argilla/medical-keywords · Datasets at Hugging Face

text stringlengths 5 1.33k	tokens sequence	prediction list	prediction_agent stringclasses 1 value	annotation null	annotation_agent null	id null	metadata dict	status stringclasses 1 value	event_timestamp timestamp[us]	metrics null
I would defer to her usual cardiologist Dr. X whether an outpatient stress evaluation is appropriate for risk stratification.	[ " ", "I", "would", "defer", "to", "her", "usual", "cardiologist", "Dr.", "X", "whether", "an", "outpatient", "stress", "evaluation", "is", "appropriate", "for", "risk", "stratification", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 69 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 76 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.622162	null
I did find that the patient had a prior cardiac stress test in 08/07 where they felt that there was some subtle reversibility of the anterior wall, but it was felt that it may be artifact rather than true ischemia with normal LV function seen on that study as well.	[ " ", "I", "did", "find", "that", "the", "patient", "had", "a", "prior", "cardiac", "stress", "test", "in", "08/07", "where", "they", "felt", "that", "there", "was", "some", "subtle", "reversibility", "of", "the", "anterior", "wall", ",", "but", "it", "was", "felt", "that", "it", "may", "be", "artifact", "rather", "than", "true", "ischemia", "with", "normal", "LV", "function", "seen", "on", "that", "study", "as", "well", "." ]	[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 142, "label": "KEYPHRASE", "score": 0, "start": 134 }, { "end": 147, "label": "KEYPHRASE", "score": 0, "start": 143 }, { "end": 214, "label": "KEYPHRASE", "score": 0, "start": 206 }, { "end": 226, "label": "KEYPHRASE", "score": 0, "start": 220 }, { "end": 238, "label": "KEYPHRASE", "score": 0, "start": 230 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.622712	null
Continue Norvasc for history of hypertension as well as labetalol.	[ " ", "Continue", "Norvasc", "for", "history", "of", "hypertension", "as", "well", "as", "labetalol", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 33 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.623387	null
The patient is felt to be a significant fall risk and will at least continue her aspirin 81 mg once a day for secondary CVA, thromboprophylaxis (albeit understanding that it is inferior to Coumadin).,6.	[ " ", "The", "patient", "is", "felt", "to", "be", "a", "significant", "fall", "risk", "and", "will", "at", "least", "continue", "her", "aspirin", "81", "mg", "once", "a", "day", "for", "secondary", "CVA", ",", "thromboprophylaxis", "(", "albeit", "understanding", "that", "it", "is", "inferior", "to", "Coumadin).,6", "." ]	[ { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 111 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.624099	null
Continue Dilantin for history of seizures.	[ " ", "Continue", "Dilantin", "for", "history", "of", "seizures", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.624530	null
INDICATIONS:, Peripheral vascular disease with claudication.	[ "INDICATIONS", ":", ",", " ", "Peripheral", "vascular", "disease", "with", "claudication", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 48 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.625432	null
Normal arterial imaging of right lower extremity.	[ " ", "Normal", "arterial", "imaging", "of", "right", "lower", "extremity", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.625661	null
Peak systolic velocity is normal.	[ " ", "Peak", "systolic", "velocity", "is", "normal", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.625842	null
Arterial waveform is triphasic.	[ " ", "Arterial", "waveform", "is", "triphasic", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626013	null
Ankle brachial index is 0.96.,LEFT:,1.	[ " ", "Ankle", "brachial", "index", "is", "0.96.,LEFT:,1", "." ]	[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 7 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626197	null
Normal arterial imaging of left lower extremity.	[ " ", "Normal", "arterial", "imaging", "of", "left", "lower", "extremity", "." ]	[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626330	null
Peak systolic velocity is normal.	[ " ", "Peak", "systolic", "velocity", "is", "normal", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626516	null
Arterial waveform is triphasic throughout except in posterior tibial artery where it is biphasic.	[ " ", "Arterial", "waveform", "is", "triphasic", "throughout", "except", "in", "posterior", "tibial", "artery", "where", "it", "is", "biphasic", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 89 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626734	null
Ankle brachial index is 1.06.,IMPRESSION,:,Normal arterial imaging of both lower extremities.	[ " ", "Ankle", "brachial", "index", "is", "1.06.,IMPRESSION,:,Normal", "arterial", "imaging", "of", "both", "lower", "extremities", "." ]	[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 76 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.626972	null
EXAM: , Left heart cath, selective coronary angiogram, right common femoral angiogram, and StarClose closure of right common femoral artery.	[ "EXAM", ":", ",", "Left", "heart", "cath", ",", "selective", "coronary", "angiogram", ",", "right", "common", "femoral", "angiogram", ",", "and", "StarClose", "closure", "of", "right", "common", "femoral", "artery", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 118 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.628607	null
,REASON FOR EXAM: , Abnormal stress test and episode of shortness of breath.	[ ",REASON", "FOR", "EXAM", ":", ",", "Abnormal", "stress", "test", "and", "episode", "of", "shortness", "of", "breath", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 56 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.628853	null
,PROCEDURE: , Right common femoral artery, 6-French sheath, JL4, JR4, and pigtail catheters were used.	[ ",PROCEDURE", ":", ",", "Right", "common", "femoral", "artery", ",", "6", "-", "French", "sheath", ",", "JL4", ",", "JR4", ",", "and", "pigtail", "catheters", "were", "used", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 82 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.629114	null
Left main is a large-caliber vessel.	[ " ", "Left", "main", "is", "a", "large", "-", "caliber", "vessel", "." ]	[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.629424	null
It is angiographically free of disease,,2.	[ " ", "It", "is", "angiographically", "free", "of", "disease,,2", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 7 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.629595	null
LAD is a large-caliber vessel.	[ " ", "LAD", "is", "a", "large", "-", "caliber", "vessel", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 24 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.629769	null
It gives rise to two diagonals and septal perforator.	[ " ", "It", "gives", "rise", "to", "two", "diagonals", "and", "septal", "perforator", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.629952	null
It erupts around the apex.	[ " ", "It", "erupts", "around", "the", "apex", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 22 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.630126	null
LAD shows an area of 60% to 70% stenosis probably in its mid portion.	[ " ", "LAD", "shows", "an", "area", "of", "60", "%", "to", "70", "%", "stenosis", "probably", "in", "its", "mid", "portion", "." ]	[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 58 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.630338	null
The lesion is a type A finishing before the takeoff of diagonal 1.	[ " ", "The", "lesion", "is", "a", "type", "A", "finishing", "before", "the", "takeoff", "of", "diagonal", "1", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.630553	null
The rest of the vessel is angiographically free of disease.	[ " ", "The", "rest", "of", "the", "vessel", "is", "angiographically", "free", "of", "disease", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 52 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.630753	null
Diagonal 1 and diagonal 2 are angiographically free of disease.	[ " ", "Diagonal", "1", "and", "diagonal", "2", "are", "angiographically", "free", "of", "disease", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 56 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.631054	null
Left circumflex is a small-to-moderate caliber vessel, gives rise to 1 OM.	[ " ", "Left", "circumflex", "is", "a", "small", "-", "to", "-", "moderate", "caliber", "vessel", ",", "gives", "rise", "to", "1", "OM", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 48 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.631399	null
It is angiographically free of disease.	[ " ", "It", "is", "angiographically", "free", "of", "disease", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.631590	null
OM-1 is angiographically free of disease.	[ " ", "OM-1", "is", "angiographically", "free", "of", "disease", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.631875	null
