CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 75-year-old man with
coronary artery disease, status post recent echocardiogram
showing left ventricular ejection fraction of 63%  and a
cardiac catheterization that demonstrated left main and three
vessel disease.  The echo also demonstrated anterior apical
and posterior wall hypokinesis.   He was admitted for a
coronary artery bypass grafting.

MEDICAL HISTORY: Significant for Triple A on [**1-14**],
hyperlipidemia, tuberculosis as a child, coronary artery
disease, diverticulosis, chronic polyposis, left retinal
artery thrombosis, sciatica and eczema.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: Significant for reformed smoker.
Coronary atherosclerosis of native coronary artery,Congestive heart failure, unspecified,Diverticulosis of colon (without mention of hemorrhage),Old myocardial infarction,Personal history of tobacco use
Crnry athrscl natve vssl,CHF NOS,Dvrtclo colon w/o hmrhg,Old myocardial infarct,History of tobacco use
Admission Date:  [**2112-5-8**]       Discharge Date:  [**2112-5-15**]

Date of Birth:                    Sex:

Service:

ADMISSION DIAGNOSIS:  Coronary artery disease.

HISTORY OF PRESENT ILLNESS:  This is a 75-year-old man with
coronary artery disease, status post recent echocardiogram
showing left ventricular ejection fraction of 63%  and a
cardiac catheterization that demonstrated left main and three
vessel disease.  The echo also demonstrated anterior apical
and posterior wall hypokinesis.   He was admitted for a
coronary artery bypass grafting.

PAST MEDICAL HISTORY:  Significant for Triple A on [**1-14**],
hyperlipidemia, tuberculosis as a child, coronary artery
disease, diverticulosis, chronic polyposis, left retinal
artery thrombosis, sciatica and eczema.

SOCIAL HISTORY:  Significant for reformed smoker.

MEDICATION ON ADMISSION:
1.  Aspirin.
2.  Atenolol 25 mg p.o. q day.
3.  Zestril 25 mg p.o.
4.  Lipitor 10 mg p.o. q day.

PHYSICAL EXAMINATION:  Lungs clear to auscultation, regular
rate and rhythm.  His abdomen was soft, nontender,
nondistended.  Extremities were warm, well perfused without
edema.

HO[**Last Name (STitle) **] COURSE:  On [**2112-5-10**] he underwent a Coronary artery
bypass graft times three with LIMA to left anterior
descending, saphenous vein graft to OM and saphenous vein
graft to PAD.  This was performed by Dr. [**Last Name (Prefixes) **] assisted
by Dr. [**Last Name (STitle) 33369**].  The cardiopulmonary bypass time was 64
minutes with aortic cross clamp time of 40 minutes.  The
patient tolerated the procedure well without significant
complications.  Postoperatively by postoperative day five he
was ambulating very well, tolerating a regular diet on oral
pain medications.

The physical exam was significant for heart rate of 72 and
blood pressure 120/62.  He was clear to auscultation in a
regular rhythm.  His sternotomy was healing without any
erythema, edema, induration or discharge.  Lower extremities
were without any edema.  His vein graft sites were without
any signs of infection.
DISCHARGE MEDICATIONS:
1.  Lipitor 10 mg p.o. q h.s.
2.  Motrin 400 mg to 600 mg p.o. q 6 hours p.r.n.
3.  Lopressor 25 mg p.o. b.i.d.
4.  Colace 100 mg p.o. b.i.d.
5.  Zantac 150 mg p.o. b.i.d.
6.  Aspirin 81 mg p.o. q day.
7.  Percocet one to two p.o. q four to six hours p.r.n.

[**Last Name (STitle) 33370**]n excellent condition upon discharge and instructed
to follow up with his primary care provider and with Dr. [**Last Name (Prefixes) 2545**].






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

Dictated By:[**Name8 (MD) 4720**]
MEDQUIST36

D:  [**2112-5-15**]  16:15
T:  [**2112-5-15**]  20:40
JOB#:  [**Job Number 33371**]
{'Coronary atherosclerosis of native coronary artery,Congestive heart failure, unspecified,Diverticulosis of colon (without mention of hemorrhage),Old myocardial infarction,Personal history of tobacco use'}


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 75-year-old man with
coronary artery disease, status post recent echocardiogram
showing left ventricular ejection fraction of 63%  and a
cardiac catheterization that demonstrated left main and three
vessel disease.  The echo also demonstrated anterior apical
and posterior wall hypokinesis.   He was admitted for a
coronary artery bypass grafting.

MEDICAL HISTORY: Significant for Triple A on [**1-14**],
hyperlipidemia, tuberculosis as a child, coronary artery
disease, diverticulosis, chronic polyposis, left retinal
artery thrombosis, sciatica and eczema.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: Significant for reformed smoker. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Congestive heart failure, unspecified,Diverticulosis of colon (without mention of hemorrhage),Old myocardial infarction,Personal history of tobacco use'}
