CHIEF COMPLAINT: weakness

PRESENT ILLNESS: 78 year old male with a history of coronary artery bypass
surgery [**39**] years ago, remote myocardial infarction, chronic
Atrial fibrillation, and Diabetes type 2 presented to outside
hospital with fatigue, weakness, cough and subjective fever.
The week prior he was admitted to an outside facility for
weakness which was thought to be secondary to inderal dosing.
The patient saw his outpatient cardiologist following discharge,
asked to wear a holter monitor which showed 3 second pauses.  He
was scheduled to return to Dr.[**Name (NI) 23188**] office this coming
Wednesday.
.
On the day of admission to [**Hospital3 417**] Hospital, the
patient's daughter found him lying on the floor, unable to stand
on his own.  He denies any LOC at that time.  His initial vital
signs were T 100.7, HR 102 (irregular) and BP 158/90.  He had a
CXR which showed evidence of a LUL opacity.  He was admitted for
suspected pneumonia.  He initially received levaquin and given
IV fluids.  As the patient became more wheezy on exam, a BNP was
checked found to be 405.  He was then treated with IV lasix X 1
(unclear dose).  He became more dyspneic and hypoxic, then
transferred to the ICU.  He was found to be in a rapid
ventricular rate with A fib, and treated with IV lopressor.  In
the ICU, a TTE showed an EF of 20-25% with severe global
hypokinesis, dilated LA, mild TR, and no other valvular
dysfunction.  CE's were sent and the initial set showed CK 353,
MB 20, Trop I 15.5, then repeat at 2 am CK 395, MB 55, Trop I
9.0, then prior to transfer was CK 1506, MB 299, Trop I 43.3.
He was given high dose aspirin, loaded with 600mg of plavix, and
put on IV heparin for transfer.  He was treated with IV
lopressor for his rapid rate.
.
The patient on arrival to [**Hospital1 18**], was asymptomatic.  He was
initially transferred to the cath lab for suspected cardiac
catheterization, but given his elevated INR, the decision was
made to postpone cardiac cath until the AM.

MEDICAL HISTORY: Coronary Artery Disease with histoy of myocardial infarction
[**2069**] and coronary artery bypass surgery [**2073**]
Diabetes Mellitus
Hypertension
Chronic atrial fibrillation and right bundle branch block
Acute on chronic renal failure
Transient ischemia attack [**2-8**]
Status post Cholecystectomy
Chronic thrombocytopenia

MEDICATION ON ADMISSION: Lasix 20mg daily, coumadin 2.5mg Tue, [**Last Name (un) **], Sat, Sun and 5mg on
Mon, Wed, Fri, Allopurinol 100mg daily, Propranolol 10mg QID,
Amlodipine 5mg daily, Glyburide 2.5mg daily, Aspirin 81mg daily

ALLERGIES: Penicillins

PHYSICAL EXAM: On dmission at CCU
VS: T= 99 BP=124/67 HR=97  RR=18  O2 sat= 97%
GENERAL: WDWN in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

FAMILY HISTORY: Multiple family members with CAD

SOCIAL HISTORY: Pt married, has 3 children, lives at home with his wife
-[**Name (NI) 1139**] history: quit smoking 40 years ago
-ETOH: none
-Illicit drugs: none
Subendocardial infarction, initial episode of care,Pneumonia, organism unspecified,Other complications due to other cardiac device, implant, and graft,Acute systolic heart failure,Acute kidney failure, unspecified,Hyposmolality and/or hyponatremia,Other encephalopathy,Coronary atherosclerosis of native coronary artery,Right bundle branch block,Thrombocytopenia, unspecified,Atrial fibrillation,Old myocardial infarction,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled
Subendo infarct, initial,Pneumonia, organism NOS,Comp-oth cardiac device,Ac systolic hrt failure,Acute kidney failure NOS,Hyposmolality,Encephalopathy NEC,Crnry athrscl natve vssl,Rt bundle branch block,Thrombocytopenia NOS,Atrial fibrillation,Old myocardial infarct,Hy kid NOS w cr kid I-IV,Chronic kidney dis NOS,Hx TIA/stroke w/o resid,DMII oth nt st uncntrld
Admission Date:  [**2111-3-16**]              Discharge Date:   [**2111-4-3**]

Date of Birth:  [**2033-1-22**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Penicillins

