CHIEF COMPLAINT: Dyspnea

PRESENT ILLNESS: 67M with CAD s/p CABG [**2169**], PCI [**10-1**] with DES to LMCA (required
IABP), COPD, lung ca s/p resection, h/o VT s/p ICD, HL, DM, AF
with PPM in place who presented today for elective c. cath after
experiencing worsening CHF symptoms at home. Pt has severe
ischemic cardiomyopathy with an EF of 25% from [**10-1**] echo. After
his [**10-1**] cath his symptoms of dysnpea improved until
approximately 6 weeks to 1 month ago. He noted increasing DOE,
now becoming winded walking to mailbox. Has to sleep sitting up.
Notes he has gained 10lbs in the past week with increasing LE
edema. No CP, no palpitations. Presented to cardiologist 4 days
prior to admission, who increased his spironolactone and
arranged for elective cath at [**Hospital1 18**] today. In cath lab this
evening pt was hypotensive peri-cath requiring dopamine. He was
noted to have eccentric restenosis of his LMCA --> LCx stent
which was dilated to 4.0 with ballon angioplasty. His LIMA to
LAD graft remained patent. He was admitted to the CCU for
monitoring in the setting of his persistent pressor requirement.

MEDICAL HISTORY: 1. CARDIAC RISK FACTORS:: Diabetes +, Dyslipidemia +,
Hypertension +
2. CARDIAC HISTORY:
-CABG: [**2169**], LIMA to LAD, SVG to RAMUS, SVG to RCA.
-PERCUTANEOUS CORONARY INTERVENTIONS:
[**2177**]: Occlusion of SVG to ramus, and svg to RCA. Native RCA
occluded. 30% LMCA lesion and 80% ramus lesion. L subclavian
stenosis found and stented.
[**9-/2181**]: 70% ostial CM stenosis and 3VD with patent proximal left
subclavian stent, patent LIMA to LAD. Had DES placed LMCA -->
LCx, required. Required AIBP at the time.
-PACING/ICD: ICD placed in [**2177**] for primary prevention,
[**Company 1543**] [**Last Name (un) 24119**] DR, a 6949 right ventricular lead. Has PPM in
place.
3. OTHER PAST MEDICAL HISTORY:
Lung cancer, s/p RUL lobectomy [**2172**] chemo/rads
COPD
Gout
HTN
Hyperlipidemia
AF
home 02 (2L NC) prn

MEDICATION ON ADMISSION: Aspirin 325mg daily
Flunisolide 250mcg 2 puffs [**Hospital1 **]
Atenolol 100mg daily
Rosuvastatin 40mg daily
Clopidogrel 75mg daily
Digoxin 125mcg MWF
Formoterol 12mcg 1 [**Hospital1 29707**] [**Hospital1 **]
Flunisolide nasal spray 29mcg 2 sprays [**Hospital1 **]
Furosemide 60mg daily
Lisinopril 2.5mg daily
Mom[**Name (NI) 6474**] 50mcg 1 [**Name2 (NI) 29707**] nasally [**Hospital1 **]
NTG SL PRN
Albuterol 1-2 puffs PRN (pt states he uses [**Hospital1 **])
Quinidine 324mg QID
Spironolactone 25mg every other day alternating with 50mg

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS 97.2 75 (a-paced) 87/44 22 97% 3L NC
GENERAL: Middle aged man, lying flat, NAD
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

FAMILY HISTORY: Father had CABG in 60s, died at 81, mother with fatal MI at 71.

