CHIEF COMPLAINT: Palpitations

PRESENT ILLNESS: Mr. [**Name14 (STitle) 81414**] is a 55 year old gentleman seen for surgical
evaluation of atrial fibrillation.

MEDICAL HISTORY: paroxysmal atrial fibrillation
s/p successful electrical cardioversion [**1-11**]
s/p ablation [**2-9**]
mitral valve prolapse/mitral regurgitation
appendectomy
bilateral herniorrhaphies
s/p ablation [**2-9**]

MEDICATION ON ADMISSION: coumadin daily
rhythmol SR 325mg [**Hospital1 **]
cardizem 120 mg daily

ALLERGIES: Penicillins

PHYSICAL EXAM: At the time of admission, Mr. [**Known lastname 35119**] was noted to be in no
acute distress.  His skin was unremarkable.  His neck had full
range of motion.  His lungs were clear to auscultation
bilaterally.  His heart was of regular rhythm without a rub or
murmur.  His abdomen was soft, non-tender, and non-distended.
His extremities were warm and well perfused with no edema.  No
varicosities were noted.

FAMILY HISTORY: His father had a myocardial infarction at age 50, passing away
at age 63.

SOCIAL HISTORY: Mr. [**Known lastname 35119**] is employed as scale operator. He lives with
his wife.  [**Name (NI) **] has never been a smoker and he quit consuming
alcohol in [**2168**].
Atrial fibrillation,Mitral valve disorders
Atrial fibrillation,Mitral valve disorder
Admission Date:  [**2196-5-11**]              Discharge Date:   [**2196-5-14**]

Date of Birth:  [**2141-4-26**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Penicillins

Attending:[**First Name3 (LF) 922**]
Chief Complaint:
Palpitations

Major Surgical or Invasive Procedure:
[**2196-5-11**] Bilateral mini thorascopic MAZE procedure with left
atrial appendage ligation
[**2196-5-13**] Removal of retained chest tube


History of Present Illness:
Mr. [**Name14 (STitle) 81414**] is a 55 year old gentleman seen for surgical
evaluation of atrial fibrillation.

Past Medical History:
paroxysmal atrial fibrillation
s/p successful electrical cardioversion [**1-11**]
s/p ablation [**2-9**]
mitral valve prolapse/mitral regurgitation
appendectomy
bilateral herniorrhaphies
s/p ablation [**2-9**]

Social History:
Mr. [**Known lastname 35119**] is employed as scale operator. He lives with
his wife.  [**Name (NI) **] has never been a smoker and he quit consuming
alcohol in [**2168**].

Family History:
His father had a myocardial infarction at age 50, passing away
at age 63.

Physical Exam:
At the time of admission, Mr. [**Known lastname 35119**] was noted to be in no
acute distress.  His skin was unremarkable.  His neck had full
range of motion.  His lungs were clear to auscultation
bilaterally.  His heart was of regular rhythm without a rub or
murmur.  His abdomen was soft, non-tender, and non-distended.
His extremities were warm and well perfused with no edema.  No
varicosities were noted.

Pertinent Results:
[**2196-5-14**] 06:50AM BLOOD WBC-7.8 RBC-4.72 Hgb-14.1 Hct-41.5 MCV-88
MCH-29.9 MCHC-33.9 RDW-12.5 Plt Ct-373
[**2196-5-14**] 06:50AM BLOOD Glucose-95 UreaN-11 Creat-0.8 Na-131*
K-3.9 Cl-95* HCO3-24 AnGap-16
[**2196-5-14**] 06:50AM BLOOD Mg-2.0

Brief Hospital Course:
On [**2196-5-11**] Mr. [**Known lastname 35119**] was admitted and underwent a
bilateral mini-MAZE with left atrial appendage ligation
performed by Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 914**].  He tolerated the procedure
well and was transferred in critical but stable condition to the
surgical intensive care unit.  He was extubated and warfarin,
colchicine, and indocin were started per the mini-MAZE protocol.
 He was transferred to the surgical step down floor.  His left
chest tube was removed, but his right chest tube was resistant
to removal.  A chest radiograph revealed a kinking in the tube
behind the ribs and it was determined that he would need to go
back to the operating room to remove it.  On post-operative day
two he returned to the operating room for removal of the
retained right-sided [**Doctor Last Name **] drain.  He tolerated the procedure
well and was transferred in stable condition to the step down
floor after a short stay in the post-anesthesia care unit.
Hospital course was otherwise uneventful and the patient was
discharged home in good condition on POD 3.