Attending:[**First Name3 (LF) 165**]
Chief Complaint:
weakness

Major Surgical or Invasive Procedure:
[**3-26**] Redo Coronary Artery Bypass Graft x 4 (Left internal
mammary artery to left anterior descending, Saphenous vein graft
to Diagonal, Saphenous vein graft to Obtuse marginal, Saphenous
vein graft to posterior descending artery)
[**3-19**] Cardiac Cath

History of Present Illness:
78 year old male with a history of coronary artery bypass
surgery [**39**] years ago, remote myocardial infarction, chronic
Atrial fibrillation, and Diabetes type 2 presented to outside
hospital with fatigue, weakness, cough and subjective fever.
The week prior he was admitted to an outside facility for
weakness which was thought to be secondary to inderal dosing.
The patient saw his outpatient cardiologist following discharge,
asked to wear a holter monitor which showed 3 second pauses.  He
was scheduled to return to Dr.[**Name (NI) 23188**] office this coming
Wednesday.
.
On the day of admission to [**Hospital3 417**] Hospital, the
patient's daughter found him lying on the floor, unable to stand
on his own.  He denies any LOC at that time.  His initial vital
signs were T 100.7, HR 102 (irregular) and BP 158/90.  He had a
CXR which showed evidence of a LUL opacity.  He was admitted for
suspected pneumonia.  He initially received levaquin and given
IV fluids.  As the patient became more wheezy on exam, a BNP was
checked found to be 405.  He was then treated with IV lasix X 1
(unclear dose).  He became more dyspneic and hypoxic, then
transferred to the ICU.  He was found to be in a rapid
ventricular rate with A fib, and treated with IV lopressor.  In
the ICU, a TTE showed an EF of 20-25% with severe global
hypokinesis, dilated LA, mild TR, and no other valvular
dysfunction.  CE's were sent and the initial set showed CK 353,
MB 20, Trop I 15.5, then repeat at 2 am CK 395, MB 55, Trop I
9.0, then prior to transfer was CK 1506, MB 299, Trop I 43.3.
He was given high dose aspirin, loaded with 600mg of plavix, and
put on IV heparin for transfer.  He was treated with IV
lopressor for his rapid rate.
.
The patient on arrival to [**Hospital1 18**], was asymptomatic.  He was
initially transferred to the cath lab for suspected cardiac
catheterization, but given his elevated INR, the decision was
made to postpone cardiac cath until the AM.

Past Medical History:
Coronary Artery Disease with histoy of myocardial infarction
[**2069**] and coronary artery bypass surgery [**2073**]
Diabetes Mellitus
Hypertension
Chronic atrial fibrillation and right bundle branch block
Acute on chronic renal failure
Transient ischemia attack [**2-8**]
Status post Cholecystectomy
Chronic thrombocytopenia

Social History:
Pt married, has 3 children, lives at home with his wife
-[**Name (NI) 1139**] history: quit smoking 40 years ago
-ETOH: none
-Illicit drugs: none

Family History:
Multiple family members with CAD

Physical Exam:
On dmission at CCU
VS: T= 99 BP=124/67 HR=97  RR=18  O2 sat= 97%
GENERAL: WDWN in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

NECK: Supple with no elevation of JVP.
CARDIAC: PMI located in 5th intercostal space, midclavicular
line. irregularly irregular rhythm, normal S1, S2. No m/r/g. No
thrills, lifts. No S3 or S4.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were unlabored, no accessory muscle use. Rhonchi heard in [**Doctor Last Name **]
segment, no crackles or wheezes.
ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not
enlarged by palpation. No abdominial bruits.
EXTREMITIES: No c/c/e. No femoral bruits.
SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.  Left
upper extremity hematoma.
PULSES:
Right: Carotid 2+ Femoral 2+ DP 1+ PT 1+
Left: Carotid 2+ Femoral 2+ DP 1+ PT 1+

Pertinent Results:
[**3-31**]- INR 1.3

[**3-19**] CARDIAC CATH: 1.  Coronary angiography of this right
dominant system demonstrated severe native three vessel disease.
 The LMCA had no stenosis.  The LAD was heavily calcified and
had serial long stenoses ~85% in the proximal to mid vessel.
The LAD  was a large and patent in its mid to distal pole.  The
LCX was occluded.  The RCA was occluded. 2.  Venous conduit
arteriography showed SVG/RCA and SVG/OM occlusion. 3.
Angiography of the LIMA for upcoming re-do CABG showed a large
non-obstructed vessel. 4.  Resting hemodynamics revealed
elevated right and left ventricular enddiastolic filling
pressures at 14 and 15 mmHg, respectively.  The PCWP was 20
mmHg.  The mean PA pressure was 27 mmHg (phasic 40/16 mmHg). The
cardiac index was depressed at 1.6 L/min/m2.  The mean systolic
arterial pressure was 71 mmHg (phasic 105/51 mmHg).

