CHIEF COMPLAINT: Increased shortness of breath with exertion
and occasional chest discomfort.

PRESENT ILLNESS: The patient is a 75-year-old
male with a history of coronary artery disease since [**2184**].
He has been on medical treatment since then.  He developed
congestive heart failure in the Summer of [**2192**] with increased
fatigue and increased shortness of breath on exertion.  He
also developed atrial fibrillation for which he was
cardioverted times two, both of which failed.  He was then
radioablated with repeat catheterization in [**4-9**].  He also
had a positive exercise tolerance test in [**4-9**].

MEDICAL HISTORY: 1) Coronary artery disease.  2)
Rheumatic fever at age 12.  3) Paroxysmal atrial
fibrillation, status post cardioversion times two, status
post ablation.  4) Lower back pain.  5) Osteoarthritis
bilateral hips.  6) Emphysema on Theophylline.  7) Congestive
heart failure.  8) Hypertension.

MEDICATION ON ADMISSION: 

ALLERGIES: None known.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other primary cardiomyopathies,Atrial fibrillation,Congestive heart failure, unspecified,Other emphysema,Unspecified essential hypertension,Constipation, unspecified,Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh,Personal history of unspecified circulatory disease
Crnry athrscl natve vssl,Prim cardiomyopathy NEC,Atrial fibrillation,CHF NOS,Emphysema NEC,Hypertension NOS,Constipation NOS,Loc osteoarth NOS-pelvis,Hx-circulatory dis NOS
Admission Date:  [**2193-5-24**]     Discharge Date:  [**2193-5-29**]

Date of Birth:   [**2117-8-12**]     Sex:  M

Service:

CHIEF COMPLAINT:  Increased shortness of breath with exertion
and occasional chest discomfort.

HISTORY OF PRESENT ILLNESS:  The patient is a 75-year-old
male with a history of coronary artery disease since [**2184**].
He has been on medical treatment since then.  He developed
congestive heart failure in the Summer of [**2192**] with increased
fatigue and increased shortness of breath on exertion.  He
also developed atrial fibrillation for which he was
cardioverted times two, both of which failed.  He was then
radioablated with repeat catheterization in [**4-9**].  He also
had a positive exercise tolerance test in [**4-9**].

PAST MEDICAL HISTORY:  1) Coronary artery disease.  2)
Rheumatic fever at age 12.  3) Paroxysmal atrial
fibrillation, status post cardioversion times two, status
post ablation.  4) Lower back pain.  5) Osteoarthritis
bilateral hips.  6) Emphysema on Theophylline.  7) Congestive
heart failure.  8) Hypertension.

PAST SURGICAL HISTORY:  Status post appendectomy, status post
tonsillectomy.

MEDICATIONS:  On admission, Coumadin discontinued [**5-10**],
Zestril 10 mg q d, Atenolol 25 mg q d, Maxzide 37.5 mg q d,
ASA 81 mg q d, MVI, Theophylline 300 mg q d.

ALLERGIES:  None known.

HOSPITAL COURSE:  The patient underwent an elective coronary
artery bypass graft times one on [**2193-5-24**].  His intraoperative
course was uneventful and he was transferred to the CSRU.  He
was extubated on the same day.  He recovered well in the CSRU
though he needed Neo-Synephrine for blood pressure control on
postoperative day #1.  On postoperative day #2 he was weaned
off the Neo-Synephrine and his chest tubes were discontinued.
He was transferred to the regular floor on postoperative day
#2 in a stable condition.  On postoperative day #3 he
developed atrial fibrillation which was treated with IV
Lopressor.  He reverted back to sinus rhythm with a small
dose of IV Lopressor.  He was started on po Amiodarone.  He
remained in sinus rhythm and he is ready for discharge on
postoperative day #5.

DISCHARGE MEDICATIONS:  Lopressor 25 mg [**Hospital1 **], Lasix 20 mg q d
times one week, KCL 20 mEq q d times one week, Colace 100 mg
[**Hospital1 **], Aspirin enteric coated 325 mg q d, Plavix 75 mg q d,
Theodur 300 mg q d, Amiodarone 400 mg q d times one month,
Percocet 1-2 tablets q 4-6 hours prn.

DISCHARGE STATUS:  To home.

FO[**Last Name (STitle) **]P:  With primary care physician, [**Last Name (NamePattern4) **]. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **]
in two weeks and with Dr. [**Last Name (Prefixes) **] in four weeks.




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

Dictated By:[**Last Name (NamePattern1) 2209**]

MEDQUIST36

D:  [**2193-5-28**]  19:54
T:  [**2193-5-28**]  20:57
JOB#:  [**Job Number 42528**]
{'Coronary atherosclerosis of native coronary artery,Other primary cardiomyopathies,Atrial fibrillation,Congestive heart failure, unspecified,Other emphysema,Unspecified essential hypertension,Constipation, unspecified,Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh,Personal history of unspecified circulatory disease'}


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: Increased shortness of breath with exertion
and occasional chest discomfort.

PRESENT ILLNESS: The patient is a 75-year-old
male with a history of coronary artery disease since [**2184**].
He has been on medical treatment since then.  He developed
congestive heart failure in the Summer of [**2192**] with increased
fatigue and increased shortness of breath on exertion.  He
also developed atrial fibrillation for which he was
cardioverted times two, both of which failed.  He was then
radioablated with repeat catheterization in [**4-9**].  He also
had a positive exercise tolerance test in [**4-9**].

MEDICAL HISTORY: 1) Coronary artery disease.  2)
Rheumatic fever at age 12.  3) Paroxysmal atrial
fibrillation, status post cardioversion times two, status
post ablation.  4) Lower back pain.  5) Osteoarthritis
bilateral hips.  6) Emphysema on Theophylline.  7) Congestive
heart failure.  8) Hypertension.

MEDICATION ON ADMISSION: 

ALLERGIES: None known.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other primary cardiomyopathies,Atrial fibrillation,Congestive heart failure, unspecified,Other emphysema,Unspecified essential hypertension,Constipation, unspecified,Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh,Personal history of unspecified circulatory disease'}
