CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname 5239**] is status post an
anterolateral wall myocardial infarction, status post primary
angioplasty of a proximally-occluded left anterior descending
with stent placement.  His other vessels at the time showed
no significant coronary disease.  The patient's overall
ejection fraction was 43% with anterolateral and apical
kinesis.  Stress test performed on [**2109-11-1**] showed the patient
exercised for 10.25 minutes on [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] protocol and stopped
secondary to fatigue.  Electrocardiogram revealed [**Street Address(2) 4793**]
depressions inferiorly.  Thallium study revealed a partially
reversible moderate to severe defect in the mid to distal
anterior wall and distal septum and a question of a fixed
moderate defect at the apex.  The patient was sent for
cardiac catheterization.  Subsequent catheterization showed
the left anterior descending had ostial stenosis of 80% and a
diffuse 80 to 90% in-stent re-stenosis.  The left circumflex
was free of lesions.  The right coronary artery had no
angiographic disease, but gave off a right posterior
descending artery which had a 30% proximal stenosis.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Intermediate coronary syndrome,Atrial fibrillation,Old myocardial infarction
Crnry athrscl natve vssl,Comp-oth cardiac device,Intermed coronary synd,Atrial fibrillation,Old myocardial infarct
Admission Date:  [**2109-11-14**]       Discharge Date:  [**2109-11-18**]

Date of Birth:   [**2051-6-29**]       Sex:  M

Service:  CARDIOTHORACIC SURGERY

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname 5239**] is status post an
anterolateral wall myocardial infarction, status post primary
angioplasty of a proximally-occluded left anterior descending
with stent placement.  His other vessels at the time showed
no significant coronary disease.  The patient's overall
ejection fraction was 43% with anterolateral and apical
kinesis.  Stress test performed on [**2109-11-1**] showed the patient
exercised for 10.25 minutes on [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] protocol and stopped
secondary to fatigue.  Electrocardiogram revealed [**Street Address(2) 4793**]
depressions inferiorly.  Thallium study revealed a partially
reversible moderate to severe defect in the mid to distal
anterior wall and distal septum and a question of a fixed
moderate defect at the apex.  The patient was sent for
cardiac catheterization.  Subsequent catheterization showed
the left anterior descending had ostial stenosis of 80% and a
diffuse 80 to 90% in-stent re-stenosis.  The left circumflex
was free of lesions.  The right coronary artery had no
angiographic disease, but gave off a right posterior
descending artery which had a 30% proximal stenosis.

A decision was made to take the patient for coronary artery
bypass x 1 on [**2109-11-14**].  The patient was taken to the
operating room and the left internal mammary artery was taken
to the left anterior descending.  The patient did well
postoperatively, and was transferred to the CSRU for one day
for observation and the patient was found to be stable and
transferred to the Surgical floor without event.

Early in the morning on postoperative day two, the patient
was found to be in atrial fibrillation, at which time he was
given 10 mg intravenous push of Lopressor and the patient
subsequently converted to sinus rhythm with a heart rate of
70s to 80s.  Blood pressure was maintained at 130s/60s.

On postoperative day three, the patient had another brief
episode of atrial fibrillation and was given 2 grams of
magnesium and his Lopressor was increased to 37.5 mg by mouth
twice a day.  He subsequently converted to sinus rhythm in
minutes.  Up until that point, the patient had been using
albuterol for a "hard time breathing," but has been
saturating at 94 to 95% on room air since his admission to
the Surgical floor.  The albuterol was subsequently
discontinued.

Heparin drip was started, and the patient was started on a
Coumadin regimen for anticoagulation following his brief
postoperative atrial fibrillation.  The patient continued to
do well, and was in sinus rhythm on postoperative day four,
when he was discharged.  The patient has follow-up plans to
continue his Coumadin regimen of 5 mg by mouth once a day,
which will be followed by his cardiologist.

CONDITION AT DISCHARGE:  Good

DISCHARGE STATUS:  Home with VNA services

DISCHARGE DIAGNOSIS:
1.  Unstable angina
2.  In-stent re-stenosis
3.  Status post coronary artery bypass graft x 1 off-pump

DISCHARGE MEDICATIONS:
1.  Lovenox 80 mg subcutaneously every 12 hours
2.  Lopressor 37.5 mg by mouth twice a day
3.  Atorvastatin 30 mg by mouth once daily
4.  Plavix 75 mg by mouth once daily
5.  Colace 100 mg by mouth twice a day
6.  Percocet one to two tablets by mouth every four to six
hours as needed for pain
7.  K-Dur 20 mEq by mouth twice a day for seven days
8.  Lasix 20 mg by mouth twice a day for seven days
9.  Coumadin 5 mg by mouth once daily for three months




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

Dictated By:[**Last Name (NamePattern1) 17480**]
MEDQUIST36

D:  [**2109-11-18**]  20:03
T:  [**2109-11-19**]  01:33
JOB#:  [**Job Number 42150**]
{'Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Intermediate coronary syndrome,Atrial fibrillation,Old myocardial infarction'}


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: Mr. [**Known lastname 5239**] is status post an
anterolateral wall myocardial infarction, status post primary
angioplasty of a proximally-occluded left anterior descending
with stent placement.  His other vessels at the time showed
no significant coronary disease.  The patient's overall
ejection fraction was 43% with anterolateral and apical
kinesis.  Stress test performed on [**2109-11-1**] showed the patient
exercised for 10.25 minutes on [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] protocol and stopped
secondary to fatigue.  Electrocardiogram revealed [**Street Address(2) 4793**]
depressions inferiorly.  Thallium study revealed a partially
reversible moderate to severe defect in the mid to distal
anterior wall and distal septum and a question of a fixed
moderate defect at the apex.  The patient was sent for
cardiac catheterization.  Subsequent catheterization showed
the left anterior descending had ostial stenosis of 80% and a
diffuse 80 to 90% in-stent re-stenosis.  The left circumflex
was free of lesions.  The right coronary artery had no
angiographic disease, but gave off a right posterior
descending artery which had a 30% proximal stenosis.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other complications due to other cardiac device, implant, and graft,Intermediate coronary syndrome,Atrial fibrillation,Old myocardial infarction'}
