CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 71-year-old
male status post ventricular fibrillation arrest while
swimming.  He was given cardiopulmonary resuscitation by a
bystander and, when EMTs arrived, he was pulseless and
apneic.  He was defibrillated x 1 and returned to sinus
rhythm.  He was taken to [**Hospital 1562**] Hospital, where a head CT
was negative.  He had prompt neurologic recovery, with some
short-term memory loss.  Cardiac catheterization showed three
vessel disease and total occlusion of the proximal left
anterior descending, 70% of the diagonal I, 50% stenosis of
obtuse marginal I, 60% right coronary artery, ejection
fraction 70%.

MEDICAL HISTORY: Significant for lower
gastrointestinal bleed, sigmoid diverticulitis, colonic
polyps, prostate cancer status post radical retropubic
prostatectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin, which leads to hives.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Ventricular fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension
Crnry athrscl natve vssl,Intermed coronary synd,Ventricular fibrillation,Hx-prostatic malignancy,Hypertension NOS
Admission Date:  [**2113-3-4**]       Discharge Date:  [**2087-3-31**]

Date of Birth:   [**2041-9-27**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 71-year-old
male status post ventricular fibrillation arrest while
swimming.  He was given cardiopulmonary resuscitation by a
bystander and, when EMTs arrived, he was pulseless and
apneic.  He was defibrillated x 1 and returned to sinus
rhythm.  He was taken to [**Hospital 1562**] Hospital, where a head CT
was negative.  He had prompt neurologic recovery, with some
short-term memory loss.  Cardiac catheterization showed three
vessel disease and total occlusion of the proximal left
anterior descending, 70% of the diagonal I, 50% stenosis of
obtuse marginal I, 60% right coronary artery, ejection
fraction 70%.

He was transferred to [**Hospital1 69**]
for coronary artery bypass graft.  He exercises regularly,
and walks three to four miles.  This was done on the [**2113-3-4**].

PAST MEDICAL HISTORY:   Significant for lower
gastrointestinal bleed, sigmoid diverticulitis, colonic
polyps, prostate cancer status post radical retropubic
prostatectomy.

ALLERGIES:   Penicillin, which leads to hives.

MEDICATIONS AT [**Hospital1 **]:  Lopressor 25 mg every six hours,
Lovenox 40 once a day, aspirin 31, enalapril 10 twice a day,
Proventil 2.5 every two hours as needed, percocet, K-Dur,
nitro paste one inch every six hours.

HOSPITAL COURSE:   After admission, he was started on a
heparin drip and made therapeutic.  During the time interval
between the 2nd and the 5th when he was taken to coronary
artery bypass graft, he had multiple episodes of retrosternal
pain.  Electrocardiogram and enzymes all came back negative.
The patient did not have a myocardial event during this time,
however, he was thought to have angina that warranted a
coronary artery bypass graft, which was done on [**2113-3-7**] with
Dr. [**Known firstname **] [**Last Name (NamePattern1) 1537**], with a diagnosis of unstable angina.

He was transferred to the Intensive Care Unit
postoperatively, and was extubated on the 5th during the
evening.  He was on a nitroglycerin drip, which was weaned,
and he was transferred to the floor on the evening of the
6th.

On postoperative day two, on the 7th, he had no events.  His
wound looked clean, and his Lopressor was kept at 12.5 mg
twice a day.

On day three, he was evaluated for an ICD.  He had an
echocardiogram done, and was made nothing by mouth.  He was
evaluated, and his echocardiogram was negative for cardiac
abnormalities, with a normal ejection fraction.  The patient
had an episode of ventricular tachycardia after the
echocardiogram of seven beats.  Electrophysiologic studies
was immediately called.  The patient was always stable.  He
had seven isolated beats of ventricular tachycardia for that
day, never unstable.

Electrophysiologic studies evaluation was that we should
continue beta blockers and aspirin, and that he would be
worked up on an outpatient basis, and he was scheduled by
electrophysiologic studies to follow up on an outside basis
on discharged, which they arranged.

On postoperative day four, the patient was doing well,
however, during the day he had an episode of five to ten
seconds of ventricular tachycardia.  He was never
hemodynamically unstable.  Electrophysiologic studies was
once again called for consulting for placement of an ICD.
Electrophysiologic studies stated that he was not a candidate
for an ICD, given his normal echocardiogram, however, he was
a candidate for workup in a month, which they assured us
would be done.

The patient is being discharged home on the following
medications:  Lopressor 12.5 mg by mouth twice a day,
percocet 5/325 mg tablets one to two tablets by mouth every
four to six hours as needed, lasix 20 mg by mouth every 12
hours for one week, potassium 20 mEq by mouth every 12 hours
for one week, Colace 100 mg by mouth twice a day, Ranitidine
150 mg by mouth twice a day.

The patient, upon discharge, is in good condition, and
tolerated his hospital stay well.  There is no sternal
drainage.  His leg harvest site is in good condition, with no
erythema, and the wound is healing nicely.  The patient is to
follow up with Dr. [**Known firstname **] [**Last Name (NamePattern1) 1537**] inside of a month, as well as
his primary care physicians.




                            [**Known firstname 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**Name8 (MD) 16758**]
MEDQUIST36

D:  [**2113-3-11**]  21:27
T:  [**2113-3-12**]  00:00
JOB#:  [**Job Number 37952**]


Admission Date:  [**2113-3-4**]       Discharge Date:  [**2113-3-14**]

Date of Birth:   [**2041-9-27**]       Sex:  M

Service:

ADDENDUM

The patient is status post coronary artery bypass graft on
[**3-7**].

DISCHARGE MEDICATIONS:
1.  Percocet one to two tabs p.o. p.r.n. q 4 to 6 h.
2.  Colace 100 mg p.o. b.i.d.
3.  Lasix 40 mg p.o. b.i.d.
4.  KCL 20 mEq p.o. b.i.d. for one week
5.  Lopressor 12.5 mg p.o. b.i.d.
6.  Aspirin 325 mg p.o. b.i.d.
7.  Amiodarone 400 mg p.o. three times a day times five
    days.  400 mg p.o. b.i.d. times one week and after that
    400 mg p.o. q day.

The patient is being discharged to rehabilitation.  The
patient stayed because he had another episode of V-tach on
[**2113-3-12**] and it was felt patient would benefit from additional
hospital observation.  The patient felt dizzy and lightheaded
and was desating while working with physical therapy and
required assistance with walking.  The patient was started on
Amiodarone prophylactically to enhance strength in the dose
as described above.  The patient is still to follow-up with
EPS.  EPS was contact[**Name (NI) **] and they plan to put in ICD siting
the cardiogram with normal function.  They agreed to follow
him up on their own within a month.

The patient upon discharge is stable.






                          DR.[**Last Name (STitle) **],[**Known firstname 275**] 02-248

Dictated By:[**Dictator Info **]
MEDQUIST36

D:  [**2113-3-13**]  21:35
T:  [**2113-3-13**]  22:53
JOB#:  [**Job Number 38152**]


Admission Date:  [**2113-3-4**]       Discharge Date:  [**2113-3-16**]

Date of Birth:   [**2041-9-27**]       Sex:  M

Service:

The patient is being discharged on [**2113-3-16**] after
receiving a unit of blood for a hematocrit of 22 after which
he responded appropriately at 28.  He is going home with
prescriptions for Percocet prn 40 tab, Colace 100 mg po
b.i.d., Lasix 20 mg po b.i.d., and 20 milliequivalents of
K-Ciel po b.i.d. for one week, Lopressor 25 mg po b.i.d.,
aspirin 325 mg po q.d., Amiodarone 400 mg po b.i.d. for three
days only and then 400 mg po q.d.  The patient is going to go
home with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] of Hearts home telemetry monitor.  The
patient understands this discharge plan and will follow up
with Dr. [**Last Name (STitle) **] of EPD and Dr. [**Last Name (STitle) 1537**] of CT Surgery as well
as Dr. [**Known lastname 174**] his primary care physician.  [**Name10 (NameIs) **] discharge the
patient is in good health and is stable.  EPS has evaluated
the patient and feels the patient is safe for discharge home.






                            [**Known firstname 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**Name8 (MD) 16758**]
MEDQUIST36

D:  [**2113-3-16**]  10:35
T:  [**2113-3-16**]  12:23
JOB#:  [**Job Number 38153**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Ventricular fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension'}


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 71-year-old
male status post ventricular fibrillation arrest while
swimming.  He was given cardiopulmonary resuscitation by a
bystander and, when EMTs arrived, he was pulseless and
apneic.  He was defibrillated x 1 and returned to sinus
rhythm.  He was taken to [**Hospital 1562**] Hospital, where a head CT
was negative.  He had prompt neurologic recovery, with some
short-term memory loss.  Cardiac catheterization showed three
vessel disease and total occlusion of the proximal left
anterior descending, 70% of the diagonal I, 50% stenosis of
obtuse marginal I, 60% right coronary artery, ejection
fraction 70%.

MEDICAL HISTORY: Significant for lower
gastrointestinal bleed, sigmoid diverticulitis, colonic
polyps, prostate cancer status post radical retropubic
prostatectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin, which leads to hives.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Ventricular fibrillation,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension'}
