CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 62-year-old
male who on [**2173-10-28**], underwent coronary artery
bypass grafting times three with LIMA to left anterior
descending, and saphenous vein graft to OM and posterior
descending artery.  Ejection fraction was 40%.

MEDICAL HISTORY: Hypertension.  Smoking.
Hypercholesterolemia.  Diabetes.  He also has a history of
deep venous thrombosis.

MEDICATION ON ADMISSION: Glucophage 500 mg p.o. b.i.d.
Hydrochlorothiazide 25 mg p.o. q.d.
Naproxen 50 mg p.o. b.i.d.
Glyburide 5 mg p.o. b.i.d.
Allopurinol 150 mg p.o. q.d.
Metoprolol 75 mg p.o. b.i.d.
Lescol 40 mg p.o. q.d.
Isosorbide dinitrate 30 mg p.o. t.i.d.
Ranitidine 150 mg p.o. h.s.
Nitroglycerin 0.4 mg p.o.
Aspirin 81 mg p.o. q.d.

ALLERGIES: There were no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder
Crnry athrscl natve vssl,Intermed coronary synd,Surg compl-heart,Atrial fibrillation,DMII wo cmp nt st uncntr,Hypertension NOS,Pure hypercholesterolem,Tobacco use disorder
Admission Date:  [**2173-10-27**]       Discharge Date:  [**2173-11-2**]

Date of Birth:   [**2111-6-3**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 62-year-old
male who on [**2173-10-28**], underwent coronary artery
bypass grafting times three with LIMA to left anterior
descending, and saphenous vein graft to OM and posterior
descending artery.  Ejection fraction was 40%.

PAST MEDICAL HISTORY:  Hypertension.  Smoking.
Hypercholesterolemia.  Diabetes.  He also has a history of
deep venous thrombosis.

HOSPITAL COURSE:  Postoperatively the patient did well.  The
patient was discharged home on postoperative day #5, on
[**2173-11-2**].  The only postoperative complication was
atrial fibrillation for which the patient was treated with
Lopressor and Amiodarone.  Upon discharge, the patient's
ambulatory status was status 3.

DISCHARGE MEDICATIONS:  Coumadin 3 mg p.o. q.d., Captopril
6.25 mg p.o. t.i.d., Lescol 40 mg p.o. q.d., Amiodarone 400
mg p.o. t.i.d. x 1 week, then 400 mg p.o. b.i.d. x 1 week,
then 400 mg p.o. q.d., Aspirin 81 mg p.o. q.d., Percocet [**2-2**]
tab p.o. q.4-6 hours p.r.n., Glyburide 5 mg b.i.d.,
Glucophage 1000 mg p.o. b.i.d., Ranitidine 150 mg p.o. q.d.,
Isosorbide Dinitrate 10 mg p.o. q.d., Allopurinol 300 mg
q.h.s., Naproxen 500 mg p.o. q.d., Hydrochlorothiazide 25 mg
q.h.s.

DISPOSITION:  The patient is to be discharged home with
visiting nursing care.

FOLLOW-UP:  The patient was told to have PT and INR checked
on Wednesday, and the result will be called by visiting
nursing care to the patient's primary care physician.




                            [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

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

D:  [**2173-11-2**]  07:48
T:  [**2173-11-2**]  08:02
JOB#:  [**Job Number 39284**]


Name:  [**Known lastname 7095**], [**Known firstname 126**]                      Unit No:  [**Numeric Identifier 7096**]

Admission Date:  [**2173-10-27**]     Discharge Date:  [**2173-11-2**]

Date of Birth:   [**2111-6-3**]     Sex:  M

Service:  CT [**Doctor First Name 1379**]

HISTORY OF PRESENT ILLNESS:  The patient is a 62-year-old
male who reported a one month history of exertional chest
pressure, now increasing in frequency and occurring at rest.
This was relieved with sublingual nitroglycerin or with rest.

PAST MEDICAL HISTORY:  The past medical history included a
percutaneous transluminal coronary angioplasty in [**2163**]
complicated by a groin thrombus per the patient, hemorrhoids,
in [**2160**] a fracture ankle complicated by deep vein thrombosis,
degenerative disc disease, left shoulder tendinitis, in [**2166**]
left carpal tunnel release, in [**2166**] appendectomy and
degenerative arthritis.

