CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 25 year old female
with a history of rheumatic fever at age three years who had
mitral regurgitation first diagnosed in 12/99.  She underwent
a mitral valve repair in [**2150-1-31**], by Dr. [**Last Name (STitle) 14714**] with
ring annuloplasty.  She was recently admitted, however, in
[**2151-8-1**], for monomorphic ventricular tachycardia with
ablation and at that time she was found to have 3+ mitral
regurgitation with a normal ejection fraction.  Given this,
she was referred to Dr. [**Last Name (Prefixes) **] for further treatment.

MEDICAL HISTORY: Significant for mitral valve repair in
[**2149-12-31**], and a mitral valve ring annuloplasty in
[**2150-1-31**].  She is also status post a cesarean section in
[**2147**].

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Mitral valve disorders
Mitral valve disorder
Admission Date:  [**2151-10-26**]       Discharge Date:  [**2151-10-30**]

Date of Birth:   [**2126-2-16**]       Sex:  F

Service:  CT SURGERY

ADMITTING DIAGNOSIS:  Mitral valve disease.

HI[**Last Name (STitle) 2710**]OF PRESENT ILLNESS:  This is a 25 year old female
with a history of rheumatic fever at age three years who had
mitral regurgitation first diagnosed in 12/99.  She underwent
a mitral valve repair in [**2150-1-31**], by Dr. [**Last Name (STitle) 14714**] with
ring annuloplasty.  She was recently admitted, however, in
[**2151-8-1**], for monomorphic ventricular tachycardia with
ablation and at that time she was found to have 3+ mitral
regurgitation with a normal ejection fraction.  Given this,
she was referred to Dr. [**Last Name (Prefixes) **] for further treatment.

PAST MEDICAL HISTORY:  Significant for mitral valve repair in
[**2149-12-31**], and a mitral valve ring annuloplasty in
[**2150-1-31**].  She is also status post a cesarean section in
[**2147**].

MEDICATIONS:
1.  Zestril 5 mg p.o. q.d.
2.  Oral contraceptive.

ALLERGIES:  Penicillin.

PHYSICAL EXAMINATION:  On physical examination, she was a
pleasant appearing 25 year old female with a lung examination
that was clear to auscultation bilaterally.  Her heart was S1
and S2 with a grade IV/VI systolic ejection.  Her abdomen was
soft, nontender, nondistended with active bowel sounds.  Her
extremities were well perfused without any edema.

HO[**Last Name (STitle) **] COURSE:  On [**2151-10-26**], the patient was taken to the
operating room by Dr. [**Last Name (Prefixes) **], assisted by Dr. [**Last Name (STitle) 29576**]
where a #29 porcine tissue mitral valve replacement was
performed.  The patient tolerated the procedure well and was
taken to the CSRU without any inotropic suppressors.

The patient had an uncomplicated postoperative course.   Her
chest tubes were removed without problems.  She was begun on
Lopressor and Aspirin and some Lasix diuresis.  Over the next
several days, she ambulated well.  She had her Foley catheter
discontinued and by postoperative day number four it was felt
that she was stable for discharge.

At that time, she was afebrile with stable vital signs.  Her
lungs were clear to auscultation bilaterally.  Her cardiac
examination was regular rate and rhythm, her sternum was
stable without any drainage, and she demonstrated no lower
extremity edema.

DISCHARGE MEDICATIONS:
1.  Lopressor 25 mg p.o. b.i.d.
2.  Colace 100 mg p.o. b.i.d.
3.  Aspirin 81 mg p.o. q.d.
4.  Percocet for pain control.

Sh[**Last Name (STitle) **]instructed to follow-up with her cardiologist and
with Dr. [**Last Name (Prefixes) **] in two to four weeks.

DISCHARGE DIAGNOSES:
1.  Rheumatic heart disease.
2.  Mitral valve regurgitation, status post redo mitral valve
replacement.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Name8 (MD) 4720**]
MEDQUIST36

D:  [**2151-10-30**]  16:11
T:  [**2151-10-30**]  16:35
JOB#:  [**Job Number 29577**]
{'Mitral valve disorders'}


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 is a 25 year old female
with a history of rheumatic fever at age three years who had
mitral regurgitation first diagnosed in 12/99.  She underwent
a mitral valve repair in [**2150-1-31**], by Dr. [**Last Name (STitle) 14714**] with
ring annuloplasty.  She was recently admitted, however, in
[**2151-8-1**], for monomorphic ventricular tachycardia with
ablation and at that time she was found to have 3+ mitral
regurgitation with a normal ejection fraction.  Given this,
she was referred to Dr. [**Last Name (Prefixes) **] for further treatment.

MEDICAL HISTORY: Significant for mitral valve repair in
[**2149-12-31**], and a mitral valve ring annuloplasty in
[**2150-1-31**].  She is also status post a cesarean section in
[**2147**].

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Mitral valve disorders'}
