CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 66 year-old
gentleman who started having angina in [**2187-4-26**].  He
underwent prior catheterization at the time and was found to
have a mid LAD stenosis which was stented.  He presented to
he Emergency Room in [**2189-11-26**] and was found to have
electrocardiogram changes.  He again underwent cardiac
catheterization and had stenting of his left main into the
circumflex.  Patient did well and was discharged on Plavix
and Lopressor.  He again underwent an elective cardiac
catheterization as follow up on [**2190-5-7**].  He has had some
progression of his symptoms of dyspnea.  The cardiac
catheterization revealed diffuse 50 percent restenosis of his
LMCA.  This extended into the ostial circumflex stent which
showed restenosis up to 60 percent.  The LAD had a 90 percent
ostial stenosis.  His ejection fraction preoperatively was 55
percent.  Patient was referred to the cardiac surgery
service.

MEDICAL HISTORY: Is significant for coronary artery
disease. Status post percutaneous interventions as above,
hypertension, pancreatitis, hypercholesterolemia, colon
surgery times two for diverticulitis and hernia repair.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Ventricular fibrillation,Acute pancreatitis,Influenza with other respiratory manifestations,Unspecified essential hypertension
Comp-oth cardiac device,Crnry athrscl natve vssl,Intermed coronary synd,Surg compl-heart,Ventricular fibrillation,Acute pancreatitis,Flu w resp manifest NEC,Hypertension NOS
Admission Date:  [**2190-5-7**]       Discharge Date:  [**2190-5-16**]

Date of Birth:   [**2124-2-28**]       Sex:  M

Service:  Cardiac surgery

HISTORY OF PRESENT ILLNESS:  Patient is a 66 year-old
gentleman who started having angina in [**2187-4-26**].  He
underwent prior catheterization at the time and was found to
have a mid LAD stenosis which was stented.  He presented to
he Emergency Room in [**2189-11-26**] and was found to have
electrocardiogram changes.  He again underwent cardiac
catheterization and had stenting of his left main into the
circumflex.  Patient did well and was discharged on Plavix
and Lopressor.  He again underwent an elective cardiac
catheterization as follow up on [**2190-5-7**].  He has had some
progression of his symptoms of dyspnea.  The cardiac
catheterization revealed diffuse 50 percent restenosis of his
LMCA.  This extended into the ostial circumflex stent which
showed restenosis up to 60 percent.  The LAD had a 90 percent
ostial stenosis.  His ejection fraction preoperatively was 55
percent.  Patient was referred to the cardiac surgery
service.

PAST MEDICAL HISTORY:  Is significant for coronary artery
disease. Status post percutaneous interventions as above,
hypertension, pancreatitis, hypercholesterolemia, colon
surgery times two for diverticulitis and hernia repair.

MEDICATIONS:  Aspirin 325 mg p.o. q.d., Lipitor 60 mg p.o.
q.d., Plavix 75 mg p.o. q.d., Lopressor 50 mg p.o. b.i.d.,
multivitamin and vitamin E.  Patient has a questionable
allergy to morphine and Accupril.

HOSPITAL COURSE:  The patient was taken to the operating room
on [**2190-5-8**] and underwent coronary artery bypass graft times
two with LIMA to the LAD and saphenous vein graft to the
obtuse marginal.  Patient's operative course was complicated
and he was transferred to the SCRU.  He was extubated
postoperatively and did well and was transferred to the floor
on postoperative day number one.  Patient was noted to have
copious sputum production.  Although he did remain afebrile
with a normal white count his sputum was sent off for culture
and was positive for hemophilus influenza.  Patient was
started on Levaquin.  He was also started on Combivent and
albuterol MDI for his wheezing.  Patient continued to improve
and was limited only by his respiratory status which improved
with MDI and diuresis.  Patient also complained of dyspepsia
throughout his hospital course and was started on Protonix as
well as well as Reglan at the recommendation of Dr. [**Last Name (STitle) 1940**],
his gastroenterologist and primary care physician.  [**Name10 (NameIs) **]
is being discharged on postoperative day number six.  He is
doing well.  On discharge he is afebrile.  His heart is
regular at a rate of 82.  His blood pressure was 130/70 and
he is breathing comfortably with O2 saturations of 91 o 94
percent on room air.  On examination his heart is regular.
His sternum is stable.  His wounds are clean, dry and intact.
 His lungs are clear to auscultation bilaterally without
wheezes, rales or rhonchi.  His abdomen is soft, nontender,
nondistended.  His extremities are warm.  He had a chest
x-ray on [**5-13**] showed bibasilar atelectasis and small
bilateral pleural effusions.  On discharge his white count is
7.9 and his hematocrit is 30, his platelets are 210.  His BUN
and creatinine are 19 and 1.2.

His medications on discharge include:  1) Lopressor 75 mg
p.o. b.i.d., 2) Lasix 20 mg p.o. b.i.d. time 14 days, 3)
KayCiel 20 mEq p.o. q.d. times 14 days, 4) Percocet 1 to 2
tablets p.o. q 4 to 6 hour p.r.n. eor pain, 5) Colace 100 mg
p.o. b.i.d., 6) multivitamin 1 p.o. q.d., 7) Combivent 2
puffs q.i.d., 8) ECASA 326 mg p.o. q.d., 8) Levaquin 500 p.o.
q.d. times 10 days, 9) Protonix 40 mg p.o. q.d., 10) Reglan
10 mg p.o. t.i.d. 1/.2 hour prior to meals, 11) Lipitor 60 mg
p.o. q.h.s. and 12) Plavix 75 mg p.o. q.d.

CONDITION ON DISCHARGE:  Good.

[**Last Name (STitle) 25726**] follow up with Dr. [**Last Name (STitle) **] and Dr. [**Last Name (STitle) 1940**] within
two weeks and he will follow up with Dr. [**Last Name (Prefixes) **] in six
weeks.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Last Name (NamePattern1) 25727**]
MEDQUIST36

D:  [**2190-5-16**]  09:58
T:  [**2190-5-16**]  10:35
JOB#:  [**Job Number 25728**]
{'Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Ventricular fibrillation,Acute pancreatitis,Influenza with other respiratory manifestations,Unspecified essential hypertension'}


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: Patient is a 66 year-old
gentleman who started having angina in [**2187-4-26**].  He
underwent prior catheterization at the time and was found to
have a mid LAD stenosis which was stented.  He presented to
he Emergency Room in [**2189-11-26**] and was found to have
electrocardiogram changes.  He again underwent cardiac
catheterization and had stenting of his left main into the
circumflex.  Patient did well and was discharged on Plavix
and Lopressor.  He again underwent an elective cardiac
catheterization as follow up on [**2190-5-7**].  He has had some
progression of his symptoms of dyspnea.  The cardiac
catheterization revealed diffuse 50 percent restenosis of his
LMCA.  This extended into the ostial circumflex stent which
showed restenosis up to 60 percent.  The LAD had a 90 percent
ostial stenosis.  His ejection fraction preoperatively was 55
percent.  Patient was referred to the cardiac surgery
service.

MEDICAL HISTORY: Is significant for coronary artery
disease. Status post percutaneous interventions as above,
hypertension, pancreatitis, hypercholesterolemia, colon
surgery times two for diverticulitis and hernia repair.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Ventricular fibrillation,Acute pancreatitis,Influenza with other respiratory manifestations,Unspecified essential hypertension'}
