CHIEF COMPLAINT: worsening DOE and fatigue without chest pain

PRESENT ILLNESS: Mrs. [**Known lastname **] is a 77 yo patient with several month history of
worsening DOE and fatigue and recently had an abnormal ETT.
Cardiac catheterization showed left main, LAD and LCx coronary
disease.  Prior echocardiogram had shown normal left ventricular
function.  She was refered to Dr. [**Last Name (STitle) **] for operative
treatment.

MEDICAL HISTORY: Left ECA stenosis
hypercholesterolemia
arthritis
HTN
s/p DVTx2
GERD
anxiety
s/p colectomy for ulcerative colitis
nephrolitihiasis

MEDICATION ON ADMISSION: prilosec 20mg qd
paxil 20mg qd
aspirin 81mg qd
MVI
ativan 0.5mg prn

ALLERGIES: Atorvastatin

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Heart disease, unspecified,Pure hypercholesterolemia,Arthropathy, unspecified, site unspecified,Unspecified essential hypertension,Esophageal reflux
Crnry athrscl natve vssl,Intermed coronary synd,Heart disease NOS,Pure hypercholesterolem,Arthropathy NOS-unspec,Hypertension NOS,Esophageal reflux
Admission Date:  [**2167-3-12**]              Discharge Date:   [**2167-3-18**]

Date of Birth:  [**2089-7-7**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Atorvastatin

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
worsening DOE and fatigue without chest pain

Major Surgical or Invasive Procedure:
s/p CABGx2(LIMA-LAD, SVG-OM) [**3-13**]


History of Present Illness:
Mrs. [**Known lastname **] is a 77 yo patient with several month history of
worsening DOE and fatigue and recently had an abnormal ETT.
Cardiac catheterization showed left main, LAD and LCx coronary
disease.  Prior echocardiogram had shown normal left ventricular
function.  She was refered to Dr. [**Last Name (STitle) **] for operative
treatment.

Past Medical History:
Left ECA stenosis
hypercholesterolemia
arthritis
HTN
s/p DVTx2
GERD
anxiety
s/p colectomy for ulcerative colitis
nephrolitihiasis

Pertinent Results:
[**2167-3-18**] 06:35AM BLOOD WBC-6.6 RBC-3.73* Hgb-10.8* Hct-32.3*
MCV-87 MCH-28.9 MCHC-33.4 RDW-14.4 Plt Ct-295
[**2167-3-18**] 06:35AM BLOOD Plt Ct-295
[**2167-3-17**] 07:05AM BLOOD Glucose-106* UreaN-22* Creat-1.2* Na-140
K-4.4 Cl-105 HCO3-27 AnGap-12

Brief Hospital Course:
Mrs.[**Known lastname **] is a 77 yo who was admitted on [**3-11**] for cardiac
catheterization and was found to have coronary artery disease.
She was taken to the operating room with Dr. [**Last Name (STitle) **] on [**3-13**] for
CABG.  She tolerated the procedure well and was transferred to
the ICU in stable condition.  She was weaned and extubated from
mechanical ventilation without difficulty on POD#1.  She
required neo synephrine to maintain adequate blood pressure and
it was weaned to off on POD#2.  She developed atrial
fibrillation on POD#2 and was started on Lopressor and
amiodarone.  She quickly converted to sinus rhythm and had no
further arrhythmias.  She was transferred to the regular floor
on POD#3.  She began ambulating with physical therapy and by
POD#5 she was able to climb a flight of stairs without
difficulty and was cleared for discharge to home.

Medications on Admission:
prilosec 20mg qd
paxil 20mg qd
aspirin 81mg qd
MVI
ativan 0.5mg prn

Discharge Medications:
1. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*2*
2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*
3. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
4. Prilosec 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO once a day.
5. Paroxetine HCl 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
6. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily)
for 5 days.
Disp:*5 Tablet(s)* Refills:*0*
7. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig:
One (1) Tab Sust.Rel. Particle/Crystal PO DAILY (Daily) for 5
days.
8. Amiodarone HCl 200 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily) for 1 months.
Disp:*30 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
CAD
s/p CABG
post operative atrial fibrillation
hypercholesteremia
anxiety
h/o DVT
s/p colectomy


Discharge Condition:
good

Discharge Instructions:
you may take a shower and wash your incisions with mild soap and
water
do not swim or take a bath for 1 month
do not drive for 1 month
do not apply lotions, creams, ointments or powders to your
incisions
do not lift anything heavier than 10 pounds for 1 month

Followup Instructions:
follow up with Dr. [**Last Name (STitle) **] in [**1-18**] weeks
follow up with Dr. [**Last Name (STitle) **] in [**1-18**] weeks
follow up with Dr. [**Last Name (STitle) 36737**] in [**3-20**] weeks



Completed by:[**2167-3-18**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Heart disease, unspecified,Pure hypercholesterolemia,Arthropathy, unspecified, site unspecified,Unspecified essential hypertension,Esophageal reflux'}


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: worsening DOE and fatigue without chest pain

PRESENT ILLNESS: Mrs. [**Known lastname **] is a 77 yo patient with several month history of
worsening DOE and fatigue and recently had an abnormal ETT.
Cardiac catheterization showed left main, LAD and LCx coronary
disease.  Prior echocardiogram had shown normal left ventricular
function.  She was refered to Dr. [**Last Name (STitle) **] for operative
treatment.

MEDICAL HISTORY: Left ECA stenosis
hypercholesterolemia
arthritis
HTN
s/p DVTx2
GERD
anxiety
s/p colectomy for ulcerative colitis
nephrolitihiasis

MEDICATION ON ADMISSION: prilosec 20mg qd
paxil 20mg qd
aspirin 81mg qd
MVI
ativan 0.5mg prn

ALLERGIES: Atorvastatin

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Heart disease, unspecified,Pure hypercholesterolemia,Arthropathy, unspecified, site unspecified,Unspecified essential hypertension,Esophageal reflux'}
