CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 68-year-old man with
coronary artery disease, status post MI in [**2119**], status post
cath and PTCA at that time with a negative stress test two
years ago.  He complained of chest pain that began three days
before he came in while he was shovelling snow and was
relieved by rest.  He does not take Nitroglycerin.  He
characterized the chest pain as band-like pain around his
chest.  He had no shortness of breath or nausea or vomiting
associated with that, no radiation of the chest pain.
Characterizes the pain as a [**2140-5-24**].  He then was relieved by
rest.  He then woke up with chest pain that night.  He came
to the Emergency Room on the 16th with chest pain and was
given Nitroglycerin and it was relieved.  He then proceeded
to go to the cath lab.  Please see full report for all the
details.  Briefly, he had a normal left main coronary artery,
the LAD was calcified with minimal luminal irregularities,
80% mid lesions and 80% diagonal II.  The left circumflex had
80% of the OM1 and right coronary artery was totally occluded
and he had 80% proximal, 90% mid with thrombus and sequential
80% PDA lesions.  In the cath lab he had three right coronary
lesions stented and he tolerated that procedure well.  He
also had an echocardiogram on the 17th.  Please see report
for full details.  Briefly, he had overall severely depressed
left ventricular systolic function, ejection fraction of 30%,
severe hypokinesis, akinesis of the apex, hypokinesis of the
inferior wall, mid apical segments of the anterolateral,
anterior septal walls, dyskinesis of the basal segments of
the inferior septal and inferior walls.

MEDICAL HISTORY: Includes MI in [**2119**].  At that time he
had a catheterization.  Also has prostate cancer,
hypertension, hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of malignant neoplasm of prostate,Old myocardial infarction
AMI inferior wall, init,Crnry athrscl natve vssl,Surg compl-heart,Atrial fibrillation,Hypertension NOS,Pure hypercholesterolem,Hx-prostatic malignancy,Old myocardial infarct
Admission Date:  [**2132-1-2**]       Discharge Date:  [**2132-1-10**]

Date of Birth:   [**2063-9-16**]       Sex:  M

Service:

ADMITTING DIAGNOSIS:  Coronary artery disease, status post MI
in [**2119**], status post cath and PTCA at that time.

HISTORY OF PRESENT ILLNESS:  This is a 68-year-old man with
coronary artery disease, status post MI in [**2119**], status post
cath and PTCA at that time with a negative stress test two
years ago.  He complained of chest pain that began three days
before he came in while he was shovelling snow and was
relieved by rest.  He does not take Nitroglycerin.  He
characterized the chest pain as band-like pain around his
chest.  He had no shortness of breath or nausea or vomiting
associated with that, no radiation of the chest pain.
Characterizes the pain as a [**2140-5-24**].  He then was relieved by
rest.  He then woke up with chest pain that night.  He came
to the Emergency Room on the 16th with chest pain and was
given Nitroglycerin and it was relieved.  He then proceeded
to go to the cath lab.  Please see full report for all the
details.  Briefly, he had a normal left main coronary artery,
the LAD was calcified with minimal luminal irregularities,
80% mid lesions and 80% diagonal II.  The left circumflex had
80% of the OM1 and right coronary artery was totally occluded
and he had 80% proximal, 90% mid with thrombus and sequential
80% PDA lesions.  In the cath lab he had three right coronary
lesions stented and he tolerated that procedure well.  He
also had an echocardiogram on the 17th.  Please see report
for full details.  Briefly, he had overall severely depressed
left ventricular systolic function, ejection fraction of 30%,
severe hypokinesis, akinesis of the apex, hypokinesis of the
inferior wall, mid apical segments of the anterolateral,
anterior septal walls, dyskinesis of the basal segments of
the inferior septal and inferior walls.

PAST MEDICAL HISTORY:  Includes MI in [**2119**].  At that time he
had a catheterization.  Also has prostate cancer,
hypertension, hypercholesterolemia.

MEDICATIONS:  On admission included Atenolol, Vasotec and
Aspirin.

LABORATORY DATA:  White blood cell count 5.3, hemoglobin
10.9, hematocrit 31.5 and platelet count 176,000.  Sodium
140, potassium 3.9, CO2 29, chloride 102, BUN 15, creatinine
1.1 and glucose 99.

PHYSICAL EXAMINATION:  On exam his sternum was stable, no
drainage coming from the sternum or from his leg incision.
He had a slight erythematous rash on his back.  He was alert
and oriented, carotids with good upstroke, no bruits, no JVD.
His cardiovascular, he had a regular rate and rhythm, regular
S1 and S2, no murmurs, rubs or gallops.  His abdomen was
soft, positive bowel sounds, his lungs were clear, no
crackles.  Extremities with no edema.  He had palpable pedal
pulses, warm extremities.

