CHIEF COMPLAINT: 

PRESENT ILLNESS: Ms. [**Known lastname **] is a 49-year-old
female with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty/stent of a
proximal circumflex lesion in [**2135-6-25**].  The patient was
admitted to [**Hospital6 256**] on [**7-25**] for
cardiac catheterization due to recurrent chest pain.  Cardiac
catheterization showed a 90% LAD lesion at the origin from
the OM, 30% circumflex lesion, chronically occluded PDA with
a normal ejection fraction.

MEDICAL HISTORY: 1.  Coronary artery disease
2.  Status post percutaneous transluminal coronary
angioplasty/stent [**6-/2135**]
3.  Elevated cholesterol
4.  Status post surgical removal of fibroids

MEDICATION ON ADMISSION: 

ALLERGIES: 1.  NIFEDIPINE
2.  SHELLFISH

PHYSICAL EXAM: GENERAL:  This is a 49-year-old female in no apparent
distress.  The patient is alert and oriented x3.
VITAL SIGNS:  Pulse 115, regular rate and rhythm.  Blood
pressure right arm 167/106, left arm 184/108, room air oxygen
saturation 100%.
HEART:  Regular rate and rhythm without rub or murmur.
LUNGS:  Clear bilaterally.

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Percutaneous transluminal coronary angioplasty status,Family history of ischemic heart disease
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Hypertension NOS,Pure hypercholesterolem,Status-post ptca,Fam hx-ischem heart dis
Admission Date:  [**2136-7-25**]       Discharge Date:  [**2136-8-1**]

Date of Birth:   [**2087-5-17**]       Sex:  F

Service:  CARDIAC SURGERY

HISTORY OF PRESENT ILLNESS:  Ms. [**Known lastname **] is a 49-year-old
female with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty/stent of a
proximal circumflex lesion in [**2135-6-25**].  The patient was
admitted to [**Hospital6 256**] on [**7-25**] for
cardiac catheterization due to recurrent chest pain.  Cardiac
catheterization showed a 90% LAD lesion at the origin from
the OM, 30% circumflex lesion, chronically occluded PDA with
a normal ejection fraction.

PAST MEDICAL HISTORY:
1.  Coronary artery disease
2.  Status post percutaneous transluminal coronary
angioplasty/stent [**6-/2135**]
3.  Elevated cholesterol
4.  Status post surgical removal of fibroids

ALLERGIES:
1.  NIFEDIPINE
2.  SHELLFISH

MEDICATIONS:
1.  Aspirin 325 mg po q day
2.  Verapamil SR 240 mg po q day
3.  Lipitor 10 mg po q hs
4.  Vitamins

PHYSICAL EXAM:
GENERAL:  This is a 49-year-old female in no apparent
distress.  The patient is alert and oriented x3.
VITAL SIGNS:  Pulse 115, regular rate and rhythm.  Blood
pressure right arm 167/106, left arm 184/108, room air oxygen
saturation 100%.
HEART:  Regular rate and rhythm without rub or murmur.
LUNGS:  Clear bilaterally.

LABS:  Hematocrit 37, platelet count 291.  BUN 12, creatinine
0.8, potassium 6.7.  White blood cell count 6.8.

IMAGING:  Electrocardiogram with sinus rhythm, rate of 76,
nonspecific ST-T wave changes, no change since previous
electrocardiogram.

HO[**Last Name (STitle) **] COURSE:  The patient was admitted to [**Hospital1 **] Hospital following her cardiac catheterization.
Decision was made with cardiology and cardiac surgery that
the high grade stenosis of the proximal LAD was not amenable
to an interventional procedure.  The patient was taken to the
Operating Room by Dr. [**Last Name (Prefixes) **] on [**7-27**] for an off
pump coronary artery bypass graft x1, left internal mammary
artery to LAD.  The patient was transferred to the Intensive
Care Unit in stable condition.  The patient was weaned and
extubated on her first postoperative night.  The patient was
started on Plavix on postoperative day #1.  The patient
remained in the unit on postoperative day #1 for control of
her blood pressure, requiring intravenous sodium
nitroprusside and nitroglycerin infusion which were weaned to
off by postoperative day #2.  The patient was transferred to
the floor.

