CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60-year-old
male with a history of coronary artery disease, high
cholesterol, and past smoker.  His chief complaint was chest
pain and chest heaviness for two days.  The pain was
nonradiating, it comes and goes, and had been progressive
with associated nausea and diaphoresis.  The patient denied
shortness of breath and abdominal pain.  He did report
significant fatigue.  The patient had been seen the day
before by his primary care physician and prescribed
antibiotics for bronchitis.

MEDICAL HISTORY: The patient's past medical history is
significant for gastroesophageal reflux disease, and
hyperlipidemia, and an approximately 40-pack-year smoking
history.

MEDICATION ON ADMISSION: Tagamet was his only 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,Pure hypercholesterolemia,Esophageal reflux,Personal history of tobacco use
AMI anterior wall, init,Crnry athrscl natve vssl,Pure hypercholesterolem,Esophageal reflux,History of tobacco use
Admission Date:  [**2106-10-9**]     Discharge Date:  [**2106-10-14**]

Date of Birth:   [**2046-5-8**]     Sex:  M

Service:  Coronary Care Unit

HISTORY OF PRESENT ILLNESS:  The patient is a 60-year-old
male with a history of coronary artery disease, high
cholesterol, and past smoker.  His chief complaint was chest
pain and chest heaviness for two days.  The pain was
nonradiating, it comes and goes, and had been progressive
with associated nausea and diaphoresis.  The patient denied
shortness of breath and abdominal pain.  He did report
significant fatigue.  The patient had been seen the day
before by his primary care physician and prescribed
antibiotics for bronchitis.

After reporting to the Emergency Room, the patient's pain was
relieved with two sublingual nitroglycerin.

On admission his heart rate was 100.  His blood pressure
was 172/84.  His electrocardiogram was significant for left
axis deviation, 2-mm ST segment depressions in leads II, III,
and aVF, and ST elevations greater than 2 mm in the
precordial leads V2 and V3.  Creatine kinase on admission
was 1286.  The patient was started on a beta blocker,
nitroglycerin, heparin, and Integrilin and taken emergently
to the catheterization laboratory.

On cardiac catheterization the patient was found to have a
pulmonary capillary wedge pressure of 23.  Pulmonary artery
systolic pressure was 35, diastolic pressure of 22, mean
pulmonary artery pressure of 28.  The left anterior
descending was found to have a 95% middle lesion, an 80%
first diagonal, 90% small second diagonal.  A stent was
placed in the left anterior descending artery.  The patient
also had a 99% second obtuse marginal and a 70% diffusely
diseased right coronary artery.  Lasix was given at the time
of the procedure for increased filling pressures.

PAST MEDICAL HISTORY:   The patient's past medical history is
significant for gastroesophageal reflux disease, and
hyperlipidemia, and an approximately 40-pack-year smoking
history.

ALLERGIES:  The patient has no known drug allergies.

MEDICATIONS ON ADMISSION:  Tagamet was his only medication on
admission.

PHYSICAL EXAMINATION ON ADMISSION:  Physical examination on
admission to the Coronary Care Unit was significant for a 2/6
systolic murmur at the left upper sternal border.

LABORATORY DATA ON ADMISSION:  Laboratory data included a
white blood cell count of 13.1, a hematocrit of 45.7.  Chem-7
included a sodium of 140, potassium 4.5, chloride 101,
bicarbonate 27, BUN 11, creatinine of 1, glucose of 142.
First set of cardiac enzymes included a creatine kinase
of 1286, MB fraction of 170, and an index of 13.2, with a
cardiac troponin I of 28.6.  Peak cardiac enzymes during this
hospitalization were a creatine kinase of 2863, and a peak
troponin I of 28.6.

RADIOLOGY/IMAGING:   Electrocardiogram post catheterization
revealed ST segment depressions in I, aVL, and Q waves in V2
and V3, and ST segment depressions in V4 through V6.

HOSPITAL COURSE:   Mr. [**Known lastname **] subsequent hospitalization was
relatively uneventful.  Echocardiogram on [**10-11**] revealed
left atrium of 4.2 cm, left ventricular ejection fraction of
40% to 45%, no masses or thrombi in the left ventricle, mild
1+ mitral regurgitation; and in summary, overall left
ventricular systolic function which was depressed.  There was
akinesis of the distal septal apical and distal anterior
walls.

Immediately post myocardial infarction Mr. [**Known lastname **] was started on
Lopressor 25 mg q.i.d. and captopril 12.5 mg p.o. t.i.d.
His blood pressure was low on these medications, ranging from
86 to 112/48 to 60.  It was difficult to further increase
these medications being that Mr. [**Known lastname **] would experience
hypotension with ambulation.  A Physical Therapy consultation
suggested Mr. [**Known lastname **] hypotension was due to deconditioning and
that he would improve with a cardiac rehabilitation program.
Mr. [**Known lastname **] was discharged on [**10-14**] following dietary
exercise and smoking cessation counseling.

MEDICATIONS ON DISCHARGE:  (His discharge medications
included)
1.  Toprol-XL 50 one-half tablet p.o. q.d.
2.  Lipitor 10 mg 1 tablet p.o. q.p.m.
3.  Zestril 5 mg p.o. q.d.
4.  Coumadin 2.5 mg p.o. on Tuesday, Thursday, Saturday, and
Sunday and 5 mg p.o. on Monday, Wednesday and Friday.
5.  Plavix 75 mg p.o. q.d.
6.  Aspirin 325 mg p.o. q.d.
7.  Protonix 40 mg p.o. q.d.
8.  Sublingual nitroglycerin one tablet p.r.n. for chest
pain.

PERTINENT LABORATORY DATA ON DISCHARGE:  Pertinent laboratory
data on discharge included an INR of 3.5, and an Helicobacter
pylori antisera which was positive.

DISCHARGE FOLLOWUP:   Mr. [**Known lastname **] was to follow up at Quest
Laboratory on Monday, [**10-18**], to have a repeat INR drawn.
Dr. [**First Name8 (NamePattern2) **] [**Name (STitle) **] will follow Mr. [**Known lastname **] as an outpatient.



                          [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 4786**]

Dictated By:[**Last Name (NamePattern1) 15820**]

MEDQUIST36

D:  [**2106-10-14**]  00:50
T:  [**2106-10-15**]  13:10
JOB#:  [**Job Number 15821**]

 (cclist)
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Esophageal reflux,Personal history of tobacco use'}


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 60-year-old
male with a history of coronary artery disease, high
cholesterol, and past smoker.  His chief complaint was chest
pain and chest heaviness for two days.  The pain was
nonradiating, it comes and goes, and had been progressive
with associated nausea and diaphoresis.  The patient denied
shortness of breath and abdominal pain.  He did report
significant fatigue.  The patient had been seen the day
before by his primary care physician and prescribed
antibiotics for bronchitis.

MEDICAL HISTORY: The patient's past medical history is
significant for gastroesophageal reflux disease, and
hyperlipidemia, and an approximately 40-pack-year smoking
history.

MEDICATION ON ADMISSION: Tagamet was his only 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,Pure hypercholesterolemia,Esophageal reflux,Personal history of tobacco use'}
