CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is an 80 year-old male
with worsening dyspnea on exertion times one year.  His
symptoms resolved with Nitropaste.  Persantine exercise
Thallium test was negative.  Ejection fraction was estimated
to be 36 percent with global hypokinesis.  Catheterization
report showed a left main was patent, LAD 60 to 70 percent
proximally occluded, 90 percent mid occluded, circumflex
collateral to OM2 and LPL, RCA bridges collateral.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Accidental puncture or laceration during a procedure, not elsewhere classified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Tobacco use disorder,Family history of ischemic heart disease
Crnry athrscl natve vssl,Intermed coronary synd,Surg compl-heart,Atrial fibrillation,Accidental op laceration,Hypertension NOS,Hyperlipidemia NEC/NOS,Tobacco use disorder,Fam hx-ischem heart dis
Admission Date:  [**2199-9-16**]       Discharge Date:  [**2199-9-22**]


Service:  CARDIOTHORACIC

HISTORY OF PRESENT ILLNESS:  Patient is an 80 year-old male
with worsening dyspnea on exertion times one year.  His
symptoms resolved with Nitropaste.  Persantine exercise
Thallium test was negative.  Ejection fraction was estimated
to be 36 percent with global hypokinesis.  Catheterization
report showed a left main was patent, LAD 60 to 70 percent
proximally occluded, 90 percent mid occluded, circumflex
collateral to OM2 and LPL, RCA bridges collateral.

Patient underwent coronary artery bypass graft times three by
Dr. [**Last Name (STitle) 70**] on [**2199-9-17**] with LIMA to LAD, SVG to OM,
SVG to RPDA.  Postoperatively patient did well.  Patient was
extubated and weaned off all drips without incident.  Chest
tube was removed on postoperative day number three.  However,
patient's recovery course is complicated by postoperative
atrial fibrillation.  Patient was put on Amiodarone and was
initially rate controlled with Lopressor.  His vital signs
were stable and his heart rate was controlled and patient was
in sinus when transferred to the floor.  Patient essentially
had no other events and recovered well on the floor.  Patient
was ambulating at level three with assistance and discharge
medications includes Lopressor 12.5 mg p.o. b.i.d., aspirin
81 mg p.o. q. day, Lasix 20 mg p.o. b.i.d. times five days,
potassium chloride 20 mEq p.o. b.i.d. times five days,
Amiodarone 400 mg p.o. b.i.d. times four then switch to 400
mg p.o. q.d. and Percocet 1 to 2 tabs p.o. q. 4 to 6 h p.r.n.


The patient will be discharged to a rehabilitation facility
and upon discharge his physical condition was stable, vital
signs were stable, afebrile, and chest was clear.  Heart
regular rate and rhythm, normal sinus.  Incision was clean,
dry and intact, no drainage, no pus.  Sternum was stable.
Patient was told to follow up with Dr. [**Last Name (STitle) 70**] in three to
four weeks.




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

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

D:  [**2199-9-22**]  10:15
T:  [**2199-9-22**]  10:23
JOB#:  [**Job Number 17670**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Accidental puncture or laceration during a procedure, not elsewhere classified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Tobacco use disorder,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: Patient is an 80 year-old male
with worsening dyspnea on exertion times one year.  His
symptoms resolved with Nitropaste.  Persantine exercise
Thallium test was negative.  Ejection fraction was estimated
to be 36 percent with global hypokinesis.  Catheterization
report showed a left main was patent, LAD 60 to 70 percent
proximally occluded, 90 percent mid occluded, circumflex
collateral to OM2 and LPL, RCA bridges collateral.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Cardiac complications, not elsewhere classified,Atrial fibrillation,Accidental puncture or laceration during a procedure, not elsewhere classified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Tobacco use disorder,Family history of ischemic heart disease'}
