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argilla
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,A 2.5-mm ClearPath laser probe was used to initially arthrectomize and debulk the superficial femoral artery starting at its takeoff from the common femoral artery and extending down to the tight stenotic area in the upper one-third of the thigh.
[ ",A", "2.5", "-", "mm", "ClearPath", "laser", "probe", "was", "used", "to", "initially", "arthrectomize", "and", "debulk", "the", "superficial", "femoral", "artery", "starting", "at", "its", "takeoff", "from", "the", "common", "femoral", "artery", "and", "extending", "down", "to", "the", "tight", "stenotic", "area", "in", "the", "upper", "one", "-", "third", "of", "the", "thigh", "." ]
[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 83 }, { "end": 164, "label": "KEYPHRASE", "score": 0, "start": 143 }, { "end": 246, "label": "KEYPHRASE", "score": 0, "start": 241 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.730719
null
After the laser atherectomy was performed, the area still did not look good and so an angioplasty was then done, which looked good; however, as noted above, after we had dealt with the superficial femoral artery, we then had proximal inflow problems, which had to be dealt by angioplasty and stenting.
[ " ", "After", "the", "laser", "atherectomy", "was", "performed", ",", "the", "area", "still", "did", "not", "look", "good", "and", "so", "an", "angioplasty", "was", "then", "done", ",", "which", "looked", "good", ";", "however", ",", "as", "noted", "above", ",", "after", "we", "had", "dealt", "with", "the", "superficial", "femoral", "artery", ",", "we", "then", "had", "proximal", "inflow", "problems", ",", "which", "had", "to", "be", "dealt", "by", "angioplasty", "and", "stenting", "." ]
[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 87 }, { "end": 212, "label": "KEYPHRASE", "score": 0, "start": 186 }, { "end": 234, "label": "KEYPHRASE", "score": 0, "start": 226 }, { "end": 288, "label": "KEYPHRASE", "score": 0, "start": 277 }, { "end": 301, "label": "KEYPHRASE", "score": 0, "start": 293 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.731304
null
,The patient had good dorsalis pedis pulses bilaterally upon completion.
[ ",The", "patient", "had", "good", "dorsalis", "pedis", "pulses", "bilaterally", "upon", "completion", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.731684
null
,The right common femoral artery was used for access in an up-and-over technique.
[ ",The", "right", "common", "femoral", "artery", "was", "used", "for", "access", "in", "an", "up", "-", "and", "-", "over", "technique", "." ]
[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.732018
null
,PROCEDURE: , With the patient in the supine position under general anesthesia, the abdomen and lower extremities were prepped and draped in the sterile fashion.
[ ",PROCEDURE", ":", ",", "With", "the", "patient", "in", "the", "supine", "position", "under", "general", "anesthesia", ",", "the", "abdomen", "and", "lower", "extremities", "were", "prepped", "and", "draped", "in", "the", "sterile", "fashion", "." ]
[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 84 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 137, "label": "KEYPHRASE", "score": 0, "start": 119 }, { "end": 160, "label": "KEYPHRASE", "score": 0, "start": 145 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.732637
null
,The right common femoral artery was punctured percutaneously, and a #5-French sheath was initially placed.
[ ",The", "right", "common", "femoral", "artery", "was", "punctured", "percutaneously", ",", "and", "a", "#", "5", "-", "French", "sheath", "was", "initially", "placed", "." ]
[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 79 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.733031
null
We used a pigtail catheter to go up and over the aortic bifurcation and placed a stiff Amplatz guidewire down into the left common femoral artery.
[ " ", "We", "used", "a", "pigtail", "catheter", "to", "go", "up", "and", "over", "the", "aortic", "bifurcation", "and", "placed", "a", "stiff", "Amplatz", "guidewire", "down", "into", "the", "left", "common", "femoral", "artery", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 146, "label": "KEYPHRASE", "score": 0, "start": 125 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.733437
null
We then heparinized the patient and placed a #7-French Raby sheath over the Amplatz wire.
[ " ", "We", "then", "heparinized", "the", "patient", "and", "placed", "a", "#", "7", "-", "French", "Raby", "sheath", "over", "the", "Amplatz", "wire", "." ]
[ { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 85 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.733808
null
A selective left lower extremity angiogram was then done with the above-noted findings.
