CHIEF COMPLAINT: 

PRESENT ILLNESS: This 70 year-old male has had
stable angina for the past five years.  He was catheterized
one year ago, which revealed three vessel coronary artery
disease.  The patient declined surgery at that time.  On
[**2187-6-21**] he had a positive stress test and was referred for
catheterization, which revealed three vessel coronary artery
disease, 1+ mitral regurgitation and an EF of 45%.  He was
referred for coronary artery bypass graft.  An echocardiogram
on [**6-21**] revealed 2+ mitral regurgitation.  He is now admitted
for coronary artery bypass graft.

MEDICAL HISTORY: Significant for history of coronary
artery disease with stable angina, status post
catheterization one year ago.  History of hypertension.
History of hypercholesterolemia.  Status post appendectomy.
Status post hand surgery secondary to an infection.

MEDICATION ON ADMISSION: 1.  Aspirin 325 mg po q.d.
2.  Niacin 500 mg po b.i.d.
3.  Vitamin E.
4.  Multivitamins.
5.  Zestril 15 mg po q.d.
6.  Lipitor 10 mg po q.d.
7.  Atenolol 12.5 mg po q.d.
8.  Mylanta prn.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He does not smoke cigarettes.  He drinks one
drink a day.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Hypertension NOS,Pure hypercholesterolem
Admission Date:  [**2187-7-26**]       Discharge Date:  [**2187-8-1**]

Date of Birth:   [**2116-9-18**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  This 70 year-old male has had
stable angina for the past five years.  He was catheterized
one year ago, which revealed three vessel coronary artery
disease.  The patient declined surgery at that time.  On
[**2187-6-21**] he had a positive stress test and was referred for
catheterization, which revealed three vessel coronary artery
disease, 1+ mitral regurgitation and an EF of 45%.  He was
referred for coronary artery bypass graft.  An echocardiogram
on [**6-21**] revealed 2+ mitral regurgitation.  He is now admitted
for coronary artery bypass graft.

PAST MEDICAL HISTORY:  Significant for history of coronary
artery disease with stable angina, status post
catheterization one year ago.  History of hypertension.
History of hypercholesterolemia.  Status post appendectomy.
Status post hand surgery secondary to an infection.

MEDICATIONS ON ADMISSION:
1.  Aspirin 325 mg po q.d.
2.  Niacin 500 mg po b.i.d.
3.  Vitamin E.
4.  Multivitamins.
5.  Zestril 15 mg po q.d.
6.  Lipitor 10 mg po q.d.
7.  Atenolol 12.5 mg po q.d.
8.  Mylanta prn.

SOCIAL HISTORY:  He does not smoke cigarettes.  He drinks one
drink a day.

ALLERGIES:  No known drug allergies.

REVIEW OF SYSTEMS:  Occasional chest pain and heartburn.

PHYSICAL EXAMINATION:  He is a well developed, well
nourished, white male in no acute distress.  Vital signs
stable, afebrile.  HEENT examination normocephalic,
atraumatic.  Extraocular movements intact.  Oropharynx is
benign.  Neck was supple.  Full range of motion.  No
lymphadenopathy or thyromegaly.  Carotids 2+ and equal
bilaterally without bruits.  Lungs were clear to auscultation
and percussion.  Cardiovascular examination regular rate and
rhythm with a 2/6 systolic ejection murmur.  Abdomen was
soft, nontender with positive bowel sounds.  No masses or
hepatosplenomegaly.  Extremities were without clubbing,
cyanosis or edema.  Neurological examination was nonfocal.

HOSPITAL COURSE:  On [**7-26**] the patient underwent a coronary
artery bypass graft times five with left internal mammary
coronary artery to the second diagonal, reverse saphenous
vein graft to left anterior descending coronary artery,
diagonal one obtuse marginal and posterior descending
coronary artery.  The cross clamp time was 57 minutes.  Total
bypass time was 88 minutes.  The patient tolerated the
procedure well and was transferred to the CSRU in stable
condition.  He was extubated on his postop night.  His chest
tubes were discontinued on postop day number one.  On postop
day number two he was still on neo and was transfused 2 units
of blood, which was weaned off.  Postop day three he was
transferred to the floor in stable condition.  His epicardial
pacing wires were discontinued.  He continued to have a
stable postop course and on postop day number six he was
discharged to home in stable condition.

LABORATORIES ON DISCHARGE:  Hematocrit 30.3, white blood cell
count 37,800, platelets 161, sodium 139, potassium 4.0,
chloride 102, CO2 32, BUN 21, creatinine 0.9, blood sugar
113.

MEDICATIONS ON DISCHARGE:
1.  Potassium 20 milliequivalents po q day times seven days.
2.  Lasix 20 mg po b.i.d. times seven days.
3.  Colace 100 mg po b.i.d.
4.  Tylenol #3 one to two po q 4 to 6 hours prn pain.
5.  Lipitor 10 mg po q.d.
6.  Atenolol 25 mg po q.d.
7.  Niacin 500 mg po b.i.d.

He will be followed by Dr. [**Last Name (STitle) 70**] in six weeks and by Dr.
[**Last Name (STitle) 5717**] in one to two weeks.






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

Dictated By:[**Last Name (NamePattern1) 28280**]
MEDQUIST36

D:  [**2187-8-1**]  10:04
T:  [**2187-8-1**]  10:17
JOB#:  [**Job Number 28281**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,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: This 70 year-old male has had
stable angina for the past five years.  He was catheterized
one year ago, which revealed three vessel coronary artery
disease.  The patient declined surgery at that time.  On
[**2187-6-21**] he had a positive stress test and was referred for
catheterization, which revealed three vessel coronary artery
disease, 1+ mitral regurgitation and an EF of 45%.  He was
referred for coronary artery bypass graft.  An echocardiogram
on [**6-21**] revealed 2+ mitral regurgitation.  He is now admitted
for coronary artery bypass graft.

MEDICAL HISTORY: Significant for history of coronary
artery disease with stable angina, status post
catheterization one year ago.  History of hypertension.
History of hypercholesterolemia.  Status post appendectomy.
Status post hand surgery secondary to an infection.

MEDICATION ON ADMISSION: 1.  Aspirin 325 mg po q.d.
2.  Niacin 500 mg po b.i.d.
3.  Vitamin E.
4.  Multivitamins.
5.  Zestril 15 mg po q.d.
6.  Lipitor 10 mg po q.d.
7.  Atenolol 12.5 mg po q.d.
8.  Mylanta prn.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He does not smoke cigarettes.  He drinks one
drink a day. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia'}
