CHIEF COMPLAINT: 

PRESENT ILLNESS: This 75-year-old white male has
a history of progressive dyspnea on exertion and fatigue over
the past few months.  He had a new anterior wall motion
abnormality by recent echocardiogram and was referred for
cardiac catheterization.  He underwent cardiac
catheterization which revealed a 30-40% left main lesion,
60-70% proximal left anterior descending artery lesion, 90%
proximal right coronary artery lesion and an ejection
fraction of 60%.  He is now admitted for coronary artery
bypass graft.

MEDICAL HISTORY: Significant for:
1.  Status post transurethral resection of the prostate for
prostate carcinoma in [**2103**].
2.  History of gastroesophageal reflux disease.
3.  History of hypertension.
4.  History of hypercholesterolemia.
5.  History of Meniere's syndrome.

MEDICATION ON ADMISSION: 

ALLERGIES: He has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He lives with his wife.  [**Name (NI) **] does not drink
alcohol and smoked cigarettes in the distant past.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Cardiac complications, not elsewhere classified,Atrial fibrillation,Esophageal reflux,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Surg compl-heart,Atrial fibrillation,Esophageal reflux,Hx-prostatic malignancy,Hypertension NOS,Pure hypercholesterolem,Obesity NOS
Admission Date:  [**2108-9-10**]       Discharge Date:  [**2108-9-17**]

Date of Birth:   [**2033-1-5**]       Sex:  M

Service:  SURGERY

HISTORY OF PRESENT ILLNESS:  This 75-year-old white male has
a history of progressive dyspnea on exertion and fatigue over
the past few months.  He had a new anterior wall motion
abnormality by recent echocardiogram and was referred for
cardiac catheterization.  He underwent cardiac
catheterization which revealed a 30-40% left main lesion,
60-70% proximal left anterior descending artery lesion, 90%
proximal right coronary artery lesion and an ejection
fraction of 60%.  He is now admitted for coronary artery
bypass graft.

PAST MEDICAL HISTORY:  Significant for:
1.  Status post transurethral resection of the prostate for
prostate carcinoma in [**2103**].
2.  History of gastroesophageal reflux disease.
3.  History of hypertension.
4.  History of hypercholesterolemia.
5.  History of Meniere's syndrome.

MEDICATIONS:
1.  Avapro 300 mg p.o. q. day.
2.  Toprol XL 50 mg p.o. q. day.
3.  Cardene SR 30 mg p.o. q. day.
4.  Ecotrin 325 mg p.o. q. day.
5.  Lipitor 40 mg p.o. q. day.
6.  Prevacid 30 mg p.o. q. day.
7.  Folic acid 1 mg p.o. q. day.
8.  Aricept 10 mg p.o. q. day.

ALLERGIES:  He has no known drug allergies.

SOCIAL HISTORY:  He lives with his wife.  [**Name (NI) **] does not drink
alcohol and smoked cigarettes in the distant past.

REVIEW OF SYSTEMS:  Significant for decreased short term
memory and gastroesophageal reflux disease.

PHYSICAL EXAMINATION:  He is a well-developed, elderly white
male in no apparent distress.  Vital signs stable, afebrile.
HEENT examination:  Normocephalic, atraumatic.  Extraocular
movements intact.  Oropharynx benign.  Neck was supple.  Full
range of motion.  No lymphadenopathy or thyromegaly.
Carotids 2+ and equal bilaterally without bruits.  Lungs were
clear to auscultation and percussion.  Cardiovascular
examination:  Regular rate and rhythm.  Normal S1, S2 with a
2/6 systolic ejection murmur.  Abdomen was obese, soft,
non-tender with positive bowel sounds.  No masses, no
hepatosplenomegaly.  Extremities were without clubbing,
cyanosis or edema.  Pulses were 2+ and equal bilaterally
throughout.  Neuro examination was nonfocal.