[ " ", "A", "selective", "left", "lower", "extremity", "angiogram", "was", "then", "done", "with", "the", "above", "-", "noted", "findings", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 3 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 34 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.734159
null
,We then used a ClearPath 2.5-mm laser probe to laser the proximal superficial femoral artery.
[ ",We", "then", "used", "a", "ClearPath", "2.5", "-", "mm", "laser", "probe", "to", "laser", "the", "proximal", "superficial", "femoral", "artery", "." ]
[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 48 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 67 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.734510
null
Once the laser atherectomy had been completed, the vessel still did not look good, so we used a 6-mm balloon to thoroughly dilate the area.
[ " ", "Once", "the", "laser", "atherectomy", "had", "been", "completed", ",", "the", "vessel", "still", "did", "not", "look", "good", ",", "so", "we", "used", "a", "6", "-", "mm", "balloon", "to", "thoroughly", "dilate", "the", "area", "." ]
[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 102 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.735206
null
Once that had been done, it looked good and we performed what we felt would be a completion angiogram only to find out that we had a more proximal problem precluding flow down into the left femoral artery.
[ " ", "Once", "that", "had", "been", "done", ",", "it", "looked", "good", "and", "we", "performed", "what", "we", "felt", "would", "be", "a", "completion", "angiogram", "only", "to", "find", "out", "that", "we", "had", "a", "more", "proximal", "problem", "precluding", "flow", "down", "into", "the", "left", "femoral", "artery", "." ]
[ { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 93 }, { "end": 147, "label": "KEYPHRASE", "score": 0, "start": 139 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 167 }, { "end": 205, "label": "KEYPHRASE", "score": 0, "start": 191 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.735682
null
,Once that was discovered, we then had to proceed with angioplasty and stenting of the left external iliac artery right down to the acetabular level.
[ ",Once", "that", "was", "discovered", ",", "we", "then", "had", "to", "proceed", "with", "angioplasty", "and", "stenting", "of", "the", "left", "external", "iliac", "artery", "right", "down", "to", "the", "acetabular", "level", "." ]
[ { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 142, "label": "KEYPHRASE", "score": 0, "start": 132 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.736125
null
,Once we had dealt with our run-on problems, we then did another completion angiogram, which showed a good flow through the entire area and down into the left lower extremity.
[ ",Once", "we", "had", "dealt", "with", "our", "run", "-", "on", "problems", ",", "we", "then", "did", "another", "completion", "angiogram", ",", "which", "showed", "a", "good", "flow", "through", "the", "entire", "area", "and", "down", "into", "the", "left", "lower", "extremity", "." ]
[ { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 107 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 154 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.736561
null
,Following completion of the above, all wires, sheaths, and catheters were removed from the right common femoral artery.
[ ",Following", "completion", "of", "the", "above", ",", "all", "wires", ",", "sheaths", ",", "and", "catheters", "were", "removed", "from", "the", "right", "common", "femoral", "artery", "." ]
[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 47 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 98 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.736949
null
Firm pressure was held over the puncture site for 20 minutes followed by application of a sterile Coverlet dressing and a firm pressure dressing.
[ " ", "Firm", "pressure", "was", "held", "over", "the", "puncture", "site", "for", "20", "minutes", "followed", "by", "application", "of", "a", "sterile", "Coverlet", "dressing", "and", "a", "firm", "pressure", "dressing", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 108 }, { "end": 136, "label": "KEYPHRASE", "score": 0, "start": 128 }, { "end": 145, "label": "KEYPHRASE", "score": 0, "start": 137 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.737352
null
He had good palpable dorsalis pedis pulses bilaterally on completion.
[ " ", "He", "had", "good", "palpable", "dorsalis", "pedis", "pulses", "bilaterally", "on", "completion", "." ]
[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.737946
null
He was taken to the recovery room in satisfactory condition.
[ " ", "He", "was", "taken", "to", "the", "recovery", "room", "in", "satisfactory", "condition", "." ]
[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 38 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.738260
null
Protamine was given to partially reverse the heparin.
