CHIEF COMPLAINT: Coronary artery disease.

PRESENT ILLNESS: The patient is a 66 year-old
male with a prior history of inferior myocardial infarction
who was referred for cardiac catheterization due to recent
fatigue and positive stress test.  His cardiac
catheterization revealed three vessel disease and he was
referred to cardiac surgery.  The decision to operate was
made.  The patient came in for elective coronary artery
bypass graft on [**2199-4-24**].

MEDICAL HISTORY: 1.  Coronary artery disease status
post IMI in [**2186**].  2.  Gout.  3.  Depression.  4.  Peripheral
vascular disease.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Pure hypercholesterolemia,Gout, unspecified,Personal history of tobacco use
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Mitral valve disorder,Pure hypercholesterolem,Gout NOS,History of tobacco use
Admission Date:  [**2199-4-24**]     Discharge Date:  [**2199-4-28**]

Date of Birth:   [**2132-7-17**]     Sex:  M

Service:  CARDIAC SURGERY

CHIEF COMPLAINT:  Coronary artery disease.

HISTORY OF PRESENT ILLNESS:  The patient is a 66 year-old
male with a prior history of inferior myocardial infarction
who was referred for cardiac catheterization due to recent
fatigue and positive stress test.  His cardiac
catheterization revealed three vessel disease and he was
referred to cardiac surgery.  The decision to operate was
made.  The patient came in for elective coronary artery
bypass graft on [**2199-4-24**].

PAST MEDICAL HISTORY:  1.  Coronary artery disease status
post IMI in [**2186**].  2.  Gout.  3.  Depression.  4.  Peripheral
vascular disease.

PAST SURGICAL HISTORY:  1.  Surgery of left great toe.

ALLERGIES:  No known drug allergies.

MEDICATIONS PRIOR TO ADMISSION:  Aspirin 81 mg q.d., Effexor
150 q.d., Colchicine .6 mg b.i.d., Zestril 2.5 mg q.d.,
Lopressor 25 mg b.i.d., Lipitor 5 mg q.o.d., Allopurinol 100
mg b.i.d.

HOSPITAL COURSE:  The patient underwent a coronary artery
bypass graft times three on [**2199-4-24**] with left internal
mammary coronary artery to left anterior descending coronary
artery, saphenous vein graft to obtuse marginal, saphenous
vein graft to posterior descending coronary artery.  He
tolerated the procedure well and was transferred to the
Intensive Care Unit in stable condition.  He was extubated on
postoperative day zero.  He was stable hemodynamically and
was transferred to the floor on postoperative day one.  His
subsequent stay on the floor was uncomplicated.  His pacing
wires were discontinued on postoperative day three.  By this
time he was ambulating well and his pain was under control
with po analgesics.  He was ready for discharge home on
postoperative day four.

MEDICATIONS ON DISCHARGE:  Lopresor 25 mg b.i.d., Lasix 20 mg
q.d. times one week, K-Ciel 20 milliequivalents q.d. times
one week, Colace 100 mg b.i.d., Zantac 150 mg b.i.d., enteric
coated aspirin 325 mg q.d., Allopurinol 100 mg b.i.d.,
Percocet one to two tablets q 4 to 6 hours prn.  Lipitor 5 mg
q.o.d.

FOLLOW UP:  Follow up with primary care physician in two
weeks and Dr. [**Last Name (STitle) **] in four weeks.






                          [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3113**]

Dictated By:[**Last Name (NamePattern1) 2209**]

MEDQUIST36

D:  [**2199-5-9**]  20:52
T:  [**2199-5-10**]  10:03
JOB#:  [**Job Number 42511**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Pure hypercholesterolemia,Gout, unspecified,Personal history of tobacco use'}


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: Coronary artery disease.

PRESENT ILLNESS: The patient is a 66 year-old
male with a prior history of inferior myocardial infarction
who was referred for cardiac catheterization due to recent
fatigue and positive stress test.  His cardiac
catheterization revealed three vessel disease and he was
referred to cardiac surgery.  The decision to operate was
made.  The patient came in for elective coronary artery
bypass graft on [**2199-4-24**].

MEDICAL HISTORY: 1.  Coronary artery disease status
post IMI in [**2186**].  2.  Gout.  3.  Depression.  4.  Peripheral
vascular disease.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Pure hypercholesterolemia,Gout, unspecified,Personal history of tobacco use'}