RCA is a large, dominant vessel, gives rise to conus, RV marginal, PDA and one PL.	[ " ", "RCA", "is", "a", "large", ",", "dominant", "vessel", ",", "gives", "rise", "to", "conus", ",", "RV", "marginal", ",", "PDA", "and", "one", "PL", "." ]	[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 58 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.632241	null
RCA has a tortuous course and it has a 30% to 40% stenosis in its proximal portion.	[ " ", "RCA", "has", "a", "tortuous", "course", "and", "it", "has", "a", "30", "%", "to", "40", "%", "stenosis", "in", "its", "proximal", "portion", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.632543	null
No gradient between LV and aorta is noted.	[ " ", "No", "gradient", "between", "LV", "and", "aorta", "is", "noted", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.633101	null
,Due to contrast concern due to renal function, no LV gram was performed.	[ ",Due", "to", "contrast", "concern", "due", "to", "renal", "function", ",", "no", "LV", "gram", "was", "performed", "." ]	[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 32 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.633308	null
,Following this, right common femoral angiogram was performed followed by StarClose closure of the right common femoral artery.	[ ",Following", "this", ",", "right", "common", "femoral", "angiogram", "was", "performed", "followed", "by", "StarClose", "closure", "of", "the", "right", "common", "femoral", "artery", "." ]	[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 84 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 105 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.633550	null
60% to 70% mid left anterior descending stenosis.	[ " ", "60", "%", "to", "70", "%", "mid", "left", "anterior", "descending", "stenosis", "." ]	[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 41 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.633867	null
Mild 30% to 40% stenosis of the proximal right coronary artery.	[ " ", "Mild", "30", "%", "to", "40", "%", "stenosis", "of", "the", "proximal", "right", "coronary", "artery", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.634186	null
Status post StarClose closure of the right common femoral artery.	[ " ", "Status", "post", "StarClose", "closure", "of", "the", "right", "common", "femoral", "artery", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 44 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.634512	null
,PLAN: ,Plan will be to perform elective PCI of the mid LAD.	[ ",PLAN", ":", " ", ",", "Plan", "will", "be", "to", "perform", "elective", "PCI", "of", "the", "mid", "LAD", "." ]	[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.634736	null
INDICATION:, Acute coronary syndrome.	[ "INDICATION", ":", ",", " ", "Acute", "coronary", "syndrome", "." ]	[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 29 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.639051	null
,CONSENT FORM: , The procedure of cardiac catheterization/PCI risks included but not restricted to death, myocardial infarction, cerebrovascular accident, emergent open heart surgery, bleeding, hematoma, limb loss, renal failure requiring dialysis, blood loss, infection had been explained to him.	[ ",CONSENT", "FORM", ":", ",", "The", "procedure", "of", "cardiac", "catheterization", "/", "PCI", "risks", "included", "but", "not", "restricted", "to", "death", ",", "myocardial", "infarction", ",", "cerebrovascular", "accident", ",", "emergent", "open", "heart", "surgery", ",", "bleeding", ",", "hematoma", ",", "limb", "loss", ",", "renal", "failure", "requiring", "dialysis", ",", "blood", "loss", ",", "infection", "had", "been", "explained", "to", "him", "." ]	[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 127, "label": "KEYPHRASE", "score": 0, "start": 106 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 129 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 169 }, { "end": 182, "label": "KEYPHRASE", "score": 0, "start": 175 }, { "end": 192, "label": "KEYPHRASE", "score": 0, "start": 184 }, { "end": 202, "label": "KEYPHRASE", "score": 0, "start": 194 }, { "end": 208, "label": "KEYPHRASE", "score": 0, "start": 204 }, { "end": 213, "label": "KEYPHRASE", "score": 0, "start": 209 }, { "end": 228, "label": "KEYPHRASE", "score": 0, "start": 215 }, { "end": 247, "label": "KEYPHRASE", "score": 0, "start": 239 }, { "end": 259, "label": "KEYPHRASE", "score": 0, "start": 249 }, { "end": 270, "label": "KEYPHRASE", "score": 0, "start": 261 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.639614	null
,PROCEDURE PERFORMED:, Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.	[ ",PROCEDURE", "PERFORMED", ":", ",", " ", "Selective", "coronary", "angiography", "of", "the", "right", "coronary", "artery", ",", "left", "main", "LAD", ",", "left", "circumflex", "artery", ",", "left", "ventricular", "catheterization", ",", "left", "ventricular", "angiography", ",", "angioplasty", "of", "totally", "occluded", "mid", "RCA", ",", "arthrectomy", "using", "6", "-", "French", "catheter", ",", "stenting", "of", "the", "mid", "RCA", ",", "stenting", "of", "the", "proximal", "RCA", ",", "femoral", "angiography", "and", "Perclose", "hemostasis", "." ]	[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 105 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 129 }, { "end": 186, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 199, "label": "KEYPHRASE", "score": 0, "start": 188 }, { "end": 223, "label": "KEYPHRASE", "score": 0, "start": 220 }, { "end": 240, "label": "KEYPHRASE", "score": 0, "start": 229 }, { "end": 264, "label": "KEYPHRASE", "score": 0, "start": 256 }, { "end": 274, "label": "KEYPHRASE", "score": 0, "start": 266 }, { "end": 285, "label": "KEYPHRASE", "score": 0, "start": 282 }, { "end": 299, "label": "KEYPHRASE", "score": 0, "start": 291 }, { "end": 315, "label": "KEYPHRASE", "score": 0, "start": 307 }, { "end": 340, "label": "KEYPHRASE", "score": 0, "start": 321 }, { "end": 364, "label": "KEYPHRASE", "score": 0, "start": 354 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.640808	null
,NARRATIVE: , The patient was brought to the cardiac catheterization laboratory in a fasting state.	[ ",NARRATIVE", ":", ",", "The", "patient", "was", "brought", "to", "the", "cardiac", "catheterization", "laboratory", "in", "a", "fasting", "state", "." ]	[ { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 85 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.641267	null
Both groins were draped and sterilized in the usual fashion.	[ " ", "Both", "groins", "were", "draped", "and", "sterilized", "in", "the", "usual", "fashion", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.641612	null
Local anesthesia was achieved with 2% lidocaine to the right groin area and a #6-French femoral sheath was inserted via modified Seldinger technique in the right common femoral artery.	[ " ", "Local", "anesthesia", "was", "achieved", "with", "2", "%", "lidocaine", "to", "the", "right", "groin", "area", "and", "a", "#", "6", "-", "French", "femoral", "sheath", "was", "inserted", "via", "modified", "Seldinger", "technique", "in", "the", "right", "common", "femoral", "artery", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 96, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 184, "label": "KEYPHRASE", "score": 0, "start": 163 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.642063	null
Selective coronary angiography was performed with #6 French JL4 catheter for the left coronary system and a #6 French JR4 catheter of the right coronary artery.	[ " ", "Selective", "coronary", "angiography", "was", "performed", "with", "#", "6", "French", "JL4", "catheter", "for", "the", "left", "coronary", "system", "and", "a", "#", "6", "French", "JR4", "catheter", "of", "the", "right", "coronary", "artery", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 87 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 123 }, { "end": 160, "label": "KEYPHRASE", "score": 0, "start": 145 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.642523	null
Left ventricular catheterization and angiography was performed at the end of the procedure with a #6-French angle pigtail catheter.	[ " ", "Left", "ventricular", "catheterization", "and", "angiography", "was", "performed", "at", "the", "end", "of", "the", "procedure", "with", "a", "#", "6", "-", "French", "angle", "pigtail", "catheter", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 115 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.642946	null
Hemodynamics systemic blood pressure 140/70 mmHg.	[ " ", "Hemodynamics", "systemic", "blood", "pressure", "140/70", "mmHg", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 23 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.643534	null
The left main coronary artery is a large with mild diffuse disease in the distal third resulting in less than 20% angiographic stenosis at the take off of the left circumflex artery.	[ " ", "The", "left", "main", "coronary", "artery", "is", "a", "large", "with", "mild", "diffuse", "disease", "in", "the", "distal", "third", "resulting", "in", "less", "than", "20", "%", "angiographic", "stenosis", "at", "the", "take", "off", "of", "the", "left", "circumflex", "artery", "." ]	[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 136, "label": "KEYPHRASE", "score": 0, "start": 115 }, { "end": 182, "label": "KEYPHRASE", "score": 0, "start": 165 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.644517	null
