CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: High cholesterol.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Mitral valve insufficiency and aortic valve stenosis,Intermediate coronary syndrome,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia
Mitral insuf/aort stenos,Intermed coronary synd,Crnry athrscl natve vssl,Pure hypercholesterolem
Admission Date:  [**2104-10-2**]       Discharge Date: [**2104-10-6**]

Date of Birth:   [**2027-5-24**]       Sex:  M

Service:

Briefly, this is a 77-year-old male who was very active, had
progressive exertional dyspnea, short of breath while walking
on the treadmill and on tennis court became lightheaded and
with change of position.  Echo was done which showed aortic
valve gradient and concentric left ventricular hypertrophy
with mild MR.  [**Name13 (STitle) **] had stress test which was positive with ST
depressions and was referred for cardiac catheterization for
coronary anatomy and aortic valve replacement.

PAST MEDICAL HISTORY:  High cholesterol.

PAST SURGICAL HISTORY:  Hernia repair times two.

ALLERGIES:  No known drug allergies.

MEDICATIONS:
1.  Lipitor 5 mg p.o. q day.
2.  Vitamin E q day.

He underwent a cardiac catheterization where multiple vessel
coronary artery disease was found.  He was taken to the
operating room on [**2104-10-2**] for an AVR with pericardial valve
and coronary artery bypass graft times three, Left internal
mammary artery to left anterior descending, Supraventricular
tachycardia to Patent ductus arteriosus and SVG to OM was
done.  The patient was taken to the CSRU postoperatively and
was weaned.  Able to be extubated on that same day.  Urine
output was good.  The patient was comfortable.  The patient's
diet was advanced and he had adequate urine output and his
chest tube remained in due to high output.  He was transfused
one unit for a low hematocrit.  Pain was controlled on
Percocet and he was started on Zantac.

The patient was transferred to the floor on postoperative day
1 and physical therapy was consulted for ambulation.  He did
well with ambulation and physical therapy felt he was capable
of being discharged home with follow-up as an outpatient.
Chest tubes remained due to high output and were slowly
pulled one at a time.  On postop day #4 the last of his chest
tubes was removed, his wires were also removed and that time
and the patient continued to improve.  His primary care
physician was in and discussed with him as well as the team
his future plans.


The patient and primary care physician was instructed on the
care of the patient and follow-up issues.  The patient is
discharged home in stable condition.

DISCHARGE MEDICATIONS:
1.  Lipitor 5 mg p.o. q day.
2.  Vicodin 1 to 2 tabs p.o. q 4 to 6 hours p.r.n.
3.  Ecasa 325 mg p.o. q day.
4.  Zantac 150 mg p.o. b.i.d.
5.  Colace 100 mg p.o. b.i.d.
6.  KCL 20 mEq p.o. b.i.d.
7.  Lasix 20 mg p.o. b.i.d.
8.  Lopressor 25 mg p.o. b.i.d.

The patient is discharged home in stable condition.
Instructed to follow-up with Dr. [**Last Name (STitle) 70**] in four weeks as
well as with his primary care physician in one to two weeks.







                            [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 75**]

Dictated By:[**Last Name (NamePattern4) 23403**]
MEDQUIST36

D:  [**2104-10-6**]  17:32
T:  [**2104-10-6**]  19:00
JOB#:  [**Job Number 42682**]
{'Mitral valve insufficiency and aortic valve stenosis,Intermediate coronary syndrome,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia'}


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: 

MEDICAL HISTORY: High cholesterol.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Mitral valve insufficiency and aortic valve stenosis,Intermediate coronary syndrome,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia'}