HOSPITAL COURSE:  On [**1-4**] the patient went to the OR and had
a CABG times four, LIMA to the diagonal, SVG to the LAD, PL
in the OM1.  He tolerated that procedure well.  He came out
of the OR on an epi drip .04 and Propofol and the epi drip
and Propofol were weaned off that night and he was also
extubated that night.  On postoperative day #1 the patient
went into a rapid atrial fibrillation with subsequent
decrease in blood pressure, systolic blood pressure of 80-90.
He received Lopressor at that time and was started on
Amiodarone.  He also had complained of some left chest pain
and there were some ischemic changes on his EKG which later
was thought to be musculoskeletal pain because it was
relieved with Toradol.  It was thought that the ST changes in
the lateral leads were due to pericarditis.  After receiving
the Lopressor and the Amiodarone, the patient converted to
normal sinus rhythm.  The patient was also started on
Neo-Synephrine at that time for a low blood pressure.  On
postoperative day #2 the patient had a drop in hematocrit to
20 and he received two units of packed red blood cells for
that.  He was weaned off the Neo on that day.  He had a brief
episode of atrial fibrillation which was converted with 2.5
mg of Lopressor and on postoperative day #3 the patient was
transferred to Far 6.  Upon transfer the patient went into
rapid atrial fibrillation again at a rate of around 150.  He
received Lopressor 10 mg IV at that time and some magnesium.
He was continued on his Amiodarone and he converted to normal
sinus rhythm in the 70's and his Lopressor dose was
increased.  Over the next several days the patient remained
hemodynamically stable, his activity level increased with the
help of physical therapy.  He was able to ambulate around the
unit.  His O2 sats on room air were 94% and he was ready for
discharge.  On postoperative day #6 the patient was
discharged from the hospital.  Vital signs at time of
discharge were 97.8, heart rate 81 and normal sinus rhythm,
respiratory rate 16, blood pressure 115/76, O2 saturation 95%
on room air.  His weight was 80.2 kg, up from his
preoperative weight of 77 kg.

DISCHARGE MEDICATIONS:  Lasix 20 mg po q d times one week,
Calcium Chloride 20 mcg po q d times one week, Plavix 75 mg
po q d, Amiodarone 400 mg po tid times two days, then [**Hospital1 **]
times one week and then q d, Lopressor 25 mg po bid,
Ciprofloxacin 500 mg [**Hospital1 **] times three days, Aspirin 325 mg po
q d, Lipitor 10 mg po q d, Percocet 1-2 tabs po q 4 hours prn
pain, Ibuprofen 400 mg po q 6 hours prn for pain, Colace 100
mg po bid.  The patient is to follow-up with his primary care
provider, [**Last Name (NamePattern4) **]. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], in one month.  He is to
follow-up with Dr. [**Last Name (STitle) **] in one month.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE DIAGNOSIS:
1.  Coronary artery disease.
2.  Status post MI.
3.  Status post angioplasty times three and CABG times four.
4.  Hypertension.
5.  Hypercholesterolemia.
6.  Prostate cancer.

The patient was discharged to home.




                            [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3113**]

Dictated By:[**Last Name (NamePattern1) 4060**]
MEDQUIST36

D:  [**2132-1-10**]  11:47
T:  [**2132-1-10**]  12:16
JOB#:  [**Job Number 27062**]
{'Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of malignant neoplasm of prostate,Old myocardial infarction'}


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 68-year-old man with
coronary artery disease, status post MI in [**2119**], status post
cath and PTCA at that time with a negative stress test two
years ago.  He complained of chest pain that began three days
before he came in while he was shovelling snow and was
relieved by rest.  He does not take Nitroglycerin.  He
characterized the chest pain as band-like pain around his
chest.  He had no shortness of breath or nausea or vomiting
associated with that, no radiation of the chest pain.
Characterizes the pain as a [**2140-5-24**].  He then was relieved by
rest.  He then woke up with chest pain that night.  He came
to the Emergency Room on the 16th with chest pain and was
given Nitroglycerin and it was relieved.  He then proceeded
to go to the cath lab.  Please see full report for all the
details.  Briefly, he had a normal left main coronary artery,
the LAD was calcified with minimal luminal irregularities,
80% mid lesions and 80% diagonal II.  The left circumflex had
80% of the OM1 and right coronary artery was totally occluded
and he had 80% proximal, 90% mid with thrombus and sequential
80% PDA lesions.  In the cath lab he had three right coronary
lesions stented and he tolerated that procedure well.  He
also had an echocardiogram on the 17th.  Please see report
for full details.  Briefly, he had overall severely depressed
left ventricular systolic function, ejection fraction of 30%,
severe hypokinesis, akinesis of the apex, hypokinesis of the
inferior wall, mid apical segments of the anterolateral,
anterior septal walls, dyskinesis of the basal segments of
the inferior septal and inferior walls.

MEDICAL HISTORY: Includes MI in [**2119**].  At that time he
had a catheterization.  Also has prostate cancer,
hypertension, hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of malignant neoplasm of prostate,Old myocardial infarction'}