SOCIAL HISTORY: Pt is a retired engineer, lives with wife [**Name (NI) **] in [**Name (NI) **].
-Tobacco history: Quit smoking: [**2172**], 45 year smoking history
-ETOH: Rare
-Illicit drugs:None
Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of autologous vein bypass graft,Intermediate coronary syndrome,Chronic systolic heart failure,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic obstructive asthma, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Gout, unspecified,Atrial fibrillation,Other dependence on machines, supplemental oxygen,Personal history of irradiation, presenting hazards to health,Personal history of antineoplastic chemotherapy,Acquired absence of organ, lung,Automatic implantable cardiac defibrillator in situ,Personal history of malignant neoplasm of bronchus and lung,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation
Comp-oth cardiac device,Crn ath atlg vn bps grft,Intermed coronary synd,Chr systolic hrt failure,Chronic kidney dis NOS,Hy kid NOS w cr kid I-IV,Chronic obst asthma NOS,DMII wo cmp nt st uncntr,Hyperlipidemia NEC/NOS,Gout NOS,Atrial fibrillation,Depend-supplement oxygen,Hx of irradiation,Hx antineoplastic chemo,Acq absence of lung,Status autm crd dfbrltr,Hx-bronchogenic malignan,Abn react-artif implant
Admission Date:  [**2182-3-8**]              Discharge Date:   [**2182-3-10**]

Date of Birth:  [**2115-2-28**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1145**]
Chief Complaint:
Dyspnea

Major Surgical or Invasive Procedure:
Cardiac catheterization with balloon angioplasty of the left
main coronary artery


History of Present Illness:
67M with CAD s/p CABG [**2169**], PCI [**10-1**] with DES to LMCA (required
IABP), COPD, lung ca s/p resection, h/o VT s/p ICD, HL, DM, AF
with PPM in place who presented today for elective c. cath after
experiencing worsening CHF symptoms at home. Pt has severe
ischemic cardiomyopathy with an EF of 25% from [**10-1**] echo. After
his [**10-1**] cath his symptoms of dysnpea improved until
approximately 6 weeks to 1 month ago. He noted increasing DOE,
now becoming winded walking to mailbox. Has to sleep sitting up.
Notes he has gained 10lbs in the past week with increasing LE
edema. No CP, no palpitations. Presented to cardiologist 4 days
prior to admission, who increased his spironolactone and
arranged for elective cath at [**Hospital1 18**] today. In cath lab this
evening pt was hypotensive peri-cath requiring dopamine. He was
noted to have eccentric restenosis of his LMCA --> LCx stent
which was dilated to 4.0 with ballon angioplasty. His LIMA to
LAD graft remained patent. He was admitted to the CCU for
monitoring in the setting of his persistent pressor requirement.

.
Upon arrival to the floor the patient's BPs were in the 80s on
low dose dopamine. He complained of a [**3-5**] headache, otherwise
had no other complaints. Denied any chest pain, shortness of
breath, palpitations, groin pain. Was able to lay flat in the
bed comfortably. No lightheadedness. He was pleasant, alert and
oriented. His wife and daughter were with him and corroborated
that he had taken all of his medications that morning.


Past Medical History:
1. CARDIAC RISK FACTORS:: Diabetes +, Dyslipidemia +,
Hypertension +
2. CARDIAC HISTORY:
-CABG: [**2169**], LIMA to LAD, SVG to RAMUS, SVG to RCA.
-PERCUTANEOUS CORONARY INTERVENTIONS:
[**2177**]: Occlusion of SVG to ramus, and svg to RCA. Native RCA
occluded. 30% LMCA lesion and 80% ramus lesion. L subclavian
stenosis found and stented.
[**9-/2181**]: 70% ostial CM stenosis and 3VD with patent proximal left
subclavian stent, patent LIMA to LAD. Had DES placed LMCA -->
LCx, required. Required AIBP at the time.
-PACING/ICD: ICD placed in [**2177**] for primary prevention,
[**Company 1543**] [**Last Name (un) 24119**] DR, a 6949 right ventricular lead. Has PPM in
place.
3. OTHER PAST MEDICAL HISTORY:
Lung cancer, s/p RUL lobectomy [**2172**] chemo/rads
COPD
Gout
HTN
Hyperlipidemia
AF
home 02 (2L NC) prn


Social History:
 Pt is a retired engineer, lives with wife [**Name (NI) **] in [**Name (NI) **].
-Tobacco history: Quit smoking: [**2172**], 45 year smoking history
-ETOH: Rare
-Illicit drugs:None


Family History:
Father had CABG in 60s, died at 81, mother with fatal MI at 71.

