CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 49-year-old man
status post silent myocardial infarction and cardiac
catheterization in [**2106**], showing an occluded right coronary
artery.  Percutaneous transluminal coronary angioplasty was
attempted in [**2107-11-7**] and showed 60% stenosis and 100%
left circumflex occlusion.  Percutaneous transluminal
coronary angioplasty was unsuccessful.  The patient was then
treated medically.  He felt weak and some discomfort in his
chest a week prior to his presentation.  He presented to [**Hospital6 14475**] for evaluation, had a cardiac
catheterization which showed 70% left main occlusion, 100%
left anterior descending occlusion, and no occlusion in the
right coronary artery.  Angioplasty was unsuccessful.  The
patient was transferred to [**Hospital1 188**] for further evaluation and management.

MEDICAL HISTORY: 1.  Coronary artery disease status post myocardial
infarction, [**8-/2106**]
2.  Hyperlipidemia
3.  Gastroesophageal reflux disease
4.  Depression

MEDICATION ON ADMISSION: Toprol XL 50 mg twice a day, Imdur
30 mg once daily, vitamin B12 500 mg once daily, vitamin B6
100 mg once daily, Lipitor 20 mg daily at bedtime, folic acid
800 mg once daily, Altace 2.5 mg once daily, multivitamin
once daily, enteric-coated aspirin 81 mg once daily,
nitroglycerin .4 mg sublingually as needed, Prilosec 20 mg
daily at bedtime, Ambien 5 mg daily at bedtime as needed,
Niaspan 1000 mg daily at bedtime.

ALLERGIES: No known drug allergies

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other and unspecified hyperlipidemia,Esophageal reflux,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of tobacco use,Family history of ischemic heart disease
Crnry athrscl natve vssl,Hyperlipidemia NEC/NOS,Esophageal reflux,Depressive disorder NEC,Old myocardial infarct,History of tobacco use,Fam hx-ischem heart dis
Admission Date:  [**2108-9-4**]       Discharge Date:  [**2108-9-10**]

Date of Birth:   [**2059-4-11**]       Sex:  M

Service:  CARDIOTHORACIC SURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 49-year-old man
status post silent myocardial infarction and cardiac
catheterization in [**2106**], showing an occluded right coronary
artery.  Percutaneous transluminal coronary angioplasty was
attempted in [**2107-11-7**] and showed 60% stenosis and 100%
left circumflex occlusion.  Percutaneous transluminal
coronary angioplasty was unsuccessful.  The patient was then
treated medically.  He felt weak and some discomfort in his
chest a week prior to his presentation.  He presented to [**Hospital6 14475**] for evaluation, had a cardiac
catheterization which showed 70% left main occlusion, 100%
left anterior descending occlusion, and no occlusion in the
right coronary artery.  Angioplasty was unsuccessful.  The
patient was transferred to [**Hospital1 188**] for further evaluation and management.

PAST MEDICAL HISTORY:
1.  Coronary artery disease status post myocardial
infarction, [**8-/2106**]
2.  Hyperlipidemia
3.  Gastroesophageal reflux disease
4.  Depression

PAST SURGICAL HISTORY:  Bilateral carpal tunnel ten years
ago, laparoscopic knee surgery in the distant past.

ALLERGIES:  No known drug allergies

MEDICATIONS ON ADMISSION:  Toprol XL 50 mg twice a day, Imdur
30 mg once daily, vitamin B12 500 mg once daily, vitamin B6
100 mg once daily, Lipitor 20 mg daily at bedtime, folic acid
800 mg once daily, Altace 2.5 mg once daily, multivitamin
once daily, enteric-coated aspirin 81 mg once daily,
nitroglycerin .4 mg sublingually as needed, Prilosec 20 mg
daily at bedtime, Ambien 5 mg daily at bedtime as needed,
Niaspan 1000 mg daily at bedtime.

PHYSICAL EXAMINATION:  The patient was alert and oriented, in
no acute distress.  Cardiovascular:  Regular rate and rhythm.
Respiratory:  Clear to auscultation bilaterally.  Abdomen:
Soft, nontender, nondistended, bowel sounds positive.
Extremities:  Trace edema, no varicose veins, pulses palpable
bilaterally.