[ " ", "Protamine", "was", "given", "to", "partially", "reverse", "the", "heparin", "." ]
[ { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.738557
null
ANGINA, is chest pain due to a lack of oxygen to the heart most often occurring in men age 35 or older and postmenopausal women.
[ "ANGINA", ",", "is", "chest", "pain", "due", "to", "a", "lack", "of", "oxygen", "to", "the", "heart", "most", "often", "occurring", "in", "men", "age", "35", "or", "older", "and", "postmenopausal", "women", "." ]
[ { "end": 21, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 53 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.741390
null
It is usually located right under the breast bone.
[ " ", "It", "is", "usually", "located", "right", "under", "the", "breast", "bone", "." ]
[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.741654
null
Physical and emotional stress, as well as eating heavy meals, can bring it on.
[ " ", "Physical", "and", "emotional", "stress", ",", "as", "well", "as", "eating", "heavy", "meals", ",", "can", "bring", "it", "on", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 56 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.741912
null
In a healthy person, these stresses are easily handled.
[ " ", "In", "a", "healthy", "person", ",", "these", "stresses", "are", "easily", "handled", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.742154
null
In a person with an underlying heart condition like coronary artery disease, heart valve problem, arrhythmias or high blood pressure, the heart doesn't get enough blood (i.e. not enough oxygen to the heart muscles).
[ " ", "In", "a", "person", "with", "an", "underlying", "heart", "condition", "like", "coronary", "artery", "disease", ",", "heart", "valve", "problem", ",", "arrhythmias", "or", "high", "blood", "pressure", ",", "the", "heart", "does", "n't", "get", "enough", "blood", "(", "i.e.", "not", "enough", "oxygen", "to", "the", "heart", "muscles", ")", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 78 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 133, "label": "KEYPHRASE", "score": 0, "start": 119 }, { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 139 }, { "end": 169, "label": "KEYPHRASE", "score": 0, "start": 164 }, { "end": 193, "label": "KEYPHRASE", "score": 0, "start": 187 }, { "end": 206, "label": "KEYPHRASE", "score": 0, "start": 201 }, { "end": 214, "label": "KEYPHRASE", "score": 0, "start": 207 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.742529
null
Other causes could be due to a hyperactive thyroid disorder or anemia.
[ " ", "Other", "causes", "could", "be", "due", "to", "a", "hyperactive", "thyroid", "disorder", "or", "anemia", "." ]
[ { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 64 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.742838
null
People more likely to have angina may also have diabetes mellitus, be overweight, smoke, have a poor diet with lots of salt and fat, fail to exercise, have a stressful workload or have a family history of coronary artery disease.
[ " ", "People", "more", "likely", "to", "have", "angina", "may", "also", "have", "diabetes", "mellitus", ",", "be", "overweight", ",", "smoke", ",", "have", "a", "poor", "diet", "with", "lots", "of", "salt", "and", "fat", ",", "fail", "to", "exercise", ",", "have", "a", "stressful", "workload", "or", "have", "a", "family", "history", "of", "coronary", "artery", "disease", "." ]
[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 49 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 106, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 150, "label": "KEYPHRASE", "score": 0, "start": 142 }, { "end": 194, "label": "KEYPHRASE", "score": 0, "start": 188 }, { "end": 229, "label": "KEYPHRASE", "score": 0, "start": 195 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.743229
null
,SIGNS AND SYMPTOMS:,* Pain in chest described as tightness, heavy pressure, aching or squeezing.,*
[ ",SIGNS", "AND", "SYMPTOMS", ":", ",", "*", " ", "Pain", "in", "chest", "described", "as", "tightness", ",", "heavy", "pressure", ",", "aching", "or", "squeezing", ".", ",", "*" ]
[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 78 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.743568
null
The pain sometimes radiates to the jaw, left arm, teeth and/or outer ear.,*
[ " ", "The", "pain", "sometimes", "radiates", "to", "the", "jaw", ",", "left", "arm", ",", "teeth", "and/or", "outer", "ear", ".", ",", "*" ]
[ { "end": 9, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 70 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.743852
null
Possibly a left-sided numbness, tingling, or pain in the arm, shoulder, elbow or chest.,*
[ " ", "Possibly", "a", "left", "-", "sided", "numbness", ",", "tingling", ",", "or", "pain", "in", "the", "arm", ",", "shoulder", ",", "elbow", "or", "chest", ".", ",", "*" ]
[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 33 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 58 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 82 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.744154
null
Occasionally a sudden difficulty in breathing occurs.,*
[ " ", "Occasionally", "a", "sudden", "difficulty", "in", "breathing", "occurs", ".", ",", "*" ]
[ { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 23 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.744405
null
Pain may be located between the shoulder blades.
