CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 62 -year-old
male with known history of coronary artery disease status
post myocardial infarction with angioplasty in [**2155**].  He has
a history of increased cholesterol, family history of heart
disease, and states he has had angina symptoms for many
years.  He said within the last year his symptoms have
increased with concomitant shortness of breath.  The patient
stated that he was golfing roughly four days prior to
admission and had episodes of left sided chest pains which
radiated to the shoulder and arm.

MEDICAL HISTORY: 1.  Coronary artery disease, status post myocardial
infarction in [**2155**].
2.  Status post angioplasty of the left circumflex in [**2155**].
3.  Gastroesophageal reflux disease.
4.  Hypertension.
5.  Hypercholesterolemia.
6.  Benign prostatic hypertrophy.
7.  Dupuytren contractures.

MEDICATION ON ADMISSION: 

ALLERGIES: Include contrast dye.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Unspecified essential hypertension,Pure hypercholesterolemia,Esophageal reflux
Crnry athrscl natve vssl,Intermed coronary synd,Hypertension NOS,Pure hypercholesterolem,Esophageal reflux
Admission Date:  [**2167-7-31**]       Discharge Date:  [**2167-8-7**]

Date of Birth:   [**2105-6-24**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 62 -year-old
male with known history of coronary artery disease status
post myocardial infarction with angioplasty in [**2155**].  He has
a history of increased cholesterol, family history of heart
disease, and states he has had angina symptoms for many
years.  He said within the last year his symptoms have
increased with concomitant shortness of breath.  The patient
stated that he was golfing roughly four days prior to
admission and had episodes of left sided chest pains which
radiated to the shoulder and arm.

The patient, on [**2167-7-29**], presented to an Emergency Room for
rule out myocardial infarction and the myocardial infarction
was ruled out with enzymes and electrocardiogram.  On
[**2167-7-30**], the patient started exercising, had increased chest
pains for roughly seven minutes, which resolved.  The patient
was then worked up for a myocardial infarction once again and
was transferred to a Catheterization Lab for possible
angioplasty.

PAST MEDICAL HISTORY:
1.  Coronary artery disease, status post myocardial
infarction in [**2155**].
2.  Status post angioplasty of the left circumflex in [**2155**].
3.  Gastroesophageal reflux disease.
4.  Hypertension.
5.  Hypercholesterolemia.
6.  Benign prostatic hypertrophy.
7.  Dupuytren contractures.

ADMITTING MEDICATIONS:  Include Lipitor 40 mg, Cardizem 120
mg q day, aspirin 325 mg q day, Flomax 0.4 mg q day, Ambien
5.0 mg HS, and Ativan 0.5 mg tid prn.

ALLERGIES:  Include contrast dye.

PHYSICAL EXAMINATION:  On initial examination, vital signs:
blood pressure 150/90, heart rate 50.  Neck: negative jugular
venous distention.  Chest is clear to auscultation.  Heart:
regular rate and rhythm.  Abdomen: soft, nontender, positive
bowel sounds.  Extremities: +1 dorsalis pedis and posterior
tibial.

LABORATORY DATA:  Sodium 143, potassium 3.6, chloride 101,
CO2 27, BUN 13, creatinine 1.0.  White blood cell count 5.3,
hemoglobin 13, hematocrit 40, platelets 235,000.
Electrocardiogram showed normal sinus rhythm at 60 and
abnormal.

HOSPITAL COURSE:  The patient was admitted on [**2167-7-31**] and
was worked up for coronary artery disease.  On [**2167-7-31**] the
patient also had a cardiac catheterization which showed left
main coronary artery normal, left anterior descending long
50% to 60% after S1, LCM occluded, major marginal and
collaterals to distal vessels, right coronary artery distal
occlusion with left coronary collaterals.  On [**2167-7-31**]
Cardiothoracic Surgery was consulted and was assessed to have
significant three vessel disease and a coronary artery bypass
graft was planned for the following Monday.

The patient's course between that time and the surgery was
uneventful.  On [**2167-8-3**] the patient was brought to the
Operating Room with an initial diagnosis of coronary artery
disease.  The patient had a coronary artery bypass graft
times four with an left internal mammary artery to the left
anterior descending, saphenous vein graft to the obtuse
marginal artery and diagonal, and saphenous vein graft to the
AM.  The patient tolerated the procedure well and was
transferred to the Post Anesthesia Care Unit in stable
condition.

On postoperative day one, the patient was extubated and was
doing well.  The patient was transferred to the floor.  On
postoperative day two the patient continued to do well,
increased his physical therapy level and was tolerating a
regular diet.  The patient stated that he lived with his wife
and most likely would like to return home after the hospital
stay.

On postoperative day three, the patient continued to do well
and increased his physical therapy level to a III.  On
postoperative day four, the patient's physical therapy level
was a V, his hematocrit was stable, and he was discharged
home.

His discharge physical examination: maximum temperature 98.7
F, heart rate 100, respirations 22, blood pressure 105/70, O2
saturation 93% on room air, plus 5.5 kg.  Physical therapy
was level V.  Cardiovascular was regular rate and rhythm.
Respiratory: clear to auscultation bilaterally.  Abdomen was
soft nontender, nondistended.  Extremities was negative
peripheral edema.  The incisions were clean, dry, and intact.

COMPLICATIONS / SIGNIFICANT EVENTS:  None.

DISCHARGE MEDICATIONS:  Lasix 20 mg po q twelve hours,
potassium chloride supplements 20 mEq po q twelve hours,
aspirin 81 mg po q day, Lipitor 40 mg po q HS, Flomax 0.4 mg
po q day, Lopressor 50 mg po bid, Niferex 150 mg po q day,
Percocet 5.0 mg one to two tablets po q four to six hours
prn.

DISCHARGE CONDITION:  Good and stable to home.

DISCHARGE STATUS:  To home.

FOLLOW-UP:  Follow-up with Dr. [**Last Name (STitle) 1537**] in three to four weeks.



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

Dictated By:[**Last Name (NamePattern4) 959**]
MEDQUIST36

D:  [**2167-8-7**]  18:01
T:  [**2167-8-7**]  19:51
JOB#:  [**Job Number 3644**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Unspecified essential hypertension,Pure hypercholesterolemia,Esophageal reflux'}


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 62 -year-old
male with known history of coronary artery disease status
post myocardial infarction with angioplasty in [**2155**].  He has
a history of increased cholesterol, family history of heart
disease, and states he has had angina symptoms for many
years.  He said within the last year his symptoms have
increased with concomitant shortness of breath.  The patient
stated that he was golfing roughly four days prior to
admission and had episodes of left sided chest pains which
radiated to the shoulder and arm.

MEDICAL HISTORY: 1.  Coronary artery disease, status post myocardial
infarction in [**2155**].
2.  Status post angioplasty of the left circumflex in [**2155**].
3.  Gastroesophageal reflux disease.
4.  Hypertension.
5.  Hypercholesterolemia.
6.  Benign prostatic hypertrophy.
7.  Dupuytren contractures.

MEDICATION ON ADMISSION: 

ALLERGIES: Include contrast dye.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Unspecified essential hypertension,Pure hypercholesterolemia,Esophageal reflux'}
