CHIEF COMPLAINT: Recurrent angina

PRESENT ILLNESS: This is a 48 year old male with known CAD. He has undergone
multiple PCI/stenting in the past. Despite medical therapy and
previous PCI, he continues to experience recurrent angina.
Further workup included a positive ETT and cardiac
catheterization in [**2155-3-8**] which showed severe three vessel
disease with instent restenosis of the LAD. Based on those
results, he was referred for cardiac surgical intervention

MEDICAL HISTORY: CAD - s/p PCI, stenting, and brachytherapy
HTN
DM2
Hypercholesterolemia
Osteoarthritis
GERD
Depression
s/p Chole

MEDICATION ON ADMISSION: Metformin 1000 qhs, prilosec 20 qd, lisinopril 5 qd, zoloft 50
qd, atenolol 25 qd, zocor 20 qd, plavix 75 qd, aspirin 325 qd,
folate, HCTz 25 qd, Glucosamine, Glimepride 4 qd

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Vitals: BP 116/70, HR 65, RR 22
General: well developed male in no acute distress
HEENT: oropharynx benign,
Neck: supple, no JVD,
Heart: regular rate, normal s1s2, no murmur or rub
Lungs: clear bilaterally
Abdomen: soft, nontender, normoactive bowel sounds
Ext: warm, no edema, no varicosities
Pulses: 2+ distally
Neuro: alert and oriented, nonfocal

FAMILY HISTORY: Father diagnosed with CAD in his 30's, died at age 60.

SOCIAL HISTORY: 30 pack year history of tobacco. Denies excessive ETOH. He is a
truck driver. Lives with his wife.
Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Other and unspecified angina pectoris,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux,Pure hypercholesterolemia
Crnry athrscl natve vssl,Comp-oth cardiac device,Angina pectoris NEC/NOS,Hypertension NOS,DMII wo cmp nt st uncntr,Esophageal reflux,Pure hypercholesterolem
Admission Date:  [**2155-4-17**]              Discharge Date:   [**2155-4-20**]

Date of Birth:  [**2106-10-7**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
Recurrent angina

Major Surgical or Invasive Procedure:
[**2155-4-17**] Two Vessel CABG(Lima to LAD, vein graft to PDA)

History of Present Illness:
This is a 48 year old male with known CAD. He has undergone
multiple PCI/stenting in the past. Despite medical therapy and
previous PCI, he continues to experience recurrent angina.
Further workup included a positive ETT and cardiac
catheterization in [**2155-3-8**] which showed severe three vessel
disease with instent restenosis of the LAD. Based on those
results, he was referred for cardiac surgical intervention

Past Medical History:
CAD - s/p PCI, stenting, and brachytherapy
HTN
DM2
Hypercholesterolemia
Osteoarthritis
GERD
Depression
s/p Chole

Social History:
30 pack year history of tobacco. Denies excessive ETOH. He is a
truck driver. Lives with his wife.


Family History:
Father diagnosed with CAD in his 30's, died at age 60.

Physical Exam:
Vitals: BP 116/70, HR 65, RR 22
General: well developed male in no acute distress
HEENT: oropharynx benign,
Neck: supple, no JVD,
Heart: regular rate, normal s1s2, no murmur or rub
Lungs: clear bilaterally
Abdomen: soft, nontender, normoactive bowel sounds
Ext: warm, no edema, no varicosities
Pulses: 2+ distally
Neuro: alert and oriented, nonfocal


Pertinent Results:
[**2155-4-19**] 05:35AM BLOOD WBC-10.6 RBC-2.94* Hgb-8.8* Hct-25.2*
MCV-86 MCH-30.0 MCHC-35.0 RDW-15.8* Plt Ct-117*
[**2155-4-19**] 05:35AM BLOOD Glucose-183* UreaN-13 Creat-0.8 Na-137
K-4.2 Cl-102 HCO3-26 AnGap-13

Brief Hospital Course:
Mr. [**Known lastname 15540**] was admitted and underwent coronary artery bypass
grafting by Dr. [**Last Name (STitle) **]. The operation was uneventful and he was
brought to the CSRU for invasive monitoring. Within 24 hours, he
awoke neurologically intact and was extubated. He maintained
stable hemodynamics and transferred to the SDU on postoperative
day one. Most of his preoperative medications were resumed. He
remained in a normal sinus rhythm. All chest tubes and pacing
wires were removed without complication. He was noted to have on
postop anemia and thrombocytopenia. He remained asymptomatic
despite his anemia and continued to maintain good hemodynamics.
Over several days, he made clinical improvements and made
excellent progress with physical therapy. He was medically
cleared for discharge on postoperative day three. He was
instructed to follow up with his cardiologist in [**1-10**] weeks with
follow up with Dr. [**Last Name (STitle) **] in 4 weeks.

