CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 48-year-old
male, ex-smoker, without any prior cardiac or hypertensive
history who presented to an outside with chest pain and was
transferred to [**Hospital6 256**] for
cardiac catheterization.  Upon catheterization, the patient
was found to have an increased LVEDP to 30, apical inferior
and posterior basal akinesis, [**3-18**] grade mitral regurgitation,
and an ejection fraction of about 30%.  The LMCA was 60%
distal, the left anterior descending was 100% mid, the eft
circumflex was 80% at angle origin of the OM1, the right
coronary artery was 100% thrombotic.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Mitral valve disorders,Left heart failure,Paroxysmal ventricular tachycardia,Hypotension, unspecified,Pure hypercholesterolemia,Family history of ischemic heart disease,Personal history of tobacco use
AMI inferior wall, init,Crnry athrscl natve vssl,Mitral valve disorder,Left heart failure,Parox ventric tachycard,Hypotension NOS,Pure hypercholesterolem,Fam hx-ischem heart dis,History of tobacco use
Admission Date:  [**2102-11-4**]       Discharge Date:  [**2102-11-14**]

Date of Birth:   [**2054-5-26**]       Sex:  M

Service:  MEDICINE

HISTORY OF PRESENT ILLNESS:  The patient is a 48-year-old
male, ex-smoker, without any prior cardiac or hypertensive
history who presented to an outside with chest pain and was
transferred to [**Hospital6 256**] for
cardiac catheterization.  Upon catheterization, the patient
was found to have an increased LVEDP to 30, apical inferior
and posterior basal akinesis, [**3-18**] grade mitral regurgitation,
and an ejection fraction of about 30%.  The LMCA was 60%
distal, the left anterior descending was 100% mid, the eft
circumflex was 80% at angle origin of the OM1, the right
coronary artery was 100% thrombotic.

PHYSICAL EXAMINATION:  Chest:  Clear.  Heart:  Regular, rate
and rhythm.  No murmur noted.  Normal S1 and S2.

LABORATORY DATA:  Electrocardiogram showed normal sinus
rhythm, with Q-wave in II, AVF, and ST elevation in V1 and
V3.

HOSPITAL COURSE:  The patient was evaluated by Dr. [**Last Name (STitle) 1537**] from
Thoracic Surgery and was taken to the Operating Room on
[**2102-11-7**].  Dr. [**Last Name (STitle) 1537**] performed coronary artery
bypass grafting times four with LIMA to left anterior
descending, saphenous vein graft to OM1 and diagonal, and
saphenous vein graft to posterior descending artery, and also
the patient had a mechanical MVR.

Postoperatively the patient did well.  His chest tube was
discontinued without any problem, and the patient was
transferred to the floor on postoperative day #3 without any
incident.  Pacing wires were discontinued without incident.

CONDITION ON DISCHARGE:  Stable.  No drainage.  Chest was
clear.  Regular, rate and rhythm.  Incision was clean, dry
and intact.  No drainage and no pus.  Sternum was stable.

DISCHARGE MEDICATIONS:  Lipitor 10 mg p.o. q.d., Aspirin 81
mg p.o. q.d., Lopressor 12.5 mg p.o. b.i.d., Percocet 5 p.o.
[**2-14**] q.4-6h. p.r.n., Coumadin 5 mg p.o. q.d., Ranitidine 150
mg q.h.s.

FOLLOW-UP:  The patient was arranged to follow-up with Dr.
[**Last Name (STitle) 1537**] in [**4-16**] weeks, and also to follow-up with Dr. [**Last Name (STitle) **], his
primary cardiologist, for Coumadin dosing for the mechanical
valve.





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

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

D:  [**2102-11-14**]  09:10
T:  [**2102-11-14**]  08:58
JOB#:  [**Job Number 36716**]
{'Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Mitral valve disorders,Left heart failure,Paroxysmal ventricular tachycardia,Hypotension, unspecified,Pure hypercholesterolemia,Family history of ischemic heart disease,Personal history of tobacco use'}


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 48-year-old
male, ex-smoker, without any prior cardiac or hypertensive
history who presented to an outside with chest pain and was
transferred to [**Hospital6 256**] for
cardiac catheterization.  Upon catheterization, the patient
was found to have an increased LVEDP to 30, apical inferior
and posterior basal akinesis, [**3-18**] grade mitral regurgitation,
and an ejection fraction of about 30%.  The LMCA was 60%
distal, the left anterior descending was 100% mid, the eft
circumflex was 80% at angle origin of the OM1, the right
coronary artery was 100% thrombotic.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute myocardial infarction of other inferior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Mitral valve disorders,Left heart failure,Paroxysmal ventricular tachycardia,Hypotension, unspecified,Pure hypercholesterolemia,Family history of ischemic heart disease,Personal history of tobacco use'}