HOSPITAL COURSE:  On [**9-10**] he underwent a coronary
artery bypass graft times three with left internal mammary
artery to the left anterior descending artery, reverse
saphenous vein graft to the posterior descending artery and
OM.  Crossclamp time was 65 minutes.  Total bypass time 37
minutes.  He was transferred to the Surgical Intensive Care
Unit on Neo and propofol.  He had a stable postoperative
night and was extubated the following morning.  He was
transfused two units of blood on postoperative day one for an
hematocrit of 22.2.  On postoperative day two his chest tubes
were discontinued and he was transferred to [**Hospital Ward Name 121**] Two in
stable condition.  He continued to have a stable
postoperative course and had his echocardiogram pacing wires
discontinued on postoperative day three.  He then, on
postoperative day three, went into rapid atrial fibrillation.
He continued in atrial fibrillation and had his Lopressor
increased.  He was then started on amiodarone.  He was also
anticoagulated with Coumadin and heparin.  He converted to
sinus rhythm on postoperative day five and was discharged
home on postoperative day six.

DISCHARGE MEDICATIONS:
1.  Colace 100 mg p.o. b.i.d.
2.  Ecotrin 81 mg p.o. q. day.
3.  Percocet one to two p.o. q. 4-6h. p.r.n. pain.
4.  Aricept 10 mg p.o. q. hs.
5.  Folic acid 1 mg p.o. q. day.
6.  Lipitor 40 mg p.o. q. day.
7.  Coumadin - hold on [**9-17**] and then restart on [**9-18**] at 1 mg
and take as directed by Dr.[**Name (NI) **].
8.  Lasix 20 mg p.o. q. day for seven days.
9.  KCl 20 mEq p.o. q. day for seven days.
10. Amiodarone 400 mg p.o. q. day for 14 days and then
decrease to 200 mg p.o. q. day for four weeks.
11. Lopressor 50 mg p.o. b.i.d.
12. Prevacid 30 mg p.o. q. day.

LABORATORY ON DISCHARGE:  Hematocrit 24.9, white count 8,900,
platelet count 239,000.  Sodium 138, potassium 3.7, chloride
101, CO2 31, BUN 36, creatinine 1.1, blood sugar 90, INR 2.2.

[**Last Name (STitle) 34081**]be followed by Dr.[**Name (NI) **] in one to two weeks and
will have his INR's drawn Tuesday and Thursday of this week
and then Monday, Wednesday and Friday and called into Dr.[**Doctor Last Name 26915**] and he will see Dr. [**Last Name (Prefixes) **] in four weeks.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Last Name (NamePattern1) 32413**]
MEDQUIST36

D:  [**2108-9-17**]  16:01
T:  [**2108-9-17**]  15:56
JOB#:  [**Job Number 50597**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Cardiac complications, not elsewhere classified,Atrial fibrillation,Esophageal reflux,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified'}


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 75-year-old white male has
a history of progressive dyspnea on exertion and fatigue over
the past few months.  He had a new anterior wall motion
abnormality by recent echocardiogram and was referred for
cardiac catheterization.  He underwent cardiac
catheterization which revealed a 30-40% left main lesion,
60-70% proximal left anterior descending artery lesion, 90%
proximal right coronary artery lesion and an ejection
fraction of 60%.  He is now admitted for coronary artery
bypass graft.

MEDICAL HISTORY: Significant for:
1.  Status post transurethral resection of the prostate for
prostate carcinoma in [**2103**].
2.  History of gastroesophageal reflux disease.
3.  History of hypertension.
4.  History of hypercholesterolemia.
5.  History of Meniere's syndrome.

MEDICATION ON ADMISSION: 

ALLERGIES: He has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He lives with his wife.  [**Name (NI) **] does not drink
alcohol and smoked cigarettes in the distant past. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Cardiac complications, not elsewhere classified,Atrial fibrillation,Esophageal reflux,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified'}