Physical Exam:
VS 97.2 75 (a-paced) 87/44 22 97% 3L NC
GENERAL: Middle aged man, lying flat, NAD
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

NECK: Supple with JVP to angle of mandible
CARDIAC: Regular rate/rhythm. 2/6 systolic murmur.
LUNGS: Unlabored breathing. No crackles. Coarse expiratory
wheezes throughout anterior and lateral fields.
ABDOMEN: Soft, NTND. No HSM or tenderness.
EXTREMITIES: 1+ ankle edema b/l. Venous sheath in L groin, no
hematoma, non-tender.
SKIN: No stasis dermatitis, ulcers, scars, or xanthomas.
PULSES:
Right:DP 1+ PT 1+
Left: DP 1+ PT 1+


Pertinent Results:
***LABS ON ADMISSION***
[**2182-3-8**] 08:36PM   WBC-7.6 RBC-4.04* HGB-12.6* HCT-36.1* MCV-89
MCH-31.3 MCHC-35.0 RDW-15.0
[**2182-3-8**] 08:36PM   PLT COUNT-221
[**2182-3-8**] 08:36PM   PT-17.1* PTT-52.7* INR(PT)-1.5*
[**2182-3-8**] 08:36PM   GLUCOSE-127* UREA N-18 CREAT-1.2 SODIUM-139
POTASSIUM-4.1 CHLORIDE-97 TOTAL CO2-33* ANION GAP-13
[**2182-3-8**] 08:36PM   CALCIUM-9.3 PHOSPHATE-3.4 MAGNESIUM-2.2
......
***LABS DURING STAY***
[**2182-3-9**] 04:46AM BLOOD WBC-6.5 RBC-3.95* Hgb-12.3* Hct-35.4*
MCV-90 MCH-31.2 MCHC-34.8 RDW-15.1 Plt Ct-190
[**2182-3-9**] 04:46AM BLOOD Glucose-86 UreaN-15 Creat-1.1 Na-138
K-4.1 Cl-97 HCO3-35* AnGap-10
[**2182-3-9**] 04:46AM BLOOD CK(CPK)-63
[**2182-3-9**] 04:46AM BLOOD Calcium-8.8 Phos-4.0 Mg-2.2
.
***IMAGING***
[**2182-3-9**] CXR
FINDINGS: Comparison is made to previous study from [**2182-1-16**].

Pacemaker and median sternotomy wires are unchanged. There
remains an
enlarged cardiac silhouette. There is again seen some deformity
of the right upper rib cage which is stable. Scarring is seen
within the right apex. There is no signs of overt pulmonary
edema. There is likely small bilateral pleural effusions however
these are unchanged since the previous study.
.
[**2182-3-8**] CATH
(prelim report, not logged on discharge)
Right dominant
LMCA: eccentric 70% re-stenosis in LM/Cx stent
LAD: fills via LIMA
LCx: No significant disease distal to stent
RCA: Known occluded
Intervention: Instent re-stenosis dilated with 4.0 cutting
balloon and 4.0 NC balloon.
.
HEMODYNAMICS:
AO 80/51 mean 63
PCW mean 15
PA 40/20 mean 29
RV 40/6
RA mean 10


Brief Hospital Course:
67M with CAD and severe ischemic cardiomyopathy presented for
cardiac cath in the setting of worsening CHF symtoms with
balloon dilation of LMCA stent, admitted to CCU for monitoring
of his hypotension requiring pressors.
.
# PUMP: Chronic systolic heart failure, EF 25% in [**10-1**]. Has ICD
in place. Hypotensive to 70s in cath lab requiring dopamine.
Upon arrival to the CCU patient with persistent low dose
requirement. Per outpatient cardiologist and patient he
tolerates SBPs in 80s with minimal orthostasis.  Pt seems to be
in class III NYHA heart failure at home, with worsening at home
lately resulting in this presentation.  Patient was weaned off
of pressors.  Initially held ACE inhibitor in the setting of
hypotension was restarted once pressures stabilized. Patient was
continued on outpatient digoxin. Patient continued on aspirin
and statin.  Patient was discharged on ACE inhibitor at
outpatient dose.  Atenolol was lowered given low blood pressure.

