CHIEF COMPLAINT: Chest pain.

PRESENT ILLNESS: The patient is a 65 year old
male who was referred to [**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **]
from [**Hospital **] Hospital.  The patient had presented to his
primary care physician on [**2129-9-12**] with complaints of
chest pain of about two weeks duration as well as
intermittent shortness of breath.

MEDICAL HISTORY: 1.  Peripheral vascular disease,
status post bilateral femoral-popliteal bypass in [**2118**].  2.
Hyperlipidemia.

MEDICATION ON ADMISSION: Aspirin and Lipitor 10 mg p.o.q.d.

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: There is no significant family history of
coronary artery disease.

SOCIAL HISTORY: The patient quit smoking 12 years ago.
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Atrial fibrillation,Peripheral vascular disease, unspecified,Other and unspecified hyperlipidemia,Personal history of tobacco use,Osteoarthrosis, unspecified whether generalized or localized, lower leg
Crnry athrscl natve vssl,Intermed coronary synd,Atrial fibrillation,Periph vascular dis NOS,Hyperlipidemia NEC/NOS,History of tobacco use,Osteoarthros NOS-l/leg
Admission Date:  [**2129-9-13**]       Discharge Date:  [**2129-9-21**]

Date of Birth:   [**2064-1-15**]       Sex:  M

Service:  Surgery

CHIEF COMPLAINT:
Chest pain.

HISTORY OF PRESENT ILLNESS:  The patient is a 65 year old
male who was referred to [**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **]
from [**Hospital **] Hospital.  The patient had presented to his
primary care physician on [**2129-9-12**] with complaints of
chest pain of about two weeks duration as well as
intermittent shortness of breath.

The patient was sent to the [**Hospital **] Hospital Emergency Room
and ruled out for a myocardial infarction.  On that
admission, the patient was noted to have some anterolateral
ST-T wave changes that were all new.  He was therefore
referred to [**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **] for cardiac
catheterization.

Cardiac catheterization performed on [**2129-9-13**]
revealed the following:  Left main 70% occluded, left
anterior descending artery 80% occluded, circumflex 60%
occluded, right coronary artery 80% occluded; left
ventricular ejection fraction 35%; anterolateral hypokinesis.

The cardiothoracic surgery service was consulted at that
point because the patient had severe three vessel disease as
well as left main disease.

PAST MEDICAL HISTORY:  1.  Peripheral vascular disease,
status post bilateral femoral-popliteal bypass in [**2118**].  2.
Hyperlipidemia.

MEDICATIONS ON ADMISSION:  Aspirin and Lipitor 10 mg p.o.q.d.

ALLERGIES:  The patient has no known drug allergies.

SOCIAL HISTORY:  The patient quit smoking 12 years ago.

FAMILY HISTORY:  There is no significant family history of
coronary artery disease.

HOSPITAL COURSE:  As noted above, the patient was referred to
[**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **] from an outside hospital
on [**2129-9-13**].  After cardiac catheterization, the
cardiothoracic surgery team was consulted following the
finding of three vessel disease as well as left main disease.

The patient was taken to surgery on [**2129-9-14**], where
he underwent three vessel coronary artery bypass grafting.
The patient was thereafter transferred to the SCRU.  He was
extubated without incident.

On postoperative day number one, the patient was transferred
to the cardiothoracic surgery floor.  On postoperative day
number four, the patient had periods of rapid atrial
fibrillation, for which his Lopressor dose was increased,
with good rate control achieved.  The patient later reverted
to normal sinus rhythm.

During the course of postoperative day number five, the
patient remained stable without complaints.  During the night
of postoperative day number five, the patient once again had
periods of rapid atrial fibrillation.  His Lopressor dose was
further increased.  The decision was made to initiate
anticoagulation with heparin.  The patient was also placed on
amiodarone at that point.

The patient reverted back to normal sinus rhythm early on
postoperative day number six.  By postoperative day number
seven, the patient remained in normal sinus rhythm.  At that
point, he was deemed stable for discharge to home.  He is to
be discharged home on amiodarone as well as Lopressor.  The
patient's pain was well controlled on Vicodin.  His incisions
were all clean, dry and intact.  His lung examination was
normal.

DISCHARGE CONDITION:  Stable.

DISCHARGE MEDICATIONS:
Lopressor 125 mg p.o.b.i.d.
Lasix 20 mg p.o.b.i.d. times 14 days.
Potassium chloride 20 mEq p.o.b.i.d. times 14 days.
Vicodin one to two tablets p.o.q.4-6h.p.r.n.
Isosorbide mononitrate 60 mg p.o.q.d.
Atorvastatin 10 mg p.o.q.d.
Amiodarone 200 mg p.o.q.d.

FOLLOW-UP:  The patient was to follow up with Dr. [**Last Name (STitle) 1537**] in
four weeks.  The patient was also to follow up with his
primary care physician in two to four weeks.




                            [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**Name8 (MD) 997**]
MEDQUIST36

D:  [**2129-9-21**]  15:13
T:  [**2129-9-21**]  15:28
JOB#:  [**Job Number 45658**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Atrial fibrillation,Peripheral vascular disease, unspecified,Other and unspecified hyperlipidemia,Personal history of tobacco use,Osteoarthrosis, unspecified whether generalized or localized, lower leg'}


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: Chest pain.

PRESENT ILLNESS: The patient is a 65 year old
male who was referred to [**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **]
from [**Hospital **] Hospital.  The patient had presented to his
primary care physician on [**2129-9-12**] with complaints of
chest pain of about two weeks duration as well as
intermittent shortness of breath.

MEDICAL HISTORY: 1.  Peripheral vascular disease,
status post bilateral femoral-popliteal bypass in [**2118**].  2.
Hyperlipidemia.

MEDICATION ON ADMISSION: Aspirin and Lipitor 10 mg p.o.q.d.

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: There is no significant family history of
coronary artery disease.

SOCIAL HISTORY: The patient quit smoking 12 years ago. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Atrial fibrillation,Peripheral vascular disease, unspecified,Other and unspecified hyperlipidemia,Personal history of tobacco use,Osteoarthrosis, unspecified whether generalized or localized, lower leg'}
