CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 72-year-old female
with a history of hypertension and dyslipidemia, who was
brought into the ED by her granddaughter after experiencing
an episode of substernal chest pain which occurred in the
morning while the patient was in bed.  The pain radiated to
her back and jaw.  In the ED, the patient was found to have
ST segment elevations up to 4-5 mm in leads V1 to V6.  She
was brought urgently to cardiac catheterization.

MEDICAL HISTORY: 1. Hypertension.
2. Dyslipidemia.

MEDICATION ON ADMISSION: 

ALLERGIES: Patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Patient has an uncle with coronary artery
disease.

SOCIAL HISTORY: The patient denies significant alcohol or
tobacco use.
Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Other and unspecified hyperlipidemia
AMI anterior wall, init,Crnry athrscl natve vssl,Hypertension NOS,Hyperlipidemia NEC/NOS
Admission Date:  [**2200-12-8**]     Discharge Date:  [**2200-12-11**]

Date of Birth:   [**2125-4-29**]     Sex:  F

Service:  CCU

HISTORY OF PRESENT ILLNESS:  Patient is a 72-year-old female
with a history of hypertension and dyslipidemia, who was
brought into the ED by her granddaughter after experiencing
an episode of substernal chest pain which occurred in the
morning while the patient was in bed.  The pain radiated to
her back and jaw.  In the ED, the patient was found to have
ST segment elevations up to 4-5 mm in leads V1 to V6.  She
was brought urgently to cardiac catheterization.

At baseline, patient is able to walk flat ground without
difficulty.  She is able to climb stairs without difficulty.
She denies dyspnea on exertion, PND, orthopnea, lower
extremity swelling, or prior history of myocardial
infarctions.  Patient does have a history of angina for the
past year.  Over the past two months, the patient notes that
her episodes of chest pain have been occurring at greater
frequencies.  She experiences chest pain approximately twice
per week.  These episodes of chest pressure can occur either
with activity or at rest.

PAST MEDICAL HISTORY:
1. Hypertension.
2. Dyslipidemia.

ALLERGIES:  Patient has no known drug allergies.

MEDICATIONS:
1. Norvasc 10 mg q.d.
2. Lipitor 20 mg q.d.

SOCIAL HISTORY:  The patient denies significant alcohol or
tobacco use.

FAMILY HISTORY:  Patient has an uncle with coronary artery
disease.

PHYSICAL EXAMINATION:  Vital signs:  Blood pressure 138/79,
pulse 87, O2 100% on room air, respiratory rate 20.  General:
Patient was alert and oriented in no apparent distress.
HEENT:  Moist mucous membranes, oropharynx was clear.
Extraocular movements are intact, pupils are equal, round,
and reactive to light.  Neck:  No lymphadenopathy was
appreciated on examination.  No thyromegaly was appreciated
on examination.  Lungs:  Clear to auscultation bilaterally.
Cardiovascular:  Regular, rate, and rhythm, 2/6 systolic
murmur heard best at left sternal border.  Abdomen is soft,
nontender, nondistended.  Extremities:  No clubbing,
cyanosis, or edema.  Neurologic:  Patient was alert and
oriented, cranial nerves II through XII are intact.

LABORATORIES:  Patient's admission laboratories were
significant for a CPK of 125 and a CK MB of 4.

HOSPITAL COURSE:  Patient was taken urgently to the cardiac
catheterization laboratory.  She was found to have a proximal
50% stenosis of her RCA and a distal 80% stenosis of her RCA
with an 80% stenosis of her right PDA.  In addition, she was
found to have a 90% mid LAD stenosis and a 90% stenosis of
her first diagonal branch.  She underwent successful stenting
of her mid LAD lesion.  In addition, she underwent successful
angioplasty of the diagonal branch.

It was felt that the RCA lesion was not responsible for her
episode of chest pain and EKG findings.  Thus intervention on
this lesion was deferred to a future date.  The patient was
admitted to the CCU after cardiac catheterization for
monitoring.  She was started on aspirin, Plavix, Integrilin,
metoprolol, and then ACE inhibitor.  Patient remained stable
and was transferred to the floor.  A cardiac echocardiogram
was obtained, which showed the patient's ejection fraction
was 60%.  There was moderate symmetric left ventricular
hypertrophy.  The patient had mild 1+ aortic regurgitation.

DIAGNOSES:
1. Anterior myocardial infarction.
2. Hypertension.
3. Dyslipidemia.

DISCHARGE MEDICATIONS:
1. Aspirin 325 mg p.o. q.d.
2. Plavix 75 mg q.d.
3. Atorvastatin 20 mg q.d.
4. Atenolol 50 mg q.d.
5. Lisinopril 5 mg q.d.

FOLLOWUP:  Patient was scheduled for a follow-up appointment
to see Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] on [**2201-1-16**].

DISCHARGE CONDITION:  Stable.

DISCHARGE STATUS:  Home.



                          [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 2057**]

Dictated By:[**Name8 (MD) 9719**]

MEDQUIST36

D:  [**2200-12-15**]  09:21
T:  [**2200-12-16**]  09:29
JOB#:  [**Job Number 54174**]
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Other and unspecified hyperlipidemia'}


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: Patient is a 72-year-old female
with a history of hypertension and dyslipidemia, who was
brought into the ED by her granddaughter after experiencing
an episode of substernal chest pain which occurred in the
morning while the patient was in bed.  The pain radiated to
her back and jaw.  In the ED, the patient was found to have
ST segment elevations up to 4-5 mm in leads V1 to V6.  She
was brought urgently to cardiac catheterization.

MEDICAL HISTORY: 1. Hypertension.
2. Dyslipidemia.

MEDICATION ON ADMISSION: 

ALLERGIES: Patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Patient has an uncle with coronary artery
disease.

SOCIAL HISTORY: The patient denies significant alcohol or
tobacco use. 

### Response:
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Other and unspecified hyperlipidemia'}