[**3-20**] Chest CT: 1. Multifocal areas of ground-glass opacities
involving mainly the upper lobes. Differential diagnosis is
broad and includes pneumonia and ARDS, although the distribution
is not typical. Edema is less likely due to lack of other signs.
2. Atherosclerotic changes as described above. 3. Cardiomagaly.
4. Mediastinal lymphadenopathy.

[**3-20**] Carotid U/S: Right ICA stenosis <40%. Left ICA stenosis
<40%.

[**3-26**] Echo: PRE-BYPASS: 1. The left atrium is moderately dilated.
No mass/thrombus is seen in the left atrium or left atrial
appendage. Mild spontaneous echo contrast is present in the left
atrial appendage. The left atrial appendage emptying velocity is
depressed (<0.2m/s). No atrial septal defect is seen by 2D or
color Doppler. 2. Left ventricular wall thicknesses are normal.
The left ventricular cavity is mildly dilated. There is mild to
moderate regional left ventricular systolic dysfunction with .
Overall left ventricular systolic function is moderately
depressed LVEF= 30 %). 3. The right ventricular cavity is mildly
dilated with moderate global free wall hypokinesis. 4. There are
simple atheroma in the descending thoracic aorta. 5. There are
three aortic valve leaflets. The aortic valve leaflets are
moderately thickened. There is mild aortic valve stenosis (valve
area 1.2-1.9cm2). Trace aortic regurgitation is seen. 6. The
mitral valve leaflets are moderately thickened. Moderate (2+)
mitral regurgitation is seen. POST-BYPASS: For the post-bypass
study, the patient was receiving vasoactive infusions including
milrinone and norepiepinephrine and is being AV paced. 1. LV
ventricular function and RV function are unchanged. 2. MR is
still moderate 3. Aortic contours appear intact. 4. Other
findings are unchanged

Brief Hospital Course:
As mentioned in the history of present illness, Mr. [**Known lastname 7363**] was
transferred from outside hospital to ICU at [**Hospital3 **] for
further cardiac work-up. In addition to being medically managed
for a non-ST elevation myocardial infarction, he received
treatment for congestive heart failure, atrial fibrillation and
pneumonia. On [**3-19**] he was brought for a cardiac cath which
revealed severe three vessel disease and totally occluded
saphenous vein grafts. Cardiac surgery was consulted for redo
bypass surgery. He underwent further work-up which included
chest CT and carotid U/S prior to surgery. His status slowly
improved while receiving medical management over the next week.
During this time, both his kidney and liver function showed
improvement with continuous lab work. On [**3-26**] he was brought to
the operating room where he underwent a redo coronary artery
bypass graft x 4. Please see operative report for surgical
details. Following surgery he was transferred to the CVICU for
invasive monitoring in stable condition. Within 24 hours he was
weaned from sedation, awoke neurologically intact and extubated.
His chest tubes and temporary pacing wires were removed per
cardiac surgery protocol. He was started on betablocker,
diuretic, statin and aspirin therapy. He was transferred from
the ICU on POD#2. His post op course was uneventful with the
exception of failing to void. the foley was replaced and he was
started on flomax. Coumadin was resumed for afib but at a lower
dose than his home regimen. He was seen by physical therapy and
reab was recommended.

Medications on Admission:
Lasix 20mg daily, coumadin 2.5mg Tue, [**Last Name (un) **], Sat, Sun and 5mg on
Mon, Wed, Fri, Allopurinol 100mg daily, Propranolol 10mg QID,
Amlodipine 5mg daily, Glyburide 2.5mg daily, Aspirin 81mg daily

Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every
4 hours) as needed for temperature >38.0.
2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
3. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
5. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30)
ML PO DAILY (Daily) as needed for constipation.
6. Sodium Chloride 0.65 % Aerosol, Spray Sig: [**12-5**] Sprays Nasal
QID (4 times a day) as needed.
7. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily): needs follow up LFT's in one month.
8. Tramadol 50 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours) as needed.
9. Glyburide 2.5 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
10. Warfarin 1 mg Tablet Sig: as directed Tablet PO DAILY
(Daily) as needed for atrial fibrillation : INR goal 2-2.5
rec'd 2.5 mg [**2111-3-31**].
11. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed.
12. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).
13. Levalbuterol HCl 0.63 mg/3 mL Solution for Nebulization Sig:
One (1) ML Inhalation TID  ().
14. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr
Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).
15. Tamsulosin 0.4 mg Capsule, Sust. Release 24 hr Sig: One (1)
Capsule, Sust. Release 24 hr PO HS (at bedtime).
16. Lasix 20 mg Tablet Sig: One (1) Tablet PO twice a day for 7
days: then decrease to 20mg daily ongoing.


Discharge Disposition:
Extended Care

Facility:
[**Hospital 2971**] Rehabilitation and Nursing Center - [**Hospital1 1474**]

Discharge Diagnosis:
Coronary Artery Disease
Myocardial Infarction
Systolic Congestive heart failure
Pneumonia
status post Coronary artery bypass graft [**2073**]
Chronic atrial fibrillation and right bundle branch block
Diabetes Mellitus
Acute on chronic renal failure
Transient ischemia attack [**2-8**]
Chronic thrombocytopenia

Discharge Condition:
deconditioned

Discharge Instructions:
Please shower daily including washing incisions, no baths or
swimming
Monitor wounds for infection - redness, drainage, or increased
pain
Report any fever greater than 101
Report any weight gain of greater than 2 pounds in 24 hours or 5
pounds in a week
No creams, lotions, powders, or ointments to incisions
No driving for approximately one month, and while taking
narcotics
No lifting more than 10 pounds for 10 weeks
Please call with any questions or concerns [**Telephone/Fax (1) 170**]

Followup Instructions:
please call and schedule the following appointments.
Dr. [**First Name (STitle) **] in 4 weeks
Dr. [**Last Name (STitle) **] in [**1-6**] weeks
Dr. [**Last Name (STitle) **] in [**12-5**] weeks


                             [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 173**]

Completed by:[**2111-3-31**]

Name:  [**Known lastname 3936**],[**Known firstname 3937**]                     Unit No:   [**Numeric Identifier 3938**]

Admission Date:  [**2111-3-16**]              Discharge Date:   [**2111-4-3**]

Date of Birth:  [**2033-1-22**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Penicillins

Attending:[**First Name3 (LF) 265**]
Addendum:
Just prior to transfer to rehabilitation Mr [**Known lastname **] became
increasing somnolent and was having difficulty following
commands. He was able to move all extremities but was weakened
when compared to an exam earlier in the day, speach was garbled.
He had an emergent head CT that was negative and upon return to
the cardiac surgery floor a check of his finger stick blood
sugar revealed it to be 19. He was treated with 25gm of D50 and
somnolence resolved and neurological exam returned to baseline.
His blood sugars were followed closely over the next 18 hours.
His Lantus had been discontinued earlier in the day. His
glyburide was held and [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 616**](endocrine) consult was called.
He remained in the hospital for another 4 days due to
hypoglycemia and hyponatremia. His lasix was d/c'd and he was
placed on a fluid restriction. His sodium stabilized. He was
discharged to rehabilitation on POD #9.

Pertinent Results:
INR 1.9
NA 131

Discharge Medications:
THESE ARE THE MOST UPDATED MEDIACTIONS [**2111-4-3**]

1. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every
4 hours) as needed for temperature >38.0.
2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
3. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
5. Sodium Chloride 0.65 % Aerosol, Spray Sig: [**12-5**] Sprays Nasal
QID (4 times a day) as needed.
6. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily): needs follow up LFT's in one month.
7. Tramadol 50 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours) as needed.
8. Glyburide 2.5 mg Tablet Sig: One (1) Tablet PO once a day.
9. Warfarin 1 mg Tablet Sig: as directed Tablet PO DAILY (Daily)
as needed for atrial fibrillation : INR goal 2-2.5
rec'd 2.5 mg [**2111-4-3**].
10. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily).
11. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr
Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).
12. Tamsulosin 0.4 mg Capsule, Sust. Release 24 hr Sig: One (1)
Capsule, Sust. Release 24 hr PO HS (at bedtime).
13. Sitagliptin 100 mg Tablet Sig: One (1) Tablet PO daily ().
14. Outpatient Lab Work
monitor INR daily until stable
monitor serum sodium unitl stable.