ALLERGIES:  There were no known drug allergies.

MEDICATIONS ON ADMISSION:
Glucophage 500 mg p.o. b.i.d.
Hydrochlorothiazide 25 mg p.o. q.d.
Naproxen 50 mg p.o. b.i.d.
Glyburide 5 mg p.o. b.i.d.
Allopurinol 150 mg p.o. q.d.
Metoprolol 75 mg p.o. b.i.d.
Lescol 40 mg p.o. q.d.
Isosorbide dinitrate 30 mg p.o. t.i.d.
Ranitidine 150 mg p.o. h.s.
Nitroglycerin 0.4 mg p.o.
Aspirin 81 mg p.o. q.d.

HOSPITAL COURSE:  The cardiac catheterization report showed
left ventricular hypertrophy, mitral regurgitation, left
ventricular ejection fraction of 40%.  Coronary angiography
showed a right dominant system with a left main coronary
artery of 50%, mid obtuse marginal arteries each with 80%
stenosis, left anterior descending artery of 40%, left
circumflex coronary artery of 90% and right coronary artery
with right to right and left to right collaterals.

The patient was advised to have a coronary artery bypass
grafting and was subsequently taken to the operating room by
Dr. [**Last Name (STitle) **] on [**2173-10-28**].  Postoperatively, the patient did
well.  The chest tube was pulled without any incident.  The
Foley catheter was discontinued and the patient was
transferred to the floor.

The patient's postoperative course was complicated by one
episode of atrial fibrillation, which lasted for several
hours.  The patient was able to revert to normal sinus rhythm
with some Lopressor.  It was deemed that Coumadin would not
be necessary, since the patient was only in atrial
fibrillation for a short period of time.  The patient was
discharged on [**2173-11-2**].

DISCHARGE MEDICATIONS:
Captopril.
Lescol 40 mg p.o. q.d.
Amiodarone 400 mg p.o. t.i.d. times one week, then 400 mg
p.o. b.i.d. times one week, then 400 mg p.o. q.d.
Lopressor 100 mg p.o. b.i.d.
Plavix 75 mg p.o. q.d.
Aspirin 81 mg p.o. q.d.
Percocet one to two tablets p.o. every four to six hours
p.r.n.
Glyburide 1000 mg p.o. b.i.d.
Ranitidine 150 mg p.o. q.d.
Allopurinol 300 mg p.o. h.s.

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

DISPOSITION:  It was arranged for the patient to have
[**Hospital6 1346**] services at home.




                          [**First Name11 (Name Pattern1) 63**] [**Last Name (NamePattern4) 1508**], M.D.  [**MD Number(1) 1509**]

Dictated By:[**Name8 (MD) 5162**]

MEDQUIST36

D:  [**2173-11-2**]  10:00
T:  [**2173-11-2**]  10:49
JOB#:  [**Job Number 7097**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder'}


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 62-year-old
male who on [**2173-10-28**], underwent coronary artery
bypass grafting times three with LIMA to left anterior
descending, and saphenous vein graft to OM and posterior
descending artery.  Ejection fraction was 40%.

MEDICAL HISTORY: Hypertension.  Smoking.
Hypercholesterolemia.  Diabetes.  He also has a history of
deep venous thrombosis.

MEDICATION ON ADMISSION: Glucophage 500 mg p.o. b.i.d.
Hydrochlorothiazide 25 mg p.o. q.d.
Naproxen 50 mg p.o. b.i.d.
Glyburide 5 mg p.o. b.i.d.
Allopurinol 150 mg p.o. q.d.
Metoprolol 75 mg p.o. b.i.d.
Lescol 40 mg p.o. q.d.
Isosorbide dinitrate 30 mg p.o. t.i.d.
Ranitidine 150 mg p.o. h.s.
Nitroglycerin 0.4 mg p.o.
Aspirin 81 mg p.o. q.d.

ALLERGIES: There were no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder'}