Medications on Admission:
coumadin daily
rhythmol SR 325mg [**Hospital1 **]
cardizem 120 mg daily

Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every
4 hours) as needed.
Disp:*60 Tablet(s)* Refills:*2*
2. Diltiazem HCl 120 mg Capsule, Sust. Release 24 hr Sig: One
(1) Capsule, Sust. Release 24 hr PO once a day.
Disp:*30 Capsule, Sust. Release 24 hr(s)* Refills:*2*
3. Propafenone 225 mg Tablet Sig: One (1) Tablet PO TID (3 times
a day).
Disp:*90 Tablet(s)* Refills:*2*
4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
5. Losartan 25 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*0*
6. Indomethacin 25 mg Capsule Sig: One (1) Capsule PO TID (3
times a day) for 1 months.
Disp:*90 Capsule(s)* Refills:*0*
7. Colchicine 0.6 mg Tablet Sig: One (1) Tablet PO DAILY (Daily)
for 1 months.
Disp:*30 Tablet(s)* Refills:*0*
8. Propoxyphene N-Acetaminophen 100-650 mg Tablet Sig: [**2-5**]
Tablets PO Q6H (every 6 hours) as needed.
Disp:*60 Tablet(s)* Refills:*0*
9. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
10. Warfarin 3 mg Tablet Sig: One (1) Tablet PO once a day: DOSE
WILL CHANGE DAILY FOR GOAL INR [**3-8**].
Disp:*30 Tablet(s)* Refills:*2*
11. radiology
PA/lateral CXR
evalulate for PTX
s/p mini-maze [**5-11**]
s/p retained chest tube requiring removal in the operating [****]
results to Dr. [**Last Name (STitle) 914**]
12. cardiology
EKG
s/p mini-maze [**5-11**]
copy to Dr. [**Last Name (STitle) 914**]
13. Outpatient Lab Work
serial PT/INR, first draw [**5-16**],
goal INR [**3-8**],
dx: afib,
results to Dr. [**Last Name (STitle) 81415**]


Discharge Disposition:
Home

Discharge Diagnosis:
Atrial Fibrillation


Discharge Condition:
good


Discharge Instructions:
Please shower daily including washing incisions, 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 while taking narcotics
Please call with any questions or concerns [**Telephone/Fax (1) 170**]

Followup Instructions:
Dr [**Last Name (STitle) 914**] (Cardiac surgery) Tuesday, [**2196-5-24**] ([**Telephone/Fax (1) 170**])
please call for appointment
Dr [**Last Name (STitle) 67647**] (PCP)in 2 weeks ([**Telephone/Fax (1) 66519**]) please call for
appointment
Dr. [**Last Name (STitle) 81415**] (cardiologist)in [**3-8**] weeks please call for
appointment
Dr. [**Last Name (STitle) 81415**] to follow INR, as previously
have INR checked [**5-16**] at your local lab
Have chest x-ray and EKG prior to appt. with Dr. [**Last Name (STitle) 914**]
Wound check appointment [**Hospital Ward Name 121**] 2 as instructed by nurse
([**Telephone/Fax (1) 3071**])
please call for all appointments



Completed by:[**2196-5-14**]
{'Atrial fibrillation,Mitral valve disorders'}


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: Palpitations

PRESENT ILLNESS: Mr. [**Name14 (STitle) 81414**] is a 55 year old gentleman seen for surgical
evaluation of atrial fibrillation.

MEDICAL HISTORY: paroxysmal atrial fibrillation
s/p successful electrical cardioversion [**1-11**]
s/p ablation [**2-9**]
mitral valve prolapse/mitral regurgitation
appendectomy
bilateral herniorrhaphies
s/p ablation [**2-9**]

MEDICATION ON ADMISSION: coumadin daily
rhythmol SR 325mg [**Hospital1 **]
cardizem 120 mg daily

ALLERGIES: Penicillins

PHYSICAL EXAM: At the time of admission, Mr. [**Known lastname 35119**] was noted to be in no
acute distress.  His skin was unremarkable.  His neck had full
range of motion.  His lungs were clear to auscultation
bilaterally.  His heart was of regular rhythm without a rub or
murmur.  His abdomen was soft, non-tender, and non-distended.
His extremities were warm and well perfused with no edema.  No
varicosities were noted.

FAMILY HISTORY: His father had a myocardial infarction at age 50, passing away
at age 63.

SOCIAL HISTORY: Mr. [**Known lastname 35119**] is employed as scale operator. He lives with
his wife.  [**Name (NI) **] has never been a smoker and he quit consuming
alcohol in [**2168**]. 

### Response:
{'Atrial fibrillation,Mitral valve disorders'}
