CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 56-year-old male who
was transferred from [**Hospital3 15174**] with an
inferior myocardial infarction for rescue angioplasty after
unsuccessful thrombolysis.

MEDICAL HISTORY: 1.  Hypercholesterolemia.
2.  Left knee surgery.
3.  Transurethral resection of prostate.

MEDICATION ON ADMISSION: Aspirin 325 mg p.o. q.d.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: His father was deceased from a "tired heart
muscle."  His mother was deceased from brain cancer.

SOCIAL HISTORY: The patient lives with his wife.  [**Name (NI) **] is a
contractor.  He has smoked one pack per day for 30 years, and
he drinks about one alcoholic beverage per day.
Acute myocardial infarction of other inferior wall, initial episode of care,Cardiac complications, not elsewhere classified,Paroxysmal ventricular tachycardia,Pure hypercholesterolemia,Tobacco use disorder
AMI inferior wall, init,Surg compl-heart,Parox ventric tachycard,Pure hypercholesterolem,Tobacco use disorder
Admission Date:  [**2165-12-11**]     Discharge Date:  [**2165-12-14**]

Date of Birth:   [**2109-2-22**]     Sex:  M

Service:  CCU

HISTORY OF PRESENT ILLNESS:  This is a 56-year-old male who
was transferred from [**Hospital3 15174**] with an
inferior myocardial infarction for rescue angioplasty after
unsuccessful thrombolysis.

He has a history of hypercholesterolemia, smoking, and a
possible family history of heart disease.  He had previously
been on statin therapy for hypercholesterolemia, but this was
discontinued when the patient had muscle fatigue.

The patient was awoken from sleep at approximately 1 a.m. on
the day of admission with what he felt was heartburn.  Also
with severe pain in both arms, diaphoresis, and chills.  He
was taken by Emergency Medical Service to [**Hospital3 15175**], received aspirin, nitroglycerin, heparin, and
TNKase 45 mg intravenously for ST elevations in II, III, aVF,
and V4.  He had relief of his pain, then recurrence and was
re-bolused with heparin and given Aggrastat and transferred
to [**Hospital1 69**] for catheterization.

Catheterization revealed a total occlusion of the right
coronary artery proximally, which was stented.  He had a run
of ventricular tachycardia after arrival in the Coronary Care
Unit.

PAST MEDICAL HISTORY:
1.  Hypercholesterolemia.
2.  Left knee surgery.
3.  Transurethral resection of prostate.

MEDICATIONS ON ADMISSION:  Aspirin 325 mg p.o. q.d.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY: The patient lives with his wife.  [**Name (NI) **] is a
contractor.  He has smoked one pack per day for 30 years, and
he drinks about one alcoholic beverage per day.

FAMILY HISTORY:   His father was deceased from a "tired heart
muscle."  His mother was deceased from brain cancer.

REVIEW OF SYSTEMS:  Review of systems was negative for
fevers, weight loss, nausea, vomiting, and bright red blood
per rectum.

PHYSICAL EXAMINATION ON PRESENTATION:  Vital signs revealed
temperature was 98.9, heart rate was 70, blood pressure was
1137/53, respiratory rate was 17, oxygen saturation was 96%
on room air.  In general, a well-developed and well-nourished
male in no apparent distress.  Head, eyes, ears, nose, and
throat revealed sclerae were anicteric.  The oral mucosa was
moist.  The neck was supple with normal jugular venous
pressure.  Lungs were clear to auscultation anteriorly and
laterally.  Heart had a regular rate and rhythm with normal
first heart sound and second heart sound.  The abdomen was
soft, nontender, and nondistended, with normal active bowel
sounds.  Extremities revealed no edema, and 2+ dorsalis pedis
pulses.  The groin was soft without hematoma or bruits.
Neurological examination revealed the patient was alert,
mentating well, and moved all four extremities spontaneously.

PERTINENT LABORATORY DATA ON PRESENTATION:  Laboratories on
admission revealed white blood cell count was 9.7, hematocrit
was 37.1, platelets were 199.  Sodium was 138, potassium was
4,  chloride was 106, bicarbonate was 23, blood urea nitrogen
was 16, creatinine was 0.7, and blood glucose was 130.  First
creatine kinase was 1293, with MB pending.

