CHIEF COMPLAINT: 

PRESENT ILLNESS: This was a patient of Dr. [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) **] who was admitted for congestive heart failure in the
setting of recent aortic valve replacement for aortic
stenosis.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Congestive heart failure, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Unspecified essential hypertension,Heart valve replaced by other means
CHF NOS,Urin tract infection NOS,Atrial fibrillation,Hypertension NOS,Heart valve replac NEC
Admission Date:  [**2135-12-12**]     Discharge Date:  [**2135-12-17**]


Service:

HISTORY OF PRESENT ILLNESS:  This was a patient of Dr. [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) **] who was admitted for congestive heart failure in the
setting of recent aortic valve replacement for aortic
stenosis.

HOSPITAL COURSE:  The patient was initially admitted to the
Medicine Service.  Diuresis was attempted with little
clinical improvement.  After discussion with the patient and
her family, it was decided to transfer the patient to the
Coronary Care Unit where she could have more accurate
hemodynamic monitoring as well as administration of pressors
as needed.  She was transferred to the Coronary Care Unit
where a pulmonary artery catheter was placed.  She was placed
on Dobutamine for inotropic support and diuresed.  In order
to improve her respirations, bilateral thoracentesis was
performed.  However only four hours after the thoracentesis,
fluid reaccumulated in the pleural space.  The following
morning which was [**2135-12-17**], the patient became
hypotensive and required CPAP with pressure support to
maintain adequate oxygenation.  The family was contact[**Name (NI) **] and
the [**Hospital 228**] health care proxy which was her husband as well
as the patient decided to approach the situation with comfort
being the main goal.  The patient was started on a morphine
drip and CPAP was discontinued.  At 4:03 p.m., the patient
was unresponsive with no pulse and no respirations and she
was pronounced dead.  The cause of death was congestive heart
failure.

FINAL DIAGNOSIS:  Congestive heart failure.






                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1013**], M.D.  [**MD Number(1) 1014**]

Dictated By:[**Name8 (MD) 2734**]

MEDQUIST36

D:  [**2135-12-17**]  17:03
T:  [**2135-12-20**]  20:58
JOB#:  [**Job Number **]
{'Congestive heart failure, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Unspecified essential hypertension,Heart valve replaced by other means'}


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 was a patient of Dr. [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) **] who was admitted for congestive heart failure in the
setting of recent aortic valve replacement for aortic
stenosis.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Congestive heart failure, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Unspecified essential hypertension,Heart valve replaced by other means'}