.
# CORONARIES:  Known CAD, with occluded vein grafts, RCA.
Patent LIMA to LAD.  LMCA to Cx ballooned on admission.  Pt's
worsening symptoms potentially in setting of in-stent stenosis.
Patient was continued on ASA.  Patient will require plavix for
at least one year, ideally indefinitely.  Patient was continued
on statin.  Initially held  ACEI and BB tonight in the setting
of hypotension. Discussed medications for discharge with
outpatient cardiologist and decided to discharge patient on
decreased dose of atenolol given baseline hypotension.
.
# RHYTHM:  Pt has history of VT (without ICD shocks) and AF, has
ICD/PPM in place, currently a-paced at 75.  Patient is
maintained as outaptient on quinidine which was continued
through admission and on discharge.  Initially beta blocker held
in the setting of hypotension restarted on discharge.  Patient
is not on anti-coagulation as an outpatient even with history of
atrial fibrillation and low ejection fraction.  Defer to
outpatient cardiologist for this management.  Patient was
dischaged on beta blocker, quinidine.
.
# COPD: On home 02, per report has fairly severe disease, and
has a history of RUL lobectomy for lung ca.  On admission
patient had wheezing.  Patient was continued on home formeterol,
Fluticasone and given nebs of ipratropium, albuterol.  Patient
not on long acting anti-cholinergic as outpatient, would
consider outpatient addition of long acting anti-cholinergic.
Patient was continued on PRN albuterol and supplemental oxygen.
.
# Gout: Pt complaining of increased pain similar to his gout
pain in R foot. Normally takes Indomethacin at home, but holding
in setting of recent cath. Patient was given Tylenol as needed
to improve pain, but pain persistented. Discussed case with
rheumatology who suggested colchicine and prednisone for a few
days and to avoid indomethacine given recent catherziation.
.
FEN: Regular heart healthy diet.  FSBS ISS prn. No IVF for
CHF/low EF
.
ACCESS: PIV's
.
PROPHYLAXIS: Hep SC, bowel regimen.
.
CONTACT: Wife, [**Name (NI) **] (home) [**Telephone/Fax (1) 29705**] (cell) [**Telephone/Fax (1) 29706**]
.
CODE: Confirmed full


Medications on Admission:
Aspirin 325mg daily
Flunisolide 250mcg 2 puffs [**Hospital1 **]
Atenolol 100mg daily
Rosuvastatin 40mg daily
Clopidogrel 75mg daily
Digoxin 125mcg MWF
Formoterol 12mcg 1 [**Hospital1 29707**] [**Hospital1 **]
Flunisolide nasal spray 29mcg 2 sprays [**Hospital1 **]
Furosemide 60mg daily
Lisinopril 2.5mg daily
Mom[**Name (NI) 6474**] 50mcg 1 [**Name2 (NI) 29707**] nasally [**Hospital1 **]
NTG SL PRN
Albuterol 1-2 puffs PRN (pt states he uses [**Hospital1 **])
Quinidine 324mg QID
Spironolactone 25mg every other day alternating with 50mg


