CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 54-year-old
white man with a history of silent MI, hypertension,
increased cholesterol, tobacco use, with a witnessed episode
of V fibrillation at [**Hospital 487**] Hospital, shocked back into
normal sinus rhythm with 200 joules.  The patient initially
presented with midsternal crushing chest pain, no radiation,
nausea, vomiting times 20 minutes.  The patient had V
fibrillation in the ED shortly prior to arrival and received
two minutes of CPR, successfully cardioverted to normal sinus
rhythm.  The patient was seen by Cardiology and started on
Lasix, nitro drip, morphine, Lopressor, Amiodarone, heparin,
aspirin, and then transferred to emergency cardiac
catheterization at [**Hospital1 **].  The patient said
that the chest pain had completely resolved one minute post
shock.  The patient reports no new history of dyspnea on
exertion while walking his dog, also a brief episode of chest
pain and vomiting one week prior to presentation.

MEDICAL HISTORY: 1.  Silent MI.
2.  Hypertension.
3.  Increased cholesterol.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder
AMI anterior wall, init,Crnry athrscl natve vssl,Hypertension NOS,Pure hypercholesterolem,Tobacco use disorder
Admission Date:  [**2146-10-13**]     Discharge Date:  [**2146-10-21**]

Date of Birth:   [**2092-8-28**]     Sex:  M

Service:  CARDIOTHORACIC SURGERY

HISTORY OF THE PRESENT ILLNESS:  The patient is a 54-year-old
white man with a history of silent MI, hypertension,
increased cholesterol, tobacco use, with a witnessed episode
of V fibrillation at [**Hospital 487**] Hospital, shocked back into
normal sinus rhythm with 200 joules.  The patient initially
presented with midsternal crushing chest pain, no radiation,
nausea, vomiting times 20 minutes.  The patient had V
fibrillation in the ED shortly prior to arrival and received
two minutes of CPR, successfully cardioverted to normal sinus
rhythm.  The patient was seen by Cardiology and started on
Lasix, nitro drip, morphine, Lopressor, Amiodarone, heparin,
aspirin, and then transferred to emergency cardiac
catheterization at [**Hospital1 **].  The patient said
that the chest pain had completely resolved one minute post
shock.  The patient reports no new history of dyspnea on
exertion while walking his dog, also a brief episode of chest
pain and vomiting one week prior to presentation.

PAST MEDICAL HISTORY:
1.  Silent MI.
2.  Hypertension.
3.  Increased cholesterol.

HOME MEDICATIONS:
1.  Toprol XL 50 mg q.d.
2.  Lipitor 10 mg p.o. q.d.

ALLERGIES:  The patient has no known drug allergies.

PHYSICAL EXAMINATION ON ADMISSION:  Temperature 97.7, heart
rate 65, blood pressure 112/67, respiratory rate 18,
saturating 100% on 4 liters.  He was lying comfortably in bed
in no acute distress.  The mucous membranes were moist.  The
oropharynx was clear.  The extraocular movements were intact.
The neck revealed JVP at 8 cm.  Cardiovascular examination
revealed normal S1, S2, regular rate and rhythm, no murmurs,
rubs, or gallops.  Pulmonary examination revealed soft
crackles at the right base.  The abdomen was soft, nontender,
nondistended, positive bowel sounds.

LABORATORY DATA:  White count 9.7, hematocrit 45, platelets
327,000.  Chem-7 141, 4.3, 101, 29, 13, 1.0, 107.  PT/PTT
within normal limits.

HOSPITAL COURSE:  The patient was admitted to the Cardiac
Catheterization Laboratory and underwent catheterization.  It
showed a left MCA tapering distal part at 30-40% stenosis and
LAD with complex proximal 95% stenosis, left circumflex
dominant 70% proximal stenosis, 100% OMB-I.

The patient was brought to the Operating Room on [**2146-10-17**] and underwent a three vessel CABG; LIMA to LAD,
saphenous vein graft to OM-I and saphenous vein graft to the
diagonal.  The patient did well postoperatively and was
transferred to the CSIU.

The patient was extubated on postoperative day number zero in
the evening.  On postoperative day number one, the patient
was tolerating a regular diet.  On postoperative day number
two, the patient was transferred to the floor.  The patient
was ambulating at a level III by postoperative day number
three.

On postoperative day number four, the patient had climbed
stairs and was tolerating a regular diet and feeling
comfortable enough to go home.  The patient was discharged on
postoperative day number four on the following medications.

DISCHARGE MEDICATIONS:
1.  Lopressor 12.5 mg p.o. b.i.d.
2.  Lasix 20 mg p.o. b.i.d. times ten days.
3.  [**First Name5 (NamePattern1) 233**] [**Last Name (NamePattern1) 1002**] 20 mEq p.o. b.i.d. times ten days.
4.  Aspirin 325 mg p.o. q.d.
5.  Percocet 5/325 one to two tablets p.o. q. 4-6 hours
p.r.n.
6.  Amiodarone 200 mg p.o. q.d. times one month.
7.  Lipitor 10 mg p.o. q.d.
8.  Nicotine patch 14 mg topically q.d. times three weeks.

DISCHARGE DIAGNOSIS:  Status post coronary artery bypass
graft times three.

FOLLOW-UP:  The patient is to follow-up with Dr. [**Last Name (STitle) **] in
four weeks.




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

Dictated By:[**Last Name (NamePattern1) 22557**]

MEDQUIST36

D:  [**2146-10-21**]  16:33
T:  [**2146-10-22**]  13:41
JOB#:  [**Job Number 27046**]
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,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: The patient is a 54-year-old
white man with a history of silent MI, hypertension,
increased cholesterol, tobacco use, with a witnessed episode
of V fibrillation at [**Hospital 487**] Hospital, shocked back into
normal sinus rhythm with 200 joules.  The patient initially
presented with midsternal crushing chest pain, no radiation,
nausea, vomiting times 20 minutes.  The patient had V
fibrillation in the ED shortly prior to arrival and received
two minutes of CPR, successfully cardioverted to normal sinus
rhythm.  The patient was seen by Cardiology and started on
Lasix, nitro drip, morphine, Lopressor, Amiodarone, heparin,
aspirin, and then transferred to emergency cardiac
catheterization at [**Hospital1 **].  The patient said
that the chest pain had completely resolved one minute post
shock.  The patient reports no new history of dyspnea on
exertion while walking his dog, also a brief episode of chest
pain and vomiting one week prior to presentation.

MEDICAL HISTORY: 1.  Silent MI.
2.  Hypertension.
3.  Increased cholesterol.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder'}