Discharge Disposition:
Extended Care

Facility:
[**Hospital 371**] Rehabilitation and Nursing Center - [**Hospital1 328**]

                             [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 266**]

Completed by:[**2111-4-10**]
{'Subendocardial infarction, initial episode of care,Pneumonia, organism unspecified,Other complications due to other cardiac device, implant, and graft,Acute systolic heart failure,Acute kidney failure, unspecified,Hyposmolality and/or hyponatremia,Other encephalopathy,Coronary atherosclerosis of native coronary artery,Right bundle branch block,Thrombocytopenia, unspecified,Atrial fibrillation,Old myocardial infarction,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled'}


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: weakness

PRESENT ILLNESS: 78 year old male with a history of coronary artery bypass
surgery [**39**] years ago, remote myocardial infarction, chronic
Atrial fibrillation, and Diabetes type 2 presented to outside
hospital with fatigue, weakness, cough and subjective fever.
The week prior he was admitted to an outside facility for
weakness which was thought to be secondary to inderal dosing.
The patient saw his outpatient cardiologist following discharge,
asked to wear a holter monitor which showed 3 second pauses.  He
was scheduled to return to Dr.[**Name (NI) 23188**] office this coming
Wednesday.
.
On the day of admission to [**Hospital3 417**] Hospital, the
patient's daughter found him lying on the floor, unable to stand
on his own.  He denies any LOC at that time.  His initial vital
signs were T 100.7, HR 102 (irregular) and BP 158/90.  He had a
CXR which showed evidence of a LUL opacity.  He was admitted for
suspected pneumonia.  He initially received levaquin and given
IV fluids.  As the patient became more wheezy on exam, a BNP was
checked found to be 405.  He was then treated with IV lasix X 1
(unclear dose).  He became more dyspneic and hypoxic, then
transferred to the ICU.  He was found to be in a rapid
ventricular rate with A fib, and treated with IV lopressor.  In
the ICU, a TTE showed an EF of 20-25% with severe global
hypokinesis, dilated LA, mild TR, and no other valvular
dysfunction.  CE's were sent and the initial set showed CK 353,
MB 20, Trop I 15.5, then repeat at 2 am CK 395, MB 55, Trop I
9.0, then prior to transfer was CK 1506, MB 299, Trop I 43.3.
He was given high dose aspirin, loaded with 600mg of plavix, and
put on IV heparin for transfer.  He was treated with IV
lopressor for his rapid rate.
.
The patient on arrival to [**Hospital1 18**], was asymptomatic.  He was
initially transferred to the cath lab for suspected cardiac
catheterization, but given his elevated INR, the decision was
made to postpone cardiac cath until the AM.

MEDICAL HISTORY: Coronary Artery Disease with histoy of myocardial infarction
[**2069**] and coronary artery bypass surgery [**2073**]
Diabetes Mellitus
Hypertension
Chronic atrial fibrillation and right bundle branch block
Acute on chronic renal failure
Transient ischemia attack [**2-8**]
Status post Cholecystectomy
Chronic thrombocytopenia

MEDICATION ON ADMISSION: Lasix 20mg daily, coumadin 2.5mg Tue, [**Last Name (un) **], Sat, Sun and 5mg on
Mon, Wed, Fri, Allopurinol 100mg daily, Propranolol 10mg QID,
Amlodipine 5mg daily, Glyburide 2.5mg daily, Aspirin 81mg daily

ALLERGIES: Penicillins

PHYSICAL EXAM: On dmission at CCU
VS: T= 99 BP=124/67 HR=97  RR=18  O2 sat= 97%
GENERAL: WDWN in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

FAMILY HISTORY: Multiple family members with CAD

SOCIAL HISTORY: Pt married, has 3 children, lives at home with his wife
-[**Name (NI) 1139**] history: quit smoking 40 years ago
-ETOH: none
-Illicit drugs: none 

### Response:
{'Subendocardial infarction, initial episode of care,Pneumonia, organism unspecified,Other complications due to other cardiac device, implant, and graft,Acute systolic heart failure,Acute kidney failure, unspecified,Hyposmolality and/or hyponatremia,Other encephalopathy,Coronary atherosclerosis of native coronary artery,Right bundle branch block,Thrombocytopenia, unspecified,Atrial fibrillation,Old myocardial infarction,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled'}