Discharge Medications:
1. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
2. Flunisolide 250 mcg/Actuation Aerosol Sig: Two (2) [**Hospital1 29707**]
Inhalation twice a day.
3. Rosuvastatin 20 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
4. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
5. Digoxin 125 mcg Tablet Sig: One (1) Tablet PO 3X/WEEK
(MO,WE,FR) as needed for heart failure.
6. Formoterol Fumarate 12 mcg Capsule, w/Inhalation Device Sig:
One (1) [**Hospital1 29707**] Inhalation twice a day.
7. Flunisolide 29 mcg Aerosol, Spray Sig: Two (2) sprays Nasal
twice a day.
8. Lasix 20 mg Tablet Sig: Three (3) Tablet PO once a day.
9. Lisinopril 2.5 mg Tablet Sig: One (1) Tablet PO once a day.
10. Mom[**Name (NI) 6474**] 50 mcg/Actuation Spray, Non-Aerosol Sig: One (1)
[**Name (NI) 29707**] Nasal twice a day.
11. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) tables
Sublingual as needed.
12. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 puffs Inhalation
as needed as needed for shortness of breath or wheezing.
13. Quinidine Gluconate 324 mg Tablet Sustained Release Sig: One
(1) Tablet Sustained Release PO Q6H (every 6 hours).
14. Spironolactone 25 mg Tablet Sig: One (1) Tablet PO every
other day: alternate with 50mg spironolactone.
15. Spironolactone 50 mg Tablet Sig: One (1) Tablet PO every
other day: alternate with 25mg spironolactone.
16. Atenolol 50 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*2*
17. Prednisone 20 mg Tablet Sig: One (1) Tablet PO once a day
for 2 days: Take 1 tablet on Monday [**2182-3-11**] and 1 tablet on
Tuesday [**2182-3-12**].
Disp:*2 Tablet(s)* Refills:*0*
18. Colchicine 0.6 mg Tablet Sig: One (1) Tablet PO twice a day
for 2 days.
Disp:*3 Tablet(s)* Refills:*0*
19. Mom[**Name (NI) 6474**] 50 mcg/Actuation Spray, Non-Aerosol Sig: One (1)
Nasal twice a day.


Discharge Disposition:
Home

Discharge Diagnosis:
Priamry: Coronary artery disease, congestive heart failure
.
Secondary: COPD, lung cancer, atrial fibrillation


Discharge Condition:
Stable vital signs, at baseline

Discharge Instructions:
You were admitted for elective cardiac catheterization. At
catheterization you were found to have a partial blockage which
we opened with a baloon angioplasty. Your blood pressure was low
after the procedure and you were observed overnight in the CCU.
You blood pressure returned to your previous baseline.
.
Please continue to take your medications as ordered. The
following changes were made:
- DECREASE Atenolol to 50mg PO daily
- 3 days of steroids and colchicine in the setting of acute gout
flare
.
Please continue to take your Plavix (clopidogrel). This
medication is very important for keeping the arteries of your
heart open.
.
Please attend your follow up appointments.
.
Please weigh yourself every morning and call your doctor if you
gain more than 3lbs in 1 day or 5lbs in 1 week.
.
Please adhere to 2000mg sodium diet.
.
Please call your doctor or come to the nearest emergency room if
you experience chest pain, shortness of breath, swelling, loss
of consciousness, palpitations, bleeding, or other concerning
symptoms.

Followup Instructions:
Please make an appointment to see your cardiologist Dr. [**Last Name (STitle) 11493**]
within 2 weeks of discharge. You can reach him at ([**Telephone/Fax (1) 29708**]. In addition, you should follow up with your primary
care physician [**Last Name (NamePattern4) **]. [**First Name8 (NamePattern2) 449**] [**Last Name (NamePattern1) 6955**] ([**Telephone/Fax (1) 29709**] with 2 weeks of
discharge.


Completed by:[**2182-3-10**]
{'Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of autologous vein bypass graft,Intermediate coronary syndrome,Chronic systolic heart failure,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic obstructive asthma, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Gout, unspecified,Atrial fibrillation,Other dependence on machines, supplemental oxygen,Personal history of irradiation, presenting hazards to health,Personal history of antineoplastic chemotherapy,Acquired absence of organ, lung,Automatic implantable cardiac defibrillator in situ,Personal history of malignant neoplasm of bronchus and lung,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}


