CHIEF COMPLAINT: presyncope

PRESENT ILLNESS: Ms. [**Known lastname 3075**] is a 28 year old woman with symptomatic HOCM
admitted for ethanol ablation followed by ICD implantation.  The
patient was symptomatic with CP, dyspnea, and decreased exercise
tolerance.  First discovered during her pregnancy last year.
Reports palpitations and right sided chest pain whenever she is
dehydrated or with minimal activity.  Also, frequent dizziness
and presyncope when lifting 1 year old daughter.

MEDICAL HISTORY: HOCM
?Asthma
C-Section

MEDICATION ON ADMISSION: Toprol 25
MVI
Calcium

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Father had HOCM, s/p heart transplant at 40yo, died at 43 from
complications of immunosupression

SOCIAL HISTORY: Married with 1yo daughter, physical therapist, works 2 days per
week
Cardiac complications, not elsewhere classified,Ventricular fibrillation
Surg compl-heart,Ventricular fibrillation
Admission Date:  [**2130-2-10**]              Discharge Date:   [**2130-2-14**]

Date of Birth:  [**2102-1-15**]             Sex:   F

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**Location (un) 1279**]
Chief Complaint:
presyncope

Major Surgical or Invasive Procedure:
ablation and placement of AICD

History of Present Illness:
Ms. [**Known lastname 3075**] is a 28 year old woman with symptomatic HOCM
admitted for ethanol ablation followed by ICD implantation.  The
patient was symptomatic with CP, dyspnea, and decreased exercise
tolerance.  First discovered during her pregnancy last year.
Reports palpitations and right sided chest pain whenever she is
dehydrated or with minimal activity.  Also, frequent dizziness
and presyncope when lifting 1 year old daughter.

In EP lab, patient had VF arrest after successful ablation.  She
was shocked 5-7 times.  Temporary pacing wire placed.

Primary [**Known lastname **]: [**Name5 (PTitle) **]. [**Last Name (STitle) 11250**], [**Doctor Last Name **], [**Doctor Last Name **]

Past Medical History:
HOCM
?Asthma
C-Section

Social History:
Married with 1yo daughter, physical therapist, works 2 days per
week

Family History:
Father had HOCM, s/p heart transplant at 40yo, died at 43 from
complications of immunosupression

Brief Hospital Course:
Ms. [**Known lastname 3075**] is a 28 year old woman with HOCM who had ethanol
ablation complicated by VF arrest in EP lab status post [**4-22**]
shocks. She had ICD implantation on the day prior to discharge.
She remained in sinus rhythm since with a temporary pacing wire
in place x 48 hrs, as well as pacing pads in place x 1 day. Then
her permanent pacer was used. She was discharged in excellent
condition with aspirin and beta-blocker.

Medications on Admission:
Toprol 25
MVI
Calcium

Discharge Medications:
1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed for pain.
Disp:*20 Tablet(s)* Refills:*0*
2. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
3. Toprol XL 25 mg Tablet Sustained Release 24HR Sig: One (1)
Tablet Sustained Release 24HR PO once a day.
4. Keflex 500 mg Capsule Sig: One (1) Capsule PO twice a day for
1 days: take for 1 and a half days.
Disp:*3 Capsule(s)* Refills:*0*
5. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*2*


Discharge Disposition:
Home

Discharge Diagnosis:
hypertrophic cardiomyopathy, s/p ablation

Discharge Condition:
excellent

Discharge Instructions:
Continue your home medications. Plus, take keflex for a day and
a half. Also take 81 mg aspirin per day.

Followup Instructions:
[**Last Name (LF) **],[**First Name3 (LF) **]-[**Doctor First Name 10588**] [**Telephone/Fax (1) 11254**]
Provider:  [**Name10 (NameIs) 676**] CLINIC Where: [**Hospital6 29**] CARDIAC
SERVICES Phone:[**Telephone/Fax (1) 59**] Date/Time:[**2130-2-22**] 10:00
{'Cardiac complications, not elsewhere classified,Ventricular fibrillation'}


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: presyncope

PRESENT ILLNESS: Ms. [**Known lastname 3075**] is a 28 year old woman with symptomatic HOCM
admitted for ethanol ablation followed by ICD implantation.  The
patient was symptomatic with CP, dyspnea, and decreased exercise
tolerance.  First discovered during her pregnancy last year.
Reports palpitations and right sided chest pain whenever she is
dehydrated or with minimal activity.  Also, frequent dizziness
and presyncope when lifting 1 year old daughter.

MEDICAL HISTORY: HOCM
?Asthma
C-Section

MEDICATION ON ADMISSION: Toprol 25
MVI
Calcium

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Father had HOCM, s/p heart transplant at 40yo, died at 43 from
complications of immunosupression

SOCIAL HISTORY: Married with 1yo daughter, physical therapist, works 2 days per
week 

### Response:
{'Cardiac complications, not elsewhere classified,Ventricular fibrillation'}