The left circumflex artery is a large caliber vessel with diffuse disease in the ostium of the proximal segment resulting in less than 30% angiographic stenosis.	[ " ", "The", "left", "circumflex", "artery", "is", "a", "large", "caliber", "vessel", "with", "diffuse", "disease", "in", "the", "ostium", "of", "the", "proximal", "segment", "resulting", "in", "less", "than", "30", "%", "angiographic", "stenosis", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 104, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 161, "label": "KEYPHRASE", "score": 0, "start": 140 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.644987	null
The left circumflex artery gives rise to a high small obtuse marginal branch that has high moderate-to-severe ostium.	[ " ", "The", "left", "circumflex", "artery", "gives", "rise", "to", "a", "high", "small", "obtuse", "marginal", "branch", "that", "has", "high", "moderate", "-", "to", "-", "severe", "ostium", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 100, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 117, "label": "KEYPHRASE", "score": 0, "start": 111 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.645418	null
The rest of the left circumflex artery has mild diffuse disease and it gives rise to a second large obtuse marginal branch that bifurcates into an upper and lower trunk.	[ " ", "The", "rest", "of", "the", "left", "circumflex", "artery", "has", "mild", "diffuse", "disease", "and", "it", "gives", "rise", "to", "a", "second", "large", "obtuse", "marginal", "branch", "that", "bifurcates", "into", "an", "upper", "and", "lower", "trunk", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 123, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 158 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.645869	null
,The LAD is calcified and diffusely disease in the proximal and mid portion.	[ ",The", "LAD", "is", "calcified", "and", "diffusely", "disease", "in", "the", "proximal", "and", "mid", "portion", "." ]	[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 64 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.646257	null
There is mild nonobstructive disease in the proximal LAD resulting in less than 20% angiographic stenosis.	[ " ", "There", "is", "mild", "nonobstructive", "disease", "in", "the", "proximal", "LAD", "resulting", "in", "less", "than", "20", "%", "angiographic", "stenosis", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 85 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.646637	null
The right coronary artery is dominant.	[ " ", "The", "right", "coronary", "artery", "is", "dominant", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 11 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.647220	null
It is septal to be occluded in the mid portion.	[ " ", "It", "is", "septal", "to", "be", "occluded", "in", "the", "mid", "portion", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.647553	null
Angiomax bolus was started.	[ " ", "Angiomax", "bolus", "was", "started", "." ]	[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.648162	null
I have given the patient 600 mg of oral Plavix.	[ " ", "I", "have", "given", "the", "patient", "600", "mg", "of", "oral", "Plavix", "." ]	[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.649028	null
,The right coronary artery was engaged using a #6-French JR4 guide catheter.	[ ",The", "right", "coronary", "artery", "was", "engaged", "using", "a", "#", "6", "-", "French", "JR4", "guide", "catheter", "." ]	[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.649393	null
I was unable to cross through this lesion using a BMW wire and a 3.0x8 mm balloon support.	[ " ", "I", "was", "unable", "to", "cross", "through", "this", "lesion", "using", "a", "BMW", "wire", "and", "a", "3.0x8", "mm", "balloon", "support", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 75 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.649800	null
I was unable to cross with this lesion using a whisper wire.	[ " ", "I", "was", "unable", "to", "cross", "with", "this", "lesion", "using", "a", "whisper", "wire", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 56 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.650161	null
I was unable to cross with this lesion using Cross-IT 100 wire.	[ " ", "I", "was", "unable", "to", "cross", "with", "this", "lesion", "using", "Cross", "-", "IT", "100", "wire", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 59 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.650562	null
I have also used second #6-French Amplatz right I guide catheter.	[ " ", "I", "have", "also", "used", "second", "#", "6", "-", "French", "Amplatz", "right", "I", "guide", "catheter", "." ]	[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 57 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.650922	null
At one time, I have lost flow in the distal vessel.	[ " ", "At", "one", "time", ",", "I", "have", "lost", "flow", "in", "the", "distal", "vessel", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 38 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.651282	null
The patient experienced severe chest pain, ST-segment elevation, bradycardia, and hypotension, which responded to intravenous fluids and atropine along with intravenous dopamine.	[ " ", "The", "patient", "experienced", "severe", "chest", "pain", ",", "ST", "-", "segment", "elevation", ",", "bradycardia", ",", "and", "hypotension", ",", "which", "responded", "to", "intravenous", "fluids", "and", "atropine", "along", "with", "intravenous", "dopamine", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 115 }, { "end": 169, "label": "KEYPHRASE", "score": 0, "start": 158 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 170 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.651720	null
,Eventually, an Asahi grand slam wire using the same 3.0 x 8 mm Voyager balloon support, I was able to cross into the distal vessel.	[ ",Eventually", ",", "an", "Asahi", "grand", "slam", "wire", "using", "the", "same", "3.0", "x", "8", "mm", "Voyager", "balloon", "support", ",", "I", "was", "able", "to", "cross", "into", "the", "distal", "vessel", "." ]	[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 118 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.652675	null
I have performed careful balloon angioplasty of the mid RCA.	[ " ", "I", "have", "performed", "careful", "balloon", "angioplasty", "of", "the", "mid", "RCA", "." ]	[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.653037	null
I have given nitroglycerin under the nursing several times during the procedure.	[ " ", "I", "have", "given", "nitroglycerin", "under", "the", "nursing", "several", "times", "during", "the", "procedure", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 14 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.653383	null
,I then performed arthrectomy using #5-French export catheter.	[ ",I", "then", "performed", "arthrectomy", "using", "#", "5", "-", "French", "export", "catheter", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.653740	null
,I performed more balloon predilation using a 3.0 x16 mm Voyager balloon.	[ ",I", "performed", "more", "balloon", "predilation", "using", "a", "3.0", "x16", "mm", "Voyager", "balloon", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 65 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.654083	null
I then deployed 4.0 x15 mm, excised, and across the mid RCA at 18 atmospheres with good angiographic result.	[ " ", "I", "then", "deployed", "4.0", "x15", "mm", ",", "excised", ",", "and", "across", "the", "mid", "RCA", "at", "18", "atmospheres", "with", "good", "angiographic", "result", "." ]	[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 89 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.654481	null
Proximal to the proximal edge of the stent, there was still some persistent haziness most likely just diseased artery/diffuse plaquing.	[ " ", "Proximal", "to", "the", "proximal", "edge", "of", "the", "stent", ",", "there", "was", "still", "some", "persistent", "haziness", "most", "likely", "just", "diseased", "artery", "/", "diffuse", "plaquing", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 112 }, { "end": 135, "label": "KEYPHRASE", "score": 0, "start": 127 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.654961	null
I decided to cover this segment using a second 4.0 x 15 mm, excised, and two stents were overlapped, the overlap was postdilated using the same stent delivery balloon at high pressure with excellent angiographic result.	[ " ", "I", "decided", "to", "cover", "this", "segment", "using", "a", "second", "4.0", "x", "15", "mm", ",", "excised", ",", "and", "two", "stents", "were", "overlapped", ",", "the", "overlap", "was", "postdilated", "using", "the", "same", "stent", "delivery", "balloon", "at", "high", "pressure", "with", "excellent", "angiographic", "result", "." ]	[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 159, "label": "KEYPHRASE", "score": 0, "start": 151 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 160 }, { "end": 184, "label": "KEYPHRASE", "score": 0, "start": 176 }, { "end": 212, "label": "KEYPHRASE", "score": 0, "start": 200 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.655491	null