RADIOLOGY/IMAGING:  Catheterization pressures revealed right
atrial pressure mean was 11, right ventricular pressure was
33/12, pulmonary artery was 33/19, pulmonary capillary wedge
pressure mean was 17.  Arteries revealed right-dominant,
normal left main, left anterior descending artery, mild left
circumflex disease, right coronary artery total occlusion
proximally with distal collaterals.

HOSPITAL COURSE BY SYSTEM:

1.  CARDIOVASCULAR SYSTEM:  (a)  Coronaries:  The patient was
placed on aspirin, Plavix, and heparin for 24 hours status
post catheterization.  The patient was also placed on
Lipitor, and a lipid profile revealed triglycerides of 119,
high-density lipoprotein was 44, and low-density lipoprotein
was 103.

Prior to discharge, Lipitor was changed to Zocor as the
patient had noted prior muscle weakness in Lipitor.  The
patient had a peak creatine kinase of 1293, with a peak MB of
190, and MB index of 14.7.  After this value, the patient's
creatine kinases and MB fractions trended downward.  The
patient was also started on a low-dose beta blocker and ACE
inhibitor; which were titrated to discharge doses of
metoprolol-XL 50 mg p.o. q.d. and lisinopril 5 mg p.o. q.d.

(b)  Pump:  The patient had a transthoracic echocardiogram on
the day following his myocardial infarction.  This revealed a
left ventricular ejection fraction of 40%, with severe
hypokinesis of the inferior and posterior wall.  The patient
did not have symptoms of heart failure throughout his
admission.  He was maintained at even fluid balance without
event.

(c)  Rhythm:  The patient had his aforementioned run of
ventricular tachycardia on arrival to the Unit after his
catheterization.  He also had several runs of nonsustained
ventricular tachycardia in the 24 hours following his
myocardial infarction.  Thereafter, he did not have any
ventricular tachycardia and remained in a sinus rhythm for
the duration of his admission.

2.  RENAL SYSTEM:  The patient maintained good renal function
throughout his admission.  His peak creatinine value was 0.7.

DISCHARGE DIAGNOSES:
1.  Acute inferior myocardial infarction.
2.  Status post right coronary artery stent.

CONDITION AT DISCHARGE:  Condition on discharge was good.

DISCHARGE STATUS:  Discharge status was to home.

DISCHARGE FOLLOWUP:   To follow up in one week with his
cardiologist, Dr. [**Last Name (STitle) 11493**].

MEDICATIONS ON DISCHARGE:
1.  Toprol-XL 50 mg p.o. q.d.
2.  Lisinopril 5 mg p.o. q.d.
3.  Zocor 20 mg p.o. q.d.
4.  Aspirin 325 mg p.o. q.d.
5.  Plavix 75 mg p.o. q.d. (to complete 1-month course status
post myocardial infarction).





                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 15176**], M.D.  [**MD Number(1) 15177**]

Dictated By:[**Last Name (NamePattern1) 5596**]

MEDQUIST36

D:  [**2165-12-14**]  13:24
T:  [**2165-12-15**]  16:50
JOB#:  [**Job Number 15178**]
{'Acute myocardial infarction of other inferior wall, initial episode of care,Cardiac complications, not elsewhere classified,Paroxysmal ventricular tachycardia,Pure hypercholesterolemia,Tobacco use disorder'}


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 is a 56-year-old male who
was transferred from [**Hospital3 15174**] with an
inferior myocardial infarction for rescue angioplasty after
unsuccessful thrombolysis.

MEDICAL HISTORY: 1.  Hypercholesterolemia.
2.  Left knee surgery.
3.  Transurethral resection of prostate.

MEDICATION ON ADMISSION: Aspirin 325 mg p.o. q.d.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: His father was deceased from a "tired heart
muscle."  His mother was deceased from brain cancer.

SOCIAL HISTORY: The patient lives with his wife.  [**Name (NI) **] is a
contractor.  He has smoked one pack per day for 30 years, and
he drinks about one alcoholic beverage per day. 

### Response:
{'Acute myocardial infarction of other inferior wall, initial episode of care,Cardiac complications, not elsewhere classified,Paroxysmal ventricular tachycardia,Pure hypercholesterolemia,Tobacco use disorder'}