[ " ", "Pain", "may", "be", "located", "between", "the", "shoulder", "blades", "." ]
[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 33 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.744620
null
,TREATMENT:,* Nitroglycerin relieves the immediate symptoms of angina in seconds.
[ ",TREATMENT", ":", ",", "*", " ", "Nitroglycerin", "relieves", "the", "immediate", "symptoms", "of", "angina", "in", "seconds", "." ]
[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 64 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.744861
null
Other medications may be prescribed for the underlying heart problems.
[ " ", "Other", "medications", "may", "be", "prescribed", "for", "the", "underlying", "heart", "problems", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 56 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.745274
null
Surgery may be necessary to open the blocked coronary arteries (balloon angioplasty) or to bypass them.,*
[ " ", "Surgery", "may", "be", "necessary", "to", "open", "the", "blocked", "coronary", "arteries", "(", "balloon", "angioplasty", ")", "or", "to", "bypass", "them", ".", ",", "*" ]
[ { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 92 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.745745
null
Lose weight, don't smoke, eat a low-salt, low-fat diet and avoid physical and emotional stresses that cause angina.
[ " ", "Lose", "weight", ",", "do", "n't", "smoke", ",", "eat", "a", "low", "-", "salt", ",", "low", "-", "fat", "diet", "and", "avoid", "physical", "and", "emotional", "stresses", "that", "cause", "angina", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 109 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.746232
null
Such stressors include anger, overworking, going between extremes in hot and cold, sudden physical exertion and high altitudes (pressurized airplanes aren't a risk).
[ " ", "Such", "stressors", "include", "anger", ",", "overworking", ",", "going", "between", "extremes", "in", "hot", "and", "cold", ",", "sudden", "physical", "exertion", "and", "high", "altitudes", "(", "pressurized", "airplanes", "are", "n't", "a", "risk", ")", "." ]
[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 91 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.746571
null
Even with treatment, angina may result in a heart attack, congestive heart failure or a fatal abnormal heartbeat.
[ " ", "Even", "with", "treatment", ",", "angina", "may", "result", "in", "a", "heart", "attack", ",", "congestive", "heart", "failure", "or", "a", "fatal", "abnormal", "heartbeat", "." ]
[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 95 }, { "end": 113, "label": "KEYPHRASE", "score": 0, "start": 104 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.747384
null
Let your doctor know if your angina doesn't go away after 10 minutes, even when you have taken a nitroglycerin tablet.
[ " ", "Let", "your", "doctor", "know", "if", "your", "angina", "does", "n't", "go", "away", "after", "10", "minutes", ",", "even", "when", "you", "have", "taken", "a", "nitroglycerin", "tablet", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 98 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.747880
null
Call if you have repeated chest pains that awaken you from sleep regardless if the nitroglycerin helps.
[ " ", "Call", "if", "you", "have", "repeated", "chest", "pains", "that", "awaken", "you", "from", "sleep", "regardless", "if", "the", "nitroglycerin", "helps", "." ]
[ { "end": 38, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 84 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.748159
null
If your pain changes or feels different, call your doctor or call 911 if the pain is severe.
[ " ", "If", "your", "pain", "changes", "or", "feels", "different", ",", "call", "your", "doctor", "or", "call", "911", "if", "the", "pain", "is", "severe", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 78 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.748476
null
INDICATION: , Chest pain.
[ "INDICATION", ":", ",", "Chest", "pain", "." ]
[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 20 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.749568
null
,TYPE OF TEST: , Adenosine with nuclear scan as the patient unable to walk on a treadmill.
[ ",TYPE", "OF", "TEST", ":", ",", "Adenosine", "with", "nuclear", "scan", "as", "the", "patient", "unable", "to", "walk", "on", "a", "treadmill", "." ]
[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 80 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.749757
null
,INTERPRETATION:, Resting heart rate of 67, blood pressure of 129/86.