,Left ventricular catheterization was performed with #6-French angle pigtail catheter.	[ ",Left", "ventricular", "catheterization", "was", "performed", "with", "#", "6", "-", "French", "angle", "pigtail", "catheter", "." ]	[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 69 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.655906	null
The left ventricle is rather smaller in size.	[ " ", "The", "left", "ventricle", "is", "rather", "smaller", "in", "size", "." ]	[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.656256	null
The mid inferior wall is minimally hypokinetic, ejection fraction is 70%.	[ " ", "The", "mid", "inferior", "wall", "is", "minimally", "hypokinetic", ",", "ejection", "fraction", "is", "70", "%", "." ]	[ { "end": 8, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.656613	null
There is no evidence of aortic wall stenosis or mitral regurgitation.	[ " ", "There", "is", "no", "evidence", "of", "aortic", "wall", "stenosis", "or", "mitral", "regurgitation", "." ]	[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 49 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.656976	null
,Femoral angiography revealed that the entry point was above the bifurcation of the right common femoral artery and I have performed this as Perclose hemostasis.	[ ",Femoral", "angiography", "revealed", "that", "the", "entry", "point", "was", "above", "the", "bifurcation", "of", "the", "right", "common", "femoral", "artery", "and", "I", "have", "performed", "this", "as", "Perclose", "hemostasis", "." ]	[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 160, "label": "KEYPHRASE", "score": 0, "start": 150 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.657428	null
Normal left ventricular size and function.	[ " ", "Normal", "left", "ventricular", "size", "and", "function", "." ]	[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.658040	null
Ejection fraction is 65% to 70%.	[ " ", "Ejection", "fraction", "is", "65", "%", "to", "70", "%", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.658435	null
Successful angioplasty and stenting of the subtotally closed mid RCA.	[ " ", "Successful", "angioplasty", "and", "stenting", "of", "the", "subtotally", "closed", "mid", "RCA", "." ]	[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 62 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.659039	null
This was hard, organized thrombus, very difficult to penetrate.	[ " ", "This", "was", "hard", ",", "organized", "thrombus", ",", "very", "difficult", "to", "penetrate", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.659415	null
I have deployed two overlapping 4.0 x15 mm excised and with excellent angiographic result.	[ " ", "I", "have", "deployed", "two", "overlapping", "4.0", "x15", "mm", "excised", "and", "with", "excellent", "angiographic", "result", "." ]	[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 71 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.659792	null
No moderate disease in the distal left main.	[ " ", "No", "moderate", "disease", "in", "the", "distal", "left", "main", "." ]	[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.660656	null
Moderate disease in the ostium of the left circumflex artery.	[ " ", "Moderate", "disease", "in", "the", "ostium", "of", "the", "left", "circumflex", "artery", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 44 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.661005	null
Mild disease in the proximal LAD.,PLAN: , Recommend smoking cessation.	[ " ", "Mild", "disease", "in", "the", "proximal", "LAD.,PLAN", ":", ",", "Recommend", "smoking", "cessation", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.661361	null
Continue aspirin lifelong and continue Plavix for at least 12 months.	[ " ", "Continue", "aspirin", "lifelong", "and", "continue", "Plavix", "for", "at", "least", "12", "months", "." ]	[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 63 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.661712	null
Left heart catheterization.	[ " ", "Left", "heart", "catheterization", "." ]	[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 6 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.668010	null
Bilateral selective coronary angiography.	[ " ", "Bilateral", "selective", "coronary", "angiography", "." ]	[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 11 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.668769	null
Left ventriculography.	[ " ", "Left", "ventriculography", "." ]	[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 6 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.669498	null
Right heart catheterization.	[ " ", "Right", "heart", "catheterization", "." ]	[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 7 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.670227	null
,INDICATION: , Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.	[ ",INDICATION", ":", ",", "Positive", "nuclear", "stress", "test", "involving", "reversible", "ischemia", "of", "the", "lateral", "wall", "and", "the", "anterior", "wall", "consistent", "with", "left", "anterior", "descending", "artery", "lesion", "." ]	[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 111 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 137 }, { "end": 170, "label": "KEYPHRASE", "score": 0, "start": 164 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.670722	null
,PROCEDURE: , After risks, benefits, and alternatives of the above-mentioned procedure were explained in detail to the patient, informed consent was obtained both verbally and in writing.	[ ",PROCEDURE", ":", ",", "After", "risks", ",", "benefits", ",", "and", "alternatives", "of", "the", "above", "-", "mentioned", "procedure", "were", "explained", "in", "detail", "to", "the", "patient", ",", "informed", "consent", "was", "obtained", "both", "verbally", "and", "in", "writing", "." ]	[ { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 128 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.671299	null
The patient was taken to cardiac catheterization suite where the right femoral region was prepped and draped in the usual sterile fashion.	[ " ", "The", "patient", "was", "taken", "to", "cardiac", "catheterization", "suite", "where", "the", "right", "femoral", "region", "was", "prepped", "and", "draped", "in", "the", "usual", "sterile", "fashion", "." ]	[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 123 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.671813	null
1% lidocaine solution was used to infiltrate the skin overlying the right femoral artery and vein.	[ " ", "1", "%", "lidocaine", "solution", "was", "used", "to", "infiltrate", "the", "skin", "overlying", "the", "right", "femoral", "artery", "and", "vein", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 1 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 75 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.672304	null
Once adequate anesthesia has been obtained, a thin-walled #18 gauge Argon needle was used to cannulate the right femoral artery.	[ " ", "Once", "adequate", "anesthesia", "has", "been", "obtained", ",", "a", "thin", "-", "walled", "#", "18", "gauge", "Argon", "needle", "was", "used", "to", "cannulate", "the", "right", "femoral", "artery", "." ]	[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 114 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.672799	null
A steel guidewire was inserted through the needle into the vascular lumen without resistance.	[ " ", "A", "steel", "guidewire", "was", "inserted", "through", "the", "needle", "into", "the", "vascular", "lumen", "without", "resistance", "." ]	[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 69 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.673280	null
A small nick was then made in the skin.	[ " ", "A", "small", "nick", "was", "then", "made", "in", "the", "skin", "." ]	[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.673748	null
The pressure was held.	[ " ", "The", "pressure", "was", "held", "." ]	[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.674148	null
The needle was removed over the guidewire.	[ " ", "The", "needle", "was", "removed", "over", "the", "guidewire", "." ]	[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 33 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.674561	null
Next, a #6 French arterial sheath was then advanced over the guidewire into the vascular lumen without resistance.	[ " ", "Next", ",", "a", "#", "6", "French", "arterial", "sheath", "was", "then", "advanced", "over", "the", "guidewire", "into", "the", "vascular", "lumen", "without", "resistance", "." ]	[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 90 } ]	Argilla	null	null	null	{ "medical_specialty": " Cardiovascular / Pulmonary" }	Default	2022-12-07T10:15:38.675032	null