LABORATORY DATA:   White blood cells 6.8, hematocrit 42.4,
platelets 249.  PT 14.8, PTT 25.2, INR 1.5.  Sodium 141,
potassium 4.7, chloride 102, bicarbonate 29, BUN 17,
creatinine 1.0, glucose 107.  ALT 32, AST 26, LDH 206,
alkaline phosphatase 64, total bilirubin .4.  Calcium 8.3,
magnesium 1.9.

HOSPITAL COURSE:  The patient was taken to the operating room
on [**2108-9-5**].  Coronary artery bypass graft x 3 was
performed, with left internal mammary artery to the left
anterior descending, saphenous vein graft to posterior
descending artery and obtuse marginal sequentially.  The
operation went without complications, and the patient was
transferred in stable condition to the CSRU.  The patient was
successfully weaned off the ventilator and extubated on the
day of surgery.

On postoperative day number one, the patient was transferred
to a regular floor in stable condition.  On postoperative day
number two, the patient's chest tube was removed without
complications.  His Foley was removed.  The patient was
ambulating and going for usual cardiac rehabilitation.  On
postoperative day number three, the patient remained stable,
continued cardiac rehabilitation and ambulation.

CONDITION ON DISCHARGE:  Good

DISCHARGE STATUS:  Discharged home.

DI[**Last Name (STitle) 408**]E INSTRUCTIONS:  The patient should follow up with
Dr. [**Last Name (Prefixes) **] for postoperative check in one month.

DISCHARGE MEDICATIONS:  Lasix 20 mg by mouth every 12 hours
for five days, potassium chloride 20 mEq by mouth every 12
hours for five days, enteric-coated aspirin 325 mg once
daily, Tylenol 650 mg every four hours as needed, ibuprofen
400 mg every six hours as needed, Plavix 75 mg by mouth once
daily for three months, Lopressor 7.5 mg by mouth twice a
day, Lipitor 20 mg by mouth daily at bedtime, Prilosec 20 mg
by mouth daily at bedtime, Ambien 5 mg by mouth daily at
bedtime.

DISCHARGE DIAGNOSIS:
1.  Coronary artery disease status post myocardial
infarction, status post coronary artery bypass graft x 3
2.  Hypercholesterolemia
3.  Gastroesophageal reflux disease
4.  Depression




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

Dictated By:[**Last Name (NamePattern4) 33884**]
MEDQUIST36

D:  [**2108-9-8**]  20:27
T:  [**2108-9-9**]  00:00
JOB#:  [**Job Number 36494**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified hyperlipidemia,Esophageal reflux,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of tobacco use,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: The patient is a 49-year-old man
status post silent myocardial infarction and cardiac
catheterization in [**2106**], showing an occluded right coronary
artery.  Percutaneous transluminal coronary angioplasty was
attempted in [**2107-11-7**] and showed 60% stenosis and 100%
left circumflex occlusion.  Percutaneous transluminal
coronary angioplasty was unsuccessful.  The patient was then
treated medically.  He felt weak and some discomfort in his
chest a week prior to his presentation.  He presented to [**Hospital6 14475**] for evaluation, had a cardiac
catheterization which showed 70% left main occlusion, 100%
left anterior descending occlusion, and no occlusion in the
right coronary artery.  Angioplasty was unsuccessful.  The
patient was transferred to [**Hospital1 188**] for further evaluation and management.

MEDICAL HISTORY: 1.  Coronary artery disease status post myocardial
infarction, [**8-/2106**]
2.  Hyperlipidemia
3.  Gastroesophageal reflux disease
4.  Depression

MEDICATION ON ADMISSION: Toprol XL 50 mg twice a day, Imdur
30 mg once daily, vitamin B12 500 mg once daily, vitamin B6
100 mg once daily, Lipitor 20 mg daily at bedtime, folic acid
800 mg once daily, Altace 2.5 mg once daily, multivitamin
once daily, enteric-coated aspirin 81 mg once daily,
nitroglycerin .4 mg sublingually as needed, Prilosec 20 mg
daily at bedtime, Ambien 5 mg daily at bedtime as needed,
Niaspan 1000 mg daily at bedtime.

ALLERGIES: No known drug allergies

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified hyperlipidemia,Esophageal reflux,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of tobacco use,Family history of ischemic heart disease'}