[ ",INTERPRETATION", ":", ",", "Resting", "heart", "rate", "of", "67", ",", "blood", "pressure", "of", "129/86", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.749937
null
EKG, normal sinus rhythm.
[ " ", "EKG", ",", "normal", "sinus", "rhythm", "." ]
[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 6 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.750076
null
Post-Lexiscan 0.4 mg, heart rate was 83, blood pressure 142/74.
[ " ", "Post", "-", "Lexiscan", "0.4", "mg", ",", "heart", "rate", "was", "83", ",", "blood", "pressure", "142/74", "." ]
[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 42 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.750243
null
No symptoms were noted.
[ " ", "No", "symptoms", "were", "noted", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.750462
null
Nondiagnostic adenosine stress test.
[ " ", "Nondiagnostic", "adenosine", "stress", "test", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 15 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.750651
null
Nuclear interpretation as below.
[ " ", "Nuclear", "interpretation", "as", "below", "." ]
[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 9 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.750841
null
,NUCLEAR INTERPRETATION:, Resting and stress images were obtained with 10.4, 33.1 mCi of tetrofosmin injected intravenously by standard protocol.
[ ",NUCLEAR", "INTERPRETATION", ":", ",", " ", "Resting", "and", "stress", "images", "were", "obtained", "with", "10.4", ",", "33.1", "mCi", "of", "tetrofosmin", "injected", "intravenously", "by", "standard", "protocol", "." ]
[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 145, "label": "KEYPHRASE", "score": 0, "start": 137 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751048
null
Nuclear myocardial perfusion scan demonstrates homogeneous and uniform distribution of the tracer uptake without any evidence of reversible or fixed defect.
[ " ", "Nuclear", "myocardial", "perfusion", "scan", "demonstrates", "homogeneous", "and", "uniform", "distribution", "of", "the", "tracer", "uptake", "without", "any", "evidence", "of", "reversible", "or", "fixed", "defect", "." ]
[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 150 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751280
null
Gated SPECT revealed normal wall motion, ejection fraction of 58%.
[ " ", "Gated", "SPECT", "revealed", "normal", "wall", "motion", ",", "ejection", "fraction", "of", "58", "%", "." ]
[ { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 42 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751464
null
End-diastolic volume of 74, end-systolic volume of 31.,IMPRESSION:,1.
[ " ", "End", "-", "diastolic", "volume", "of", "74", ",", "end", "-", "systolic", "volume", "of", "31.,IMPRESSION:,1", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 33 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751641
null
Normal nuclear myocardial perfusion scan.
[ " ", "Normal", "nuclear", "myocardial", "perfusion", "scan", "." ]
[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 8 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751780
null
Ejection fraction 58% by gated SPECT.
[ " ", "Ejection", "fraction", "58", "%", "by", "gated", "SPECT", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.751984
null
CHIEF COMPLAINT: , Chest pain.
[ "CHIEF", "COMPLAINT", ":", ",", "Chest", "pain", "." ]
[ { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.753756
null
,HISTORY OF PRESENT ILLNESS:, The patient is a 40-year-old white male who presents with a chief complaint of "chest pain".
[ ",HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", " ", "The", "patient", "is", "a", "40", "-", "year", "-", "old", "white", "male", "who", "presents", "with", "a", "chief", "complaint", "of", "\"", "chest", "pain\"", "." ]
[ { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 111 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.754038
null
,The patient is diabetic and has a prior history of coronary artery disease.
[ ",The", "patient", "is", "diabetic", "and", "has", "a", "prior", "history", "of", "coronary", "artery", "disease", "." ]
[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 41 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.754272
null
The patient presents today stating that his chest pain started yesterday evening and has been somewhat intermittent.
[ " ", "The", "patient", "presents", "today", "stating", "that", "his", "chest", "pain", "started", "yesterday", "evening", "and", "has", "been", "somewhat", "intermittent", "." ]
[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 104 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.754509
null
The severity of the pain has progressively increased.
[ " ", "The", "severity", "of", "the", "pain", "has", "progressively", "increased", "." ]
[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 21 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.754710
null
He describes the pain as a sharp and heavy pain which radiates to his neck & left arm.