I would defer to her usual cardiologist Dr. X whether an outpatient stress evaluation is appropriate for risk stratification.

[ " ", "I", "would", "defer", "to", "her", "usual", "cardiologist", "Dr.", "X", "whether", "an", "outpatient", "stress", "evaluation", "is", "appropriate", "for", "risk", "stratification", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 69 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 76 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.622162

null

I did find that the patient had a prior cardiac stress test in 08/07 where they felt that there was some subtle reversibility of the anterior wall, but it was felt that it may be artifact rather than true ischemia with normal LV function seen on that study as well.

[ " ", "I", "did", "find", "that", "the", "patient", "had", "a", "prior", "cardiac", "stress", "test", "in", "08/07", "where", "they", "felt", "that", "there", "was", "some", "subtle", "reversibility", "of", "the", "anterior", "wall", ",", "but", "it", "was", "felt", "that", "it", "may", "be", "artifact", "rather", "than", "true", "ischemia", "with", "normal", "LV", "function", "seen", "on", "that", "study", "as", "well", "." ]

[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 142, "label": "KEYPHRASE", "score": 0, "start": 134 }, { "end": 147, "label": "KEYPHRASE", "score": 0, "start": 143 }, { "end": 214, "label": "KEYPHRASE", "score": 0, "start": 206 }, { "end": 226, "label": "KEYPHRASE", "score": 0, "start": 220 }, { "end": 238, "label": "KEYPHRASE", "score": 0, "start": 230 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.622712

null

Continue Norvasc for history of hypertension as well as labetalol.

[ " ", "Continue", "Norvasc", "for", "history", "of", "hypertension", "as", "well", "as", "labetalol", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 33 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.623387

null

The patient is felt to be a significant fall risk and will at least continue her aspirin 81 mg once a day for secondary CVA, thromboprophylaxis (albeit understanding that it is inferior to Coumadin).,6.

[ " ", "The", "patient", "is", "felt", "to", "be", "a", "significant", "fall", "risk", "and", "will", "at", "least", "continue", "her", "aspirin", "81", "mg", "once", "a", "day", "for", "secondary", "CVA", ",", "thromboprophylaxis", "(", "albeit", "understanding", "that", "it", "is", "inferior", "to", "Coumadin).,6", "." ]

[ { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 111 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.624099

null

Continue Dilantin for history of seizures.

[ " ", "Continue", "Dilantin", "for", "history", "of", "seizures", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.624530

null

INDICATIONS:, Peripheral vascular disease with claudication.

[ "INDICATIONS", ":", ",", " ", "Peripheral", "vascular", "disease", "with", "claudication", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 48 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.625432

null

Normal arterial imaging of right lower extremity.

[ " ", "Normal", "arterial", "imaging", "of", "right", "lower", "extremity", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.625661

null

Peak systolic velocity is normal.

[ " ", "Peak", "systolic", "velocity", "is", "normal", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.625842

null

Arterial waveform is triphasic.

[ " ", "Arterial", "waveform", "is", "triphasic", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626013

null

Ankle brachial index is 0.96.,LEFT:,1.

[ " ", "Ankle", "brachial", "index", "is", "0.96.,LEFT:,1", "." ]

[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 7 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626197

null

Normal arterial imaging of left lower extremity.

[ " ", "Normal", "arterial", "imaging", "of", "left", "lower", "extremity", "." ]

[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626330

null

Peak systolic velocity is normal.

[ " ", "Peak", "systolic", "velocity", "is", "normal", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626516

null

Arterial waveform is triphasic throughout except in posterior tibial artery where it is biphasic.

[ " ", "Arterial", "waveform", "is", "triphasic", "throughout", "except", "in", "posterior", "tibial", "artery", "where", "it", "is", "biphasic", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 89 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626734

null

Ankle brachial index is 1.06.,IMPRESSION,:,Normal arterial imaging of both lower extremities.

[ " ", "Ankle", "brachial", "index", "is", "1.06.,IMPRESSION,:,Normal", "arterial", "imaging", "of", "both", "lower", "extremities", "." ]

[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 76 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.626972

null

EXAM: , Left heart cath, selective coronary angiogram, right common femoral angiogram, and StarClose closure of right common femoral artery.

[ "EXAM", ":", ",", "Left", "heart", "cath", ",", "selective", "coronary", "angiogram", ",", "right", "common", "femoral", "angiogram", ",", "and", "StarClose", "closure", "of", "right", "common", "femoral", "artery", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 118 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.628607

null

,REASON FOR EXAM: , Abnormal stress test and episode of shortness of breath.

[ ",REASON", "FOR", "EXAM", ":", ",", "Abnormal", "stress", "test", "and", "episode", "of", "shortness", "of", "breath", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 56 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.628853

null

,PROCEDURE: , Right common femoral artery, 6-French sheath, JL4, JR4, and pigtail catheters were used.

[ ",PROCEDURE", ":", ",", "Right", "common", "femoral", "artery", ",", "6", "-", "French", "sheath", ",", "JL4", ",", "JR4", ",", "and", "pigtail", "catheters", "were", "used", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 74 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 82 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.629114

null

Left main is a large-caliber vessel.

[ " ", "Left", "main", "is", "a", "large", "-", "caliber", "vessel", "." ]

[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.629424

null

It is angiographically free of disease,,2.

[ " ", "It", "is", "angiographically", "free", "of", "disease,,2", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 7 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.629595

null

LAD is a large-caliber vessel.

[ " ", "LAD", "is", "a", "large", "-", "caliber", "vessel", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 24 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.629769

null

It gives rise to two diagonals and septal perforator.

[ " ", "It", "gives", "rise", "to", "two", "diagonals", "and", "septal", "perforator", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.629952

null

It erupts around the apex.

[ " ", "It", "erupts", "around", "the", "apex", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 22 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.630126

null

LAD shows an area of 60% to 70% stenosis probably in its mid portion.

[ " ", "LAD", "shows", "an", "area", "of", "60", "%", "to", "70", "%", "stenosis", "probably", "in", "its", "mid", "portion", "." ]

[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 58 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.630338

null

The lesion is a type A finishing before the takeoff of diagonal 1.

[ " ", "The", "lesion", "is", "a", "type", "A", "finishing", "before", "the", "takeoff", "of", "diagonal", "1", "." ]

[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.630553

null

The rest of the vessel is angiographically free of disease.

[ " ", "The", "rest", "of", "the", "vessel", "is", "angiographically", "free", "of", "disease", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 52 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.630753

null

Diagonal 1 and diagonal 2 are angiographically free of disease.

[ " ", "Diagonal", "1", "and", "diagonal", "2", "are", "angiographically", "free", "of", "disease", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 56 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.631054

null

Left circumflex is a small-to-moderate caliber vessel, gives rise to 1 OM.

[ " ", "Left", "circumflex", "is", "a", "small", "-", "to", "-", "moderate", "caliber", "vessel", ",", "gives", "rise", "to", "1", "OM", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 48 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.631399

null

It is angiographically free of disease.

[ " ", "It", "is", "angiographically", "free", "of", "disease", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.631590

null

OM-1 is angiographically free of disease.

[ " ", "OM-1", "is", "angiographically", "free", "of", "disease", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.631875

null

RCA is a large, dominant vessel, gives rise to conus, RV marginal, PDA and one PL.

