout, he maintained his blood
pressure at approximately 110 to 120 systolic blood pressure.
The patient was discharged home in good condition.

MEDICATIONS ON DISCHARGE:
1.  Metoprolol 75 mg p.o. twice a day.
2.  Amiodarone 400 mg p.o. twice a day times seven days and
then Amiodarone 400 mg p.o. once daily thereafter.
3.  Aspirin 325 mg p.o. once daily.
4.  Zantac 150 mg p.o. twice a day.
5.  Colace 100 mg p.o. twice a day.
6.  Lasix 20 mg p.o. twice a day times seven days.
7.  K-Dur 20 meq p.o. twice a day times seven days.

FOLLOW-UP:  The patient is to follow-up with Dr. [**Last Name (STitle) **] in
one week and with Dr. [**Last Name (STitle) 70**] in six weeks.

The patient was discharged home with VNA services.




                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 75**]

Dictated By:[**Last Name (NamePattern1) 14176**]
MEDQUIST36

D:  [**2165-10-27**]  14:16
T:  [**2165-10-27**]  14:48
JOB#:  [**Job Number 46793**]
{'Acute myocardial infarction of inferolateral wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension'}


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: 

MEDICAL HISTORY: 1.  Hypertension.
2.  Barrett's esophagitis.
3.  Prostatectomy in [**2150**], for prostate cancer.
4.  Herniated lumbar disc.
5.  Renal stone obstruction with acute renal failure episode
in [**2163**].  He had bilateral stents placed.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute myocardial infarction of inferolateral wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension'}