[ " ", "He", "describes", "the", "pain", "as", "a", "sharp", "and", "heavy", "pain", "which", "radiates", "to", "his", "neck", "&", "left", "arm", "." ]
[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 83 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.754948
null
He ranks the pain a 7 on a scale of 1-10.
[ " ", "He", "ranks", "the", "pain", "a", "7", "on", "a", "scale", "of", "1", "-", "10", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 14 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.755176
null
He admits some shortness of breath & diaphoresis.
[ " ", "He", "admits", "some", "shortness", "of", "breath", "&", "diaphoresis", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 38 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.755372
null
He states that he has had nausea & 3 episodes of vomiting tonight.
[ " ", "He", "states", "that", "he", "has", "had", "nausea", "&", "3", "episodes", "of", "vomiting", "tonight", "." ]
[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 27 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 50 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.755615
null
He denies any fever or chills.
[ " ", "He", "denies", "any", "fever", "or", "chills", "." ]
[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 24 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.755814
null
He admits prior episodes of similar pain prior to his PTCA in 1995.
[ " ", "He", "admits", "prior", "episodes", "of", "similar", "pain", "prior", "to", "his", "PTCA", "in", "1995", "." ]
[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 37 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.756023
null
He states the pain is somewhat worse with walking and seems to be relieved with rest.
[ " ", "He", "states", "the", "pain", "is", "somewhat", "worse", "with", "walking", "and", "seems", "to", "be", "relieved", "with", "rest", "." ]
[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 43 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.756255
null
There is no change in pain with positioning.
[ " ", "There", "is", "no", "change", "in", "pain", "with", "positioning", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 23 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.756458
null
He states that he took 3 nitroglycerin tablets sublingually over the past 1 hour, which he states has partially relieved his pain.
[ " ", "He", "states", "that", "he", "took", "3", "nitroglycerin", "tablets", "sublingually", "over", "the", "past", "1", "hour", ",", "which", "he", "states", "has", "partially", "relieved", "his", "pain", "." ]
[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 130, "label": "KEYPHRASE", "score": 0, "start": 126 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.756719
null
The patient ranks his present pain a 4 on a scale of 1-10.
[ " ", "The", "patient", "ranks", "his", "present", "pain", "a", "4", "on", "a", "scale", "of", "1", "-", "10", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.756961
null
The most recent episode of pain has lasted one-hour.
[ " ", "The", "most", "recent", "episode", "of", "pain", "has", "lasted", "one", "-", "hour", "." ]
[ { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 28 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.757210
null
,The patient denies any history of recent surgery, head trauma, recent stroke, abnormal bleeding such as blood in urine or stool or nosebleed.
[ ",The", "patient", "denies", "any", "history", "of", "recent", "surgery", ",", "head", "trauma", ",", "recent", "stroke", ",", "abnormal", "bleeding", "such", "as", "blood", "in", "urine", "or", "stool", "or", "nosebleed", "." ]
[ { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 79 }, { "end": 96, "label": "KEYPHRASE", "score": 0, "start": 88 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 105 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 114 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.757564
null
,PAST MEDICAL HISTORY:, Diabetes mellitus type II, hypertension, coronary artery disease, atrial fibrillation, status post PTCA in 1995 by Dr. ABC.,SOCIAL HISTORY: , Denies alcohol or drugs.
[ ",PAST", "MEDICAL", "HISTORY", ":", ",", " ", "Diabetes", "mellitus", "type", "II", ",", "hypertension", ",", "coronary", "artery", "disease", ",", "atrial", "fibrillation", ",", "status", "post", "PTCA", "in", "1995", "by", "Dr.", "ABC.,SOCIAL", "HISTORY", ":", ",", "Denies", "alcohol", "or", "drugs", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 89, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 91 }, { "end": 181, "label": "KEYPHRASE", "score": 0, "start": 174 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.758104
null
,FAMILY HISTORY: , Positive for coronary artery disease (father & brother).,MEDICATIONS: , Aspirin 81 milligrams QDay.
[ ",FAMILY", "HISTORY", ":", ",", "Positive", "for", "coronary", "artery", "disease", "(", "father", "&", "brother).,MEDICATIONS", ":", ",", "Aspirin", "81", "