[ " ", "RCA", "is", "a", "large", ",", "dominant", "vessel", ",", "gives", "rise", "to", "conus", ",", "RV", "marginal", ",", "PDA", "and", "one", "PL", "." ]

[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 58 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.632241

null

RCA has a tortuous course and it has a 30% to 40% stenosis in its proximal portion.

[ " ", "RCA", "has", "a", "tortuous", "course", "and", "it", "has", "a", "30", "%", "to", "40", "%", "stenosis", "in", "its", "proximal", "portion", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.632543

null

No gradient between LV and aorta is noted.

[ " ", "No", "gradient", "between", "LV", "and", "aorta", "is", "noted", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.633101

null

,Due to contrast concern due to renal function, no LV gram was performed.

[ ",Due", "to", "contrast", "concern", "due", "to", "renal", "function", ",", "no", "LV", "gram", "was", "performed", "." ]

[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 32 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.633308

null

,Following this, right common femoral angiogram was performed followed by StarClose closure of the right common femoral artery.

[ ",Following", "this", ",", "right", "common", "femoral", "angiogram", "was", "performed", "followed", "by", "StarClose", "closure", "of", "the", "right", "common", "femoral", "artery", "." ]

[ { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 84 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 105 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.633550

null

60% to 70% mid left anterior descending stenosis.

[ " ", "60", "%", "to", "70", "%", "mid", "left", "anterior", "descending", "stenosis", "." ]

[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 41 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.633867

null

Mild 30% to 40% stenosis of the proximal right coronary artery.

[ " ", "Mild", "30", "%", "to", "40", "%", "stenosis", "of", "the", "proximal", "right", "coronary", "artery", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.634186

null

Status post StarClose closure of the right common femoral artery.

[ " ", "Status", "post", "StarClose", "closure", "of", "the", "right", "common", "femoral", "artery", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 44 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.634512

null

,PLAN: ,Plan will be to perform elective PCI of the mid LAD.

[ ",PLAN", ":", " ", ",", "Plan", "will", "be", "to", "perform", "elective", "PCI", "of", "the", "mid", "LAD", "." ]

[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.634736

null

INDICATION:, Acute coronary syndrome.

[ "INDICATION", ":", ",", " ", "Acute", "coronary", "syndrome", "." ]

[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 29 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.639051

null

,CONSENT FORM: , The procedure of cardiac catheterization/PCI risks included but not restricted to death, myocardial infarction, cerebrovascular accident, emergent open heart surgery, bleeding, hematoma, limb loss, renal failure requiring dialysis, blood loss, infection had been explained to him.

[ ",CONSENT", "FORM", ":", ",", "The", "procedure", "of", "cardiac", "catheterization", "/", "PCI", "risks", "included", "but", "not", "restricted", "to", "death", ",", "myocardial", "infarction", ",", "cerebrovascular", "accident", ",", "emergent", "open", "heart", "surgery", ",", "bleeding", ",", "hematoma", ",", "limb", "loss", ",", "renal", "failure", "requiring", "dialysis", ",", "blood", "loss", ",", "infection", "had", "been", "explained", "to", "him", "." ]

[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 127, "label": "KEYPHRASE", "score": 0, "start": 106 }, { "end": 153, "label": "KEYPHRASE", "score": 0, "start": 129 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 169 }, { "end": 182, "label": "KEYPHRASE", "score": 0, "start": 175 }, { "end": 192, "label": "KEYPHRASE", "score": 0, "start": 184 }, { "end": 202, "label": "KEYPHRASE", "score": 0, "start": 194 }, { "end": 208, "label": "KEYPHRASE", "score": 0, "start": 204 }, { "end": 213, "label": "KEYPHRASE", "score": 0, "start": 209 }, { "end": 228, "label": "KEYPHRASE", "score": 0, "start": 215 }, { "end": 247, "label": "KEYPHRASE", "score": 0, "start": 239 }, { "end": 259, "label": "KEYPHRASE", "score": 0, "start": 249 }, { "end": 270, "label": "KEYPHRASE", "score": 0, "start": 261 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.639614

null

,PROCEDURE PERFORMED:, Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.

[ ",PROCEDURE", "PERFORMED", ":", ",", " ", "Selective", "coronary", "angiography", "of", "the", "right", "coronary", "artery", ",", "left", "main", "LAD", ",", "left", "circumflex", "artery", ",", "left", "ventricular", "catheterization", ",", "left", "ventricular", "angiography", ",", "angioplasty", "of", "totally", "occluded", "mid", "RCA", ",", "arthrectomy", "using", "6", "-", "French", "catheter", ",", "stenting", "of", "the", "mid", "RCA", ",", "stenting", "of", "the", "proximal", "RCA", ",", "femoral", "angiography", "and", "Perclose", "hemostasis", "." ]

[ { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 122, "label": "KEYPHRASE", "score": 0, "start": 105 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 129 }, { "end": 186, "label": "KEYPHRASE", "score": 0, "start": 163 }, { "end": 199, "label": "KEYPHRASE", "score": 0, "start": 188 }, { "end": 223, "label": "KEYPHRASE", "score": 0, "start": 220 }, { "end": 240, "label": "KEYPHRASE", "score": 0, "start": 229 }, { "end": 264, "label": "KEYPHRASE", "score": 0, "start": 256 }, { "end": 274, "label": "KEYPHRASE", "score": 0, "start": 266 }, { "end": 285, "label": "KEYPHRASE", "score": 0, "start": 282 }, { "end": 299, "label": "KEYPHRASE", "score": 0, "start": 291 }, { "end": 315, "label": "KEYPHRASE", "score": 0, "start": 307 }, { "end": 340, "label": "KEYPHRASE", "score": 0, "start": 321 }, { "end": 364, "label": "KEYPHRASE", "score": 0, "start": 354 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.640808

null

,NARRATIVE: , The patient was brought to the cardiac catheterization laboratory in a fasting state.

[ ",NARRATIVE", ":", ",", "The", "patient", "was", "brought", "to", "the", "cardiac", "catheterization", "laboratory", "in", "a", "fasting", "state", "." ]

[ { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 85 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.641267

null

Both groins were draped and sterilized in the usual fashion.

[ " ", "Both", "groins", "were", "draped", "and", "sterilized", "in", "the", "usual", "fashion", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.641612

null

Local anesthesia was achieved with 2% lidocaine to the right groin area and a #6-French femoral sheath was inserted via modified Seldinger technique in the right common femoral artery.

[ " ", "Local", "anesthesia", "was", "achieved", "with", "2", "%", "lidocaine", "to", "the", "right", "groin", "area", "and", "a", "#", "6", "-", "French", "femoral", "sheath", "was", "inserted", "via", "modified", "Seldinger", "technique", "in", "the", "right", "common", "femoral", "artery", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 96, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 184, "label": "KEYPHRASE", "score": 0, "start": 163 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.642063

null

Selective coronary angiography was performed with #6 French JL4 catheter for the left coronary system and a #6 French JR4 catheter of the right coronary artery.

[ " ", "Selective", "coronary", "angiography", "was", "performed", "with", "#", "6", "French", "JL4", "catheter", "for", "the", "left", "coronary", "system", "and", "a", "#", "6", "French", "JR4", "catheter", "of", "the", "right", "coronary", "artery", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 87 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 123 }, { "end": 160, "label": "KEYPHRASE", "score": 0, "start": 145 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.642523

null

Left ventricular catheterization and angiography was performed at the end of the procedure with a #6-French angle pigtail catheter.

