CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 77-year-old
male with diabetes, angina, fatigue, left leg claudication,
hypertension and hypercholesterolemia.  He had a cardiac
catheterization that showed a left ventricular ejection
fraction of 45-50%, a left main coronary artery that was
moderately calcified, a left anterior descending artery that
was 90% proximally occluded, a left circumflex coronary
artery that was 90% occluded, a second obtuse marginal artery
that was 90% occluded and a right coronary artery that 80-90%
lesions.

MEDICAL HISTORY: The past medical history was
significant for noninsulin dependent diabetes, hypertension,
prostate carcinoma and hypercholesterolemia.

MEDICATION ON ADMISSION: Aspirin 81 mg p.o. q.d.
Glyburide 2.5 mg p.o. q.d.
Diltiazem 240 mg p.o. q.d.
Casodex 50 mg p.o. q.d.
Vitamins.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,DMII wo cmp nt st uncntr,Hypertension NOS
Admission Date:  [**2114-10-18**]       Discharge Date:  [**2114-10-23**]

Date of Birth:                    Sex:  M

Service:  CT SURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 77-year-old
male with diabetes, angina, fatigue, left leg claudication,
hypertension and hypercholesterolemia.  He had a cardiac
catheterization that showed a left ventricular ejection
fraction of 45-50%, a left main coronary artery that was
moderately calcified, a left anterior descending artery that
was 90% proximally occluded, a left circumflex coronary
artery that was 90% occluded, a second obtuse marginal artery
that was 90% occluded and a right coronary artery that 80-90%
lesions.

PAST MEDICAL HISTORY:  The past medical history was
significant for noninsulin dependent diabetes, hypertension,
prostate carcinoma and hypercholesterolemia.

MEDICATIONS ON ADMISSION:
Aspirin 81 mg p.o. q.d.
Glyburide 2.5 mg p.o. q.d.
Diltiazem 240 mg p.o. q.d.
Casodex 50 mg p.o. q.d.
Vitamins.

HOSPITAL COURSE:  The patient was taken by Dr. [**Last Name (STitle) 70**] to
the operating room on [**2114-10-18**] and underwent coronary
artery bypass graft times three with a left internal mammary
artery graft to the obtuse marginal artery, a saphenous vein
graft to the diagonal artery and a saphenous vein graft to
the posterior descending artery.  Postoperatively, he did
well.  He was extubated and weaned off drips in the intensive
care unit without any incident.

The patient was transferred to the floor.  The chest tube was
discontinued and the sternal wires were discontinued without
any incident.  The only complication was on postoperative day
#2, when the patient went into atrial fibrillation.  He was
treated with Lopressor for rate control and was started on
amiodarone.  Since then, the patient had been in normal sinus
rhythm.  Prior to discharge, the patient was ambulating,
working with the physical therapist and achieving level 3.

DISCHARGE MEDICATIONS:
Lopressor 12.5 mg p.o. b.i.d.
Lasix 20 mg p.o. b.i.d. times five days.
Potassium chloride 20 mEq p.o. b.i.d. times five days.
Aspirin 81 mg p.o. q.d.
Glyburide 2.5 mg p.o. q.d.
Casodex 50 mg p.o. q.d.
Amiodarone 400 mg p.o. t.i.d. times three days, then 400 mg
p.o. b.i.d. times one week, then 400 mg p.o. q.d.
Percocet one to two tablets p.o. every four to six hours
p.r.n.

FOLLOW UP:  The patient was told to follow up with Dr.
[**Last Name (STitle) 70**] in three to four weeks.

CONDITION ON DISCHARGE:  Upon discharge, the patient's vital
signs were stable and he was afebrile.  He was in normal
sinus rhythm.  His blood pressure was 137/61 and his heart
rate was 66.  The chest was clear to auscultation.  The heart
was a regular rate and normal sinus rhythm.  The incision was
clean, dry and intact with no pus or drainage.  The sternum
was stable.




                            [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 75**]

Dictated By:[**Name8 (MD) 186**]
MEDQUIST36

D:  [**2114-10-23**]  07:37
T:  [**2114-10-23**]  10:00
JOB#:  [**Job Number 36406**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,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: The patient is a 77-year-old
male with diabetes, angina, fatigue, left leg claudication,
hypertension and hypercholesterolemia.  He had a cardiac
catheterization that showed a left ventricular ejection
fraction of 45-50%, a left main coronary artery that was
moderately calcified, a left anterior descending artery that
was 90% proximally occluded, a left circumflex coronary
artery that was 90% occluded, a second obtuse marginal artery
that was 90% occluded and a right coronary artery that 80-90%
lesions.

MEDICAL HISTORY: The past medical history was
significant for noninsulin dependent diabetes, hypertension,
prostate carcinoma and hypercholesterolemia.

MEDICATION ON ADMISSION: Aspirin 81 mg p.o. q.d.
Glyburide 2.5 mg p.o. q.d.
Diltiazem 240 mg p.o. q.d.
Casodex 50 mg p.o. q.d.
Vitamins.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension'}
