CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 75 year-old
female with a history of coronary artery disease dating back
to approximately one year ago.  She had a cardiac
catheterization in [**2122-10-11**] which was significant for
three vessel disease, but with good collaterals.  She has now
recent onset of unstable angina.

MEDICAL HISTORY: 1.  Coronary artery disease.
2.  Hypertension.
3.  Hypercholesterolemia.

MEDICATION ON ADMISSION: 1.  Aspirin 325 milligrams po q day.
2.  Hyzaar 12.5 / 50 milligrams q day.
3.  Atenolol 25 milligrams q day.
4.  Tagamet.
5.  Norvasc 5 milligrams q day.
6.  Imdur 60 milligrams q day.
7.  Lasix 20 milligrams q day.
8.  KCL 20 milligrams q day.
9.  Estrogen 0.225 milligrams q day.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Personal history of malignant neoplasm of large intestine
Crnry athrscl natve vssl,Intermed coronary synd,Surg compl-heart,Atrial fibrillation,Hypertension NOS,Hyperlipidemia NEC/NOS,Hx of colonic malignancy
Admission Date:  [**2124-1-10**]       Discharge Date:  [**2124-1-14**]

Date of Birth:   [**2048-10-26**]       Sex:  F

Service:  CARDIOTHOR

HISTORY OF PRESENT ILLNESS:  The patient is a 75 year-old
female with a history of coronary artery disease dating back
to approximately one year ago.  She had a cardiac
catheterization in [**2122-10-11**] which was significant for
three vessel disease, but with good collaterals.  She has now
recent onset of unstable angina.

PAST MEDICAL HISTORY:
1.  Coronary artery disease.
2.  Hypertension.
3.  Hypercholesterolemia.

PAST SURGICAL HISTORY:
1.  Colectomy for colon cancer several years ago.
2.  Appendectomy.
3.  Status post varicose vein stripping bilaterally 30 years
ago.
4.  Total abdominal hysterectomy / bilateral
salpingo-oophorectomy.
5.  Bilateral cataract surgery.
6.  Cholecystectomy.

ALLERGIES: No known drug allergies.

MEDICATIONS ON ADMISSION:
1.  Aspirin 325 milligrams po q day.
2.  Hyzaar 12.5 / 50 milligrams q day.
3.  Atenolol 25 milligrams q day.
4.  Tagamet.
5.  Norvasc 5 milligrams q day.
6.  Imdur 60 milligrams q day.
7.  Lasix 20 milligrams q day.
8.  KCL 20 milligrams q day.
9.  Estrogen 0.225 milligrams q day.

PHYSICAL EXAMINATION:  Blood pressure 139/66, heart rate 55,
respiratory rate 14, 02 sat 95% on room air.  Cardiac -
regular rate and rhythm.  Abdomen - soft, nontender,
nondistended.  Pulmonary - clear to auscultation bilaterally.
Extremities - no edema, bilateral pulses palpable.

HOSPITAL COURSE: The patient had a cardiac catheterization
performed on [**2124-1-5**].  The findings were as
follows:  right dominant system with three vessel coronary
artery disease.  Left main coronary artery was normal.  LAD
was diffusely diseased with 80% mid vessel stenosis and 70%
immediately distal the second diagonal branch.  Left
circumflex area was totally occluded proximally and two
large, obtuse marginal branches filled via collaterals from
the LAD.  The right coronary artery was totally occluded
proximally in the right posterior descending artery filled
via collaterals from the LAD.  EF 59%.  Mild inferior [**Known lastname **]
hypokinesis with mild MR.  [**Name13 (STitle) **] intervention was performed.

On [**2124-1-10**] a coronary artery bypass graft times
three was performed by Dr. [**Last Name (STitle) 1537**].  The LIMA went to the LAD,
left radial to OM, right radial to RCA.   The pericardium was
left open and arterial line and right IJ triple lumen
catheter inserted.  Ventricular and atrial pacing wires were
placed and mediastinal pleural tubes were also placed.  The
patient was transferred to the ICU postoperatively.  She was
rapidly extubated.  She had an episode of postoperative
atrial fibrillation for which a Amiodarone drip was started.
This was later converted to the oral form of Amiodarone.  A
Neo-Synephrine and Nitro drip were appropriately weaned.

On postoperative day two the patient's pleural and
mediastinal tubes were removed.

On postoperative day three the patient was stable and
transferred to the floor. Her Foley was discontinued on
postoperative day three.

On postoperative day four the patient's wires were
discontinued and she was stable for transfer to a
rehabilitation facility.

LABORATORY DATA AT DISCHARGE:  White count 7.6, hematocrit
26, platelet count 168,000.  Sodium 137, potassium 4.1,
chloride 107, bicarb 21, BUN 14, creatinine 0.8, glucose 115.
INS calcium 1.14.

Her sternum and artery sites radially were stable with no
drainage throughout the admission.

DISCHARGE CONDITION:  Stable.

DISCHARGE MEDICATIONS:
1.  Ecotrin.
2.  Aspirin 325 milligrams q day.
3.  Lasix 20 milligrams [**Hospital1 **] times seven days.
4.  KCL 20 milligrams [**Hospital1 **] times seven days.
5.  Colace 100 milligrams po bid.
6.  Percocet one to two tablets po q four to six hours prn.
7.  Amiodarone 400 milligrams [**Hospital1 **] for seven days, then 400
milligrams q day times 14 days.
8.  Imdur 60 milligrams po q day times 90 days.
9.  Atenolol 25 milligrams po q day.

DISCHARGE STATUS:  Rehabilitation facility.

DISCHARGE INSTRUCTIONS:  Follow up with primary care
physician in three weeks.  Follow up with Dr. [**Last Name (STitle) 1537**] in four
weeks.

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





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

Dictated By:[**Name8 (MD) 1308**]
MEDQUIST36

D:  [**2124-1-14**]  09:02
T:  [**2124-1-14**]  09:17
JOB#:  [**Job Number 32308**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Personal history of malignant neoplasm of large intestine'}


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 75 year-old
female with a history of coronary artery disease dating back
to approximately one year ago.  She had a cardiac
catheterization in [**2122-10-11**] which was significant for
three vessel disease, but with good collaterals.  She has now
recent onset of unstable angina.

MEDICAL HISTORY: 1.  Coronary artery disease.
2.  Hypertension.
3.  Hypercholesterolemia.

MEDICATION ON ADMISSION: 1.  Aspirin 325 milligrams po q day.
2.  Hyzaar 12.5 / 50 milligrams q day.
3.  Atenolol 25 milligrams q day.
4.  Tagamet.
5.  Norvasc 5 milligrams q day.
6.  Imdur 60 milligrams q day.
7.  Lasix 20 milligrams q day.
8.  KCL 20 milligrams q day.
9.  Estrogen 0.225 milligrams q day.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Personal history of malignant neoplasm of large intestine'}