[ " ", "Left", "ventricular", "catheterization", "and", "angiography", "was", "performed", "at", "the", "end", "of", "the", "procedure", "with", "a", "#", "6", "-", "French", "angle", "pigtail", "catheter", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 109 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 115 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.642946

null

Hemodynamics systemic blood pressure 140/70 mmHg.

[ " ", "Hemodynamics", "systemic", "blood", "pressure", "140/70", "mmHg", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 23 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.643534

null

The left main coronary artery is a large with mild diffuse disease in the distal third resulting in less than 20% angiographic stenosis at the take off of the left circumflex artery.

[ " ", "The", "left", "main", "coronary", "artery", "is", "a", "large", "with", "mild", "diffuse", "disease", "in", "the", "distal", "third", "resulting", "in", "less", "than", "20", "%", "angiographic", "stenosis", "at", "the", "take", "off", "of", "the", "left", "circumflex", "artery", "." ]

[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 136, "label": "KEYPHRASE", "score": 0, "start": 115 }, { "end": 182, "label": "KEYPHRASE", "score": 0, "start": 165 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.644517

null

The left circumflex artery is a large caliber vessel with diffuse disease in the ostium of the proximal segment resulting in less than 30% angiographic stenosis.

[ " ", "The", "left", "circumflex", "artery", "is", "a", "large", "caliber", "vessel", "with", "diffuse", "disease", "in", "the", "ostium", "of", "the", "proximal", "segment", "resulting", "in", "less", "than", "30", "%", "angiographic", "stenosis", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 82 }, { "end": 104, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 161, "label": "KEYPHRASE", "score": 0, "start": 140 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.644987

null

The left circumflex artery gives rise to a high small obtuse marginal branch that has high moderate-to-severe ostium.

[ " ", "The", "left", "circumflex", "artery", "gives", "rise", "to", "a", "high", "small", "obtuse", "marginal", "branch", "that", "has", "high", "moderate", "-", "to", "-", "severe", "ostium", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 100, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 117, "label": "KEYPHRASE", "score": 0, "start": 111 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.645418

null

The rest of the left circumflex artery has mild diffuse disease and it gives rise to a second large obtuse marginal branch that bifurcates into an upper and lower trunk.

[ " ", "The", "rest", "of", "the", "left", "circumflex", "artery", "has", "mild", "diffuse", "disease", "and", "it", "gives", "rise", "to", "a", "second", "large", "obtuse", "marginal", "branch", "that", "bifurcates", "into", "an", "upper", "and", "lower", "trunk", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 123, "label": "KEYPHRASE", "score": 0, "start": 101 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 158 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.645869

null

,The LAD is calcified and diffusely disease in the proximal and mid portion.

[ ",The", "LAD", "is", "calcified", "and", "diffusely", "disease", "in", "the", "proximal", "and", "mid", "portion", "." ]

[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 64 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.646257

null

There is mild nonobstructive disease in the proximal LAD resulting in less than 20% angiographic stenosis.

[ " ", "There", "is", "mild", "nonobstructive", "disease", "in", "the", "proximal", "LAD", "resulting", "in", "less", "than", "20", "%", "angiographic", "stenosis", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 85 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.646637

null

The right coronary artery is dominant.

[ " ", "The", "right", "coronary", "artery", "is", "dominant", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 11 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.647220

null

It is septal to be occluded in the mid portion.

[ " ", "It", "is", "septal", "to", "be", "occluded", "in", "the", "mid", "portion", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.647553

null

Angiomax bolus was started.

[ " ", "Angiomax", "bolus", "was", "started", "." ]

[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.648162

null

I have given the patient 600 mg of oral Plavix.

[ " ", "I", "have", "given", "the", "patient", "600", "mg", "of", "oral", "Plavix", "." ]

[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 36 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.649028

null

,The right coronary artery was engaged using a #6-French JR4 guide catheter.

[ ",The", "right", "coronary", "artery", "was", "engaged", "using", "a", "#", "6", "-", "French", "JR4", "guide", "catheter", "." ]

[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 67 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.649393

null

I was unable to cross through this lesion using a BMW wire and a 3.0x8 mm balloon support.

[ " ", "I", "was", "unable", "to", "cross", "through", "this", "lesion", "using", "a", "BMW", "wire", "and", "a", "3.0x8", "mm", "balloon", "support", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 75 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.649800

null

I was unable to cross with this lesion using a whisper wire.

[ " ", "I", "was", "unable", "to", "cross", "with", "this", "lesion", "using", "a", "whisper", "wire", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 56 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.650161

null

I was unable to cross with this lesion using Cross-IT 100 wire.

[ " ", "I", "was", "unable", "to", "cross", "with", "this", "lesion", "using", "Cross", "-", "IT", "100", "wire", "." ]

[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 59 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.650562

null

I have also used second #6-French Amplatz right I guide catheter.

[ " ", "I", "have", "also", "used", "second", "#", "6", "-", "French", "Amplatz", "right", "I", "guide", "catheter", "." ]

[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 57 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.650922

null

At one time, I have lost flow in the distal vessel.

[ " ", "At", "one", "time", ",", "I", "have", "lost", "flow", "in", "the", "distal", "vessel", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 38 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.651282

null

The patient experienced severe chest pain, ST-segment elevation, bradycardia, and hypotension, which responded to intravenous fluids and atropine along with intravenous dopamine.

[ " ", "The", "patient", "experienced", "severe", "chest", "pain", ",", "ST", "-", "segment", "elevation", ",", "bradycardia", ",", "and", "hypotension", ",", "which", "responded", "to", "intravenous", "fluids", "and", "atropine", "along", "with", "intravenous", "dopamine", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 126, "label": "KEYPHRASE", "score": 0, "start": 115 }, { "end": 169, "label": "KEYPHRASE", "score": 0, "start": 158 }, { "end": 178, "label": "KEYPHRASE", "score": 0, "start": 170 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.651720

null

,Eventually, an Asahi grand slam wire using the same 3.0 x 8 mm Voyager balloon support, I was able to cross into the distal vessel.

[ ",Eventually", ",", "an", "Asahi", "grand", "slam", "wire", "using", "the", "same", "3.0", "x", "8", "mm", "Voyager", "balloon", "support", ",", "I", "was", "able", "to", "cross", "into", "the", "distal", "vessel", "." ]

[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 118 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.652675

null

I have performed careful balloon angioplasty of the mid RCA.

[ " ", "I", "have", "performed", "careful", "balloon", "angioplasty", "of", "the", "mid", "RCA", "." ]

[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.653037

null

I have given nitroglycerin under the nursing several times during the procedure.

[ " ", "I", "have", "given", "nitroglycerin", "under", "the", "nursing", "several", "times", "during", "the", "procedure", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 14 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.653383

null

,I then performed arthrectomy using #5-French export catheter.

[ ",I", "then", "performed", "arthrectomy", "using", "#", "5", "-", "French", "export", "catheter", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.653740

null

,I performed more balloon predilation using a 3.0 x16 mm Voyager balloon.

[ ",I", "performed", "more", "balloon", "predilation", "using", "a", "3.0", "x16", "mm", "Voyager", "balloon", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 65 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.654083

null

I then deployed 4.0 x15 mm, excised, and across the mid RCA at 18 atmospheres with good angiographic result.

[ " ", "I", "then", "deployed", "4.0", "x15", "mm", ",", "excised", ",", "and", "across", "the", "mid", "RCA", "at", "18", "atmospheres", "with", "good", "angiographic", "result", "." ]

[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 89 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.654481

null

Proximal to the proximal edge of the stent, there was still some persistent haziness most likely just diseased artery/diffuse plaquing.