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: Dyspnea

PRESENT ILLNESS: 67M with CAD s/p CABG [**2169**], PCI [**10-1**] with DES to LMCA (required
IABP), COPD, lung ca s/p resection, h/o VT s/p ICD, HL, DM, AF
with PPM in place who presented today for elective c. cath after
experiencing worsening CHF symptoms at home. Pt has severe
ischemic cardiomyopathy with an EF of 25% from [**10-1**] echo. After
his [**10-1**] cath his symptoms of dysnpea improved until
approximately 6 weeks to 1 month ago. He noted increasing DOE,
now becoming winded walking to mailbox. Has to sleep sitting up.
Notes he has gained 10lbs in the past week with increasing LE
edema. No CP, no palpitations. Presented to cardiologist 4 days
prior to admission, who increased his spironolactone and
arranged for elective cath at [**Hospital1 18**] today. In cath lab this
evening pt was hypotensive peri-cath requiring dopamine. He was
noted to have eccentric restenosis of his LMCA --> LCx stent
which was dilated to 4.0 with ballon angioplasty. His LIMA to
LAD graft remained patent. He was admitted to the CCU for
monitoring in the setting of his persistent pressor requirement.

MEDICAL HISTORY: 1. CARDIAC RISK FACTORS:: Diabetes +, Dyslipidemia +,
Hypertension +
2. CARDIAC HISTORY:
-CABG: [**2169**], LIMA to LAD, SVG to RAMUS, SVG to RCA.
-PERCUTANEOUS CORONARY INTERVENTIONS:
[**2177**]: Occlusion of SVG to ramus, and svg to RCA. Native RCA
occluded. 30% LMCA lesion and 80% ramus lesion. L subclavian
stenosis found and stented.
[**9-/2181**]: 70% ostial CM stenosis and 3VD with patent proximal left
subclavian stent, patent LIMA to LAD. Had DES placed LMCA -->
LCx, required. Required AIBP at the time.
-PACING/ICD: ICD placed in [**2177**] for primary prevention,
[**Company 1543**] [**Last Name (un) 24119**] DR, a 6949 right ventricular lead. Has PPM in
place.
3. OTHER PAST MEDICAL HISTORY:
Lung cancer, s/p RUL lobectomy [**2172**] chemo/rads
COPD
Gout
HTN
Hyperlipidemia
AF
home 02 (2L NC) prn

MEDICATION ON ADMISSION: Aspirin 325mg daily
Flunisolide 250mcg 2 puffs [**Hospital1 **]
Atenolol 100mg daily
Rosuvastatin 40mg daily
Clopidogrel 75mg daily
Digoxin 125mcg MWF
Formoterol 12mcg 1 [**Hospital1 29707**] [**Hospital1 **]
Flunisolide nasal spray 29mcg 2 sprays [**Hospital1 **]
Furosemide 60mg daily
Lisinopril 2.5mg daily
Mom[**Name (NI) 6474**] 50mcg 1 [**Name2 (NI) 29707**] nasally [**Hospital1 **]
NTG SL PRN
Albuterol 1-2 puffs PRN (pt states he uses [**Hospital1 **])
Quinidine 324mg QID
Spironolactone 25mg every other day alternating with 50mg

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS 97.2 75 (a-paced) 87/44 22 97% 3L NC
GENERAL: Middle aged man, lying flat, NAD
HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were
pink, no pallor or cyanosis of the oral mucosa. No xanthalesma.

FAMILY HISTORY: Father had CABG in 60s, died at 81, mother with fatal MI at 71.

SOCIAL HISTORY: Pt is a retired engineer, lives with wife [**Name (NI) **] in [**Name (NI) **].
-Tobacco history: Quit smoking: [**2172**], 45 year smoking history
-ETOH: Rare
-Illicit drugs:None 

### Response:
{'Other complications due to other cardiac device, implant, and graft,Coronary atherosclerosis of autologous vein bypass graft,Intermediate coronary syndrome,Chronic systolic heart failure,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic obstructive asthma, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Gout, unspecified,Atrial fibrillation,Other dependence on machines, supplemental oxygen,Personal history of irradiation, presenting hazards to health,Personal history of antineoplastic chemotherapy,Acquired absence of organ, lung,Automatic implantable cardiac defibrillator in situ,Personal history of malignant neoplasm of bronchus and lung,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}
