CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 56-year-old
male with a history of hypertension and hyperlipidemia who
recently presented to the [**Hospital1 188**] with the new onset of chest pain and was found to have
non-ST segment elevation myocardial infarction.

MEDICAL HISTORY: 1.  Hypertension.
2.  Sleep apnea.
3.  Obesity.
4.  Hypercholesterolemia.
5.  Arthritis.
6.  History of rectal bleeding approximately one year ago.

MEDICATION ON ADMISSION: Medications at home included
Lopressor 100 mg p.o. b.i.d., Lipitor 40 mg p.o. q.d.,
aspirin 160 mg p.o. q.d., folic acid one tablet p.o. q.d.

ALLERGIES: SOCIAL HISTORY:  The patient had a heavy history of smoking
and quit three weeks prior to presentation.  The patient was
also reported to drink a significant amount of alcohol every
day.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient had a heavy history of smoking
and quit three weeks prior to presentation.  The patient was
also reported to drink a significant amount of alcohol every
day.
Coronary atherosclerosis of native coronary artery,Chronic airway obstruction, not elsewhere classified,Intermediate coronary syndrome,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified sleep apnea
Crnry athrscl natve vssl,Chr airway obstruct NEC,Intermed coronary synd,DMII wo cmp nt st uncntr,Hypertension NOS,Pure hypercholesterolem,Obesity NOS,Osteoarthros NOS-unspec,Sleep apnea NOS
Admission Date:  [**2130-11-29**]     Discharge Date:  [**2130-12-3**]

Date of Birth:   [**2073-12-21**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 56-year-old
male with a history of hypertension and hyperlipidemia who
recently presented to the [**Hospital1 188**] with the new onset of chest pain and was found to have
non-ST segment elevation myocardial infarction.

The patient underwent a cardiac catheterization on [**2130-11-22**] with the following findings.  A right-dominant
circulation with severe 3-vessel disease.  The left main
coronary artery was free of flow-limiting narrowing.  The
left anterior descending artery was 60% occluded with tandem
lesions in the medial segment and an 80% distal stenosis.
The first diagonal had a 50% proximal lesion.  The left
circumflex had an 80% distal stenosis.  The right coronary
artery had a 60% proximal narrowing, 70% tandem lesions in
the medial vessel, and 90% distal stenosis.  The patient had
markedly elevated left-sided filling pressures.  The patient
was also noted to have mild inferior hypokinesis with an
overall preserved ejection fraction of 62%.

The patient was discharged from the [**Hospital1 190**] and returned on [**2130-11-29**] for surgery.

PAST MEDICAL HISTORY:
1.  Hypertension.
2.  Sleep apnea.
3.  Obesity.
4.  Hypercholesterolemia.
5.  Arthritis.
6.  History of rectal bleeding approximately one year ago.

PAST SURGICAL HISTORY:
1.  ? Right thoracotomy in [**2123**] for pleural bleeding.
2.  Right knee arthroscopy.

MEDICATIONS ON ADMISSION:   Medications at home included
Lopressor 100 mg p.o. b.i.d., Lipitor 40 mg p.o. q.d.,
aspirin 160 mg p.o. q.d., folic acid one tablet p.o. q.d.

ALLERGIES:

SOCIAL HISTORY:  The patient had a heavy history of smoking
and quit three weeks prior to presentation.  The patient was
also reported to drink a significant amount of alcohol every
day.

HOSPITAL COURSE:  The patient was admitted to the [**Hospital1 346**] on [**2130-11-29**] and taken to
surgery where he had a 4-vessel coronary artery bypass graft
with left internal mammary artery being grafted to the
proximal left anterior descending artery, and a saphenous
vein grafts to the diagonal and distal left anterior
descending artery, and a left radial graft to the posterior
descending artery.

The patient was thereafter transferred to the Cardiothoracic
Surgery Recovery Unit for continued monitoring.  The patient
was started on amiodarone for some atrial ectopy noted
intraoperatively.  The patient was in a normal sinus rhythm.

The patient had an uneventful recovery in the Cardiothoracic
Surgery Recovery Unit.  Consistent with the patient's history
of sleep apnea, he did have some desaturations during sleep
with oxygenation of 84%.

The patient was transferred to the Cardiothoracic Surgery
floor on postoperative day one; and over the following two
days was able to ambulate comfortably on the floor.  He pain
was well controlled.  By postoperative day four, the patient
was deemed stable and ready for discharge to home.  By the
time of discharge, the patient had met level V physical
therapy goals.

CONDITION AT DISCHARGE:  Condition on discharge was stable.

MEDICATIONS ON DISCHARGE:
 1.  Fluoxetine 20 mg p.o. q.d.
 2.  Atorvastatin 10 mg p.o. q.d.
 3.  Amiodarone 400 mg p.o. b.i.d. (?).
 4.  Imdur 60 mg p.o. q.d.
 5.  Percocet one to two tablets p.o. q.4-6h. as needed.
 6.  Motrin 400 mg p.o. t.i.d. as needed.
 7.  Enteric-coated aspirin 325 mg p.o. q.d.
 8.  Ranitidine 150 mg p.o. b.i.d.
 9.  Colace 100 mg p.o. b.i.d.
10.  Lasix 20 mg p.o. b.i.d.
11.  Potassium chloride 20 mEq p.o. b.i.d.
12.  Metoprolol 25 mg p.o. b.i.d.

DISCHARGE FOLLOWUP:
1.  The patient was to follow up with Dr. [**Last Name (STitle) 1537**] four weeks
following discharge.
2.  The patient was also to follow up with primary care
physician in two to four weeks following discharge.



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

Dictated By:[**Name8 (MD) 997**]

MEDQUIST36

D:  [**2130-12-3**]  08:57
T:  [**2130-12-5**]  11:11
JOB#:  [**Job Number 47390**]
{'Coronary atherosclerosis of native coronary artery,Chronic airway obstruction, not elsewhere classified,Intermediate coronary syndrome,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified sleep apnea'}


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 56-year-old
male with a history of hypertension and hyperlipidemia who
recently presented to the [**Hospital1 188**] with the new onset of chest pain and was found to have
non-ST segment elevation myocardial infarction.

MEDICAL HISTORY: 1.  Hypertension.
2.  Sleep apnea.
3.  Obesity.
4.  Hypercholesterolemia.
5.  Arthritis.
6.  History of rectal bleeding approximately one year ago.

MEDICATION ON ADMISSION: Medications at home included
Lopressor 100 mg p.o. b.i.d., Lipitor 40 mg p.o. q.d.,
aspirin 160 mg p.o. q.d., folic acid one tablet p.o. q.d.

ALLERGIES: SOCIAL HISTORY:  The patient had a heavy history of smoking
and quit three weeks prior to presentation.  The patient was
also reported to drink a significant amount of alcohol every
day.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient had a heavy history of smoking
and quit three weeks prior to presentation.  The patient was
also reported to drink a significant amount of alcohol every
day. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Chronic airway obstruction, not elsewhere classified,Intermediate coronary syndrome,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Obesity, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified sleep apnea'}