[ " ", "Proximal", "to", "the", "proximal", "edge", "of", "the", "stent", ",", "there", "was", "still", "some", "persistent", "haziness", "most", "likely", "just", "diseased", "artery", "/", "diffuse", "plaquing", "." ]

[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 112 }, { "end": 135, "label": "KEYPHRASE", "score": 0, "start": 127 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.654961

null

I decided to cover this segment using a second 4.0 x 15 mm, excised, and two stents were overlapped, the overlap was postdilated using the same stent delivery balloon at high pressure with excellent angiographic result.

[ " ", "I", "decided", "to", "cover", "this", "segment", "using", "a", "second", "4.0", "x", "15", "mm", ",", "excised", ",", "and", "two", "stents", "were", "overlapped", ",", "the", "overlap", "was", "postdilated", "using", "the", "same", "stent", "delivery", "balloon", "at", "high", "pressure", "with", "excellent", "angiographic", "result", "." ]

[ { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 145 }, { "end": 159, "label": "KEYPHRASE", "score": 0, "start": 151 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 160 }, { "end": 184, "label": "KEYPHRASE", "score": 0, "start": 176 }, { "end": 212, "label": "KEYPHRASE", "score": 0, "start": 200 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.655491

null

,Left ventricular catheterization was performed with #6-French angle pigtail catheter.

[ ",Left", "ventricular", "catheterization", "was", "performed", "with", "#", "6", "-", "French", "angle", "pigtail", "catheter", "." ]

[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 69 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.655906

null

The left ventricle is rather smaller in size.

[ " ", "The", "left", "ventricle", "is", "rather", "smaller", "in", "size", "." ]

[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.656256

null

The mid inferior wall is minimally hypokinetic, ejection fraction is 70%.

[ " ", "The", "mid", "inferior", "wall", "is", "minimally", "hypokinetic", ",", "ejection", "fraction", "is", "70", "%", "." ]

[ { "end": 8, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.656613

null

There is no evidence of aortic wall stenosis or mitral regurgitation.

[ " ", "There", "is", "no", "evidence", "of", "aortic", "wall", "stenosis", "or", "mitral", "regurgitation", "." ]

[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 49 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.656976

null

,Femoral angiography revealed that the entry point was above the bifurcation of the right common femoral artery and I have performed this as Perclose hemostasis.

[ ",Femoral", "angiography", "revealed", "that", "the", "entry", "point", "was", "above", "the", "bifurcation", "of", "the", "right", "common", "femoral", "artery", "and", "I", "have", "performed", "this", "as", "Perclose", "hemostasis", "." ]

[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 160, "label": "KEYPHRASE", "score": 0, "start": 150 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.657428

null

Normal left ventricular size and function.

[ " ", "Normal", "left", "ventricular", "size", "and", "function", "." ]

[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.658040

null

Ejection fraction is 65% to 70%.

[ " ", "Ejection", "fraction", "is", "65", "%", "to", "70", "%", "." ]

[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.658435

null

Successful angioplasty and stenting of the subtotally closed mid RCA.

[ " ", "Successful", "angioplasty", "and", "stenting", "of", "the", "subtotally", "closed", "mid", "RCA", "." ]

[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 62 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.659039

null

This was hard, organized thrombus, very difficult to penetrate.

[ " ", "This", "was", "hard", ",", "organized", "thrombus", ",", "very", "difficult", "to", "penetrate", "." ]

[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 26 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.659415

null

I have deployed two overlapping 4.0 x15 mm excised and with excellent angiographic result.

[ " ", "I", "have", "deployed", "two", "overlapping", "4.0", "x15", "mm", "excised", "and", "with", "excellent", "angiographic", "result", "." ]

[ { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 71 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.659792

null

No moderate disease in the distal left main.

[ " ", "No", "moderate", "disease", "in", "the", "distal", "left", "main", "." ]

[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.660656

null

Moderate disease in the ostium of the left circumflex artery.

[ " ", "Moderate", "disease", "in", "the", "ostium", "of", "the", "left", "circumflex", "artery", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 44 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.661005

null

Mild disease in the proximal LAD.,PLAN: , Recommend smoking cessation.

[ " ", "Mild", "disease", "in", "the", "proximal", "LAD.,PLAN", ":", ",", "Recommend", "smoking", "cessation", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 21 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 53 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.661361

null

Continue aspirin lifelong and continue Plavix for at least 12 months.

[ " ", "Continue", "aspirin", "lifelong", "and", "continue", "Plavix", "for", "at", "least", "12", "months", "." ]

[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 63 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.661712

null

Left heart catheterization.

[ " ", "Left", "heart", "catheterization", "." ]

[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 6 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.668010

null

Bilateral selective coronary angiography.

[ " ", "Bilateral", "selective", "coronary", "angiography", "." ]

[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 11 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.668769

null

Left ventriculography.

[ " ", "Left", "ventriculography", "." ]

[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 6 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.669498

null

Right heart catheterization.

[ " ", "Right", "heart", "catheterization", "." ]

[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 7 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.670227

null

,INDICATION: , Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.

[ ",INDICATION", ":", ",", "Positive", "nuclear", "stress", "test", "involving", "reversible", "ischemia", "of", "the", "lateral", "wall", "and", "the", "anterior", "wall", "consistent", "with", "left", "anterior", "descending", "artery", "lesion", "." ]

[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 111 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 137 }, { "end": 170, "label": "KEYPHRASE", "score": 0, "start": 164 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.670722

null

,PROCEDURE: , After risks, benefits, and alternatives of the above-mentioned procedure were explained in detail to the patient, informed consent was obtained both verbally and in writing.

[ ",PROCEDURE", ":", ",", "After", "risks", ",", "benefits", ",", "and", "alternatives", "of", "the", "above", "-", "mentioned", "procedure", "were", "explained", "in", "detail", "to", "the", "patient", ",", "informed", "consent", "was", "obtained", "both", "verbally", "and", "in", "writing", "." ]

[ { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 128 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.671299

null

The patient was taken to cardiac catheterization suite where the right femoral region was prepped and draped in the usual sterile fashion.

[ " ", "The", "patient", "was", "taken", "to", "cardiac", "catheterization", "suite", "where", "the", "right", "femoral", "region", "was", "prepped", "and", "draped", "in", "the", "usual", "sterile", "fashion", "." ]

[ { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 138, "label": "KEYPHRASE", "score": 0, "start": 123 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.671813

null

1% lidocaine solution was used to infiltrate the skin overlying the right femoral artery and vein.

[ " ", "1", "%", "lidocaine", "solution", "was", "used", "to", "infiltrate", "the", "skin", "overlying", "the", "right", "femoral", "artery", "and", "vein", "." ]

[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 1 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 75 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.672304

null

Once adequate anesthesia has been obtained, a thin-walled #18 gauge Argon needle was used to cannulate the right femoral artery.

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[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 94 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 114 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.672799

null

A steel guidewire was inserted through the needle into the vascular lumen without resistance.

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Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.673280

null

A small nick was then made in the skin.

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[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 35 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.673748

null

The pressure was held.

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[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 5 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.674148

null

The needle was removed over the guidewire.

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[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 33 } ]

Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.674561

null

Next, a #6 French arterial sheath was then advanced over the guidewire into the vascular lumen without resistance.

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Argilla

null

{ "medical_specialty": " Cardiovascular / Pulmonary" }

Default

2022-12-07T10:15:38.675032

null