The patient remained hemodynamically stable with an
occasionally elevated blood pressure, titrating up on
antihypertensives on postoperative days #3 and #4.  The
patient required extra encouragement to increase her physical
therapy level on postoperative day #4.  The patient completed
physical therapy level 5, ambulating 500 feet and climbing
one flight of stairs, remaining stable the entire time.  The
patient was cleared for discharge on postoperative day #5.

DISCHARGE CONDITION:  T-max 98.0??????, pulse 90 sinus rhythm,
blood pressure 140/95, room air saturation 98%, respiratory
rate 15, weight 74.5 kg.  Neurologically, the patient is
alert and oriented x3.  Cardiovascular regular rate and
rhythm without rub or murmur.  Respiratory:  Breath sounds
are clear bilaterally.  Gastrointestinal:  Positive bowel
sounds.  Abdomen:  Soft, nontender, nondistended.  The
patient is tolerating regular diet.  Extremities:  Without
edema.  Incision is clean and dry.  Steri-Strips are intact.
There is no drainage or erythema.  Sternum is stable.

Laboratory data from 8.5:  White blood cell count 13.5,
hematocrit 31.6, platelet count 211.  Sodium 139, potassium
4.3, chloride 102, bicarbonate 25, BUN 7, creatinine 0.8,
glucose 92.

The patient is to be discharged to home on postoperative day
#5 in stable condition.

DISCHARGE DIAGNOSES:
1.  Status post coronary artery bypass graft x1
2.  Coronary artery disease
3.  Hypertension
4.  Elevated cholesterol
5.  Status post surgical removal of fibroids

DISCHARGE MEDICATIONS:
1.  Aspirin 325 mg po q day
2.  Ibuprofen 600 mg po q6h prn
3.  Plavix 75 mg po q day x3 months
4.  Lopressor 100 mg po bid
5.  Captopril 25 mg po tid
6.  Percocet 1 to 2 q4h prn
7.  Lipitor 10 mg po q hs




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

Dictated By:[**Last Name (NamePattern1) 35122**]
MEDQUIST36

D:  [**2136-8-1**]  10:24
T:  [**2136-8-1**]  11:24
JOB#:  [**Job Number 105867**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Percutaneous transluminal coronary angioplasty status,Family history of ischemic heart 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: 

PRESENT ILLNESS: Ms. [**Known lastname **] is a 49-year-old
female with a history of coronary artery disease, status post
percutaneous transluminal coronary angioplasty/stent of a
proximal circumflex lesion in [**2135-6-25**].  The patient was
admitted to [**Hospital6 256**] on [**7-25**] for
cardiac catheterization due to recurrent chest pain.  Cardiac
catheterization showed a 90% LAD lesion at the origin from
the OM, 30% circumflex lesion, chronically occluded PDA with
a normal ejection fraction.

MEDICAL HISTORY: 1.  Coronary artery disease
2.  Status post percutaneous transluminal coronary
angioplasty/stent [**6-/2135**]
3.  Elevated cholesterol
4.  Status post surgical removal of fibroids

MEDICATION ON ADMISSION: 

ALLERGIES: 1.  NIFEDIPINE
2.  SHELLFISH

PHYSICAL EXAM: GENERAL:  This is a 49-year-old female in no apparent
distress.  The patient is alert and oriented x3.
VITAL SIGNS:  Pulse 115, regular rate and rhythm.  Blood
pressure right arm 167/106, left arm 184/108, room air oxygen
saturation 100%.
HEART:  Regular rate and rhythm without rub or murmur.
LUNGS:  Clear bilaterally.

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Percutaneous transluminal coronary angioplasty status,Family history of ischemic heart disease'}