Medications on Admission:
Metformin 1000 qhs, prilosec 20 qd, lisinopril 5 qd, zoloft 50
qd, atenolol 25 qd, zocor 20 qd, plavix 75 qd, aspirin 325 qd,
folate, HCTz 25 qd, Glucosamine, Glimepride 4 qd

Discharge Medications:
1. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
2. Metformin 1,000 mg Tab,Sust Rel Osmotic Push 24HR Sig: One
(1) Tab,Sust Rel Osmotic Push 24HR PO once a day.
3. Prilosec 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO once a day.
4. Sertraline 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

5. Simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
6. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
7. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO once a day.
8. Furosemide 20 mg Tablet Sig: One (1) Tablet PO daily for 5
days.
Disp:*10 Tablet(s)* Refills:*0*
9. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day) for 15 days.
Disp:*30 Capsule(s)* Refills:*0*
10. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
11. Glimepiride 4 mg Tablet Sig: One (1) Tablet PO once a day.
12. Glucosamine 1,000 mg Tablet Sig: One (1) Tablet PO once a
day.
13. Lopressor 50 mg Tablet Sig: One (1) Tablet PO twice a day.
Disp:*60 Tablet(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
CAD s/p CABG
Postop anemia and thrombocytopenia
HTN
DM2
Hypercholesterolemia
Osteoarthritis
GERD
Depression


Discharge Condition:
Good


Discharge Instructions:
No driving until approved by Dr. [**Last Name (STitle) **] and no longer taking
narcotics.
You may shower--blot dry any incisions.
Do not lift anything heavier than a gallon of milk for 1 month.

Followup Instructions:
Please call Dr.[**Name (NI) 3502**] office to schedule a follow-up
appointment.
Please follow up with Drs. [**Last Name (STitle) 12982**] and [**Name5 (PTitle) 11493**], [**Name5 (PTitle) 138**] for appts.



Completed by:[**2155-5-7**]
{'Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Other and unspecified angina pectoris,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux,Pure hypercholesterolemia'}


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: Recurrent angina

PRESENT ILLNESS: This is a 48 year old male with known CAD. He has undergone
multiple PCI/stenting in the past. Despite medical therapy and
previous PCI, he continues to experience recurrent angina.
Further workup included a positive ETT and cardiac
catheterization in [**2155-3-8**] which showed severe three vessel
disease with instent restenosis of the LAD. Based on those
results, he was referred for cardiac surgical intervention

MEDICAL HISTORY: CAD - s/p PCI, stenting, and brachytherapy
HTN
DM2
Hypercholesterolemia
Osteoarthritis
GERD
Depression
s/p Chole

MEDICATION ON ADMISSION: Metformin 1000 qhs, prilosec 20 qd, lisinopril 5 qd, zoloft 50
qd, atenolol 25 qd, zocor 20 qd, plavix 75 qd, aspirin 325 qd,
folate, HCTz 25 qd, Glucosamine, Glimepride 4 qd

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Vitals: BP 116/70, HR 65, RR 22
General: well developed male in no acute distress
HEENT: oropharynx benign,
Neck: supple, no JVD,
Heart: regular rate, normal s1s2, no murmur or rub
Lungs: clear bilaterally
Abdomen: soft, nontender, normoactive bowel sounds
Ext: warm, no edema, no varicosities
Pulses: 2+ distally
Neuro: alert and oriented, nonfocal

FAMILY HISTORY: Father diagnosed with CAD in his 30's, died at age 60.

SOCIAL HISTORY: 30 pack year history of tobacco. Denies excessive ETOH. He is a
truck driver. Lives with his wife. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Other and unspecified angina pectoris,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux,Pure hypercholesterolemia'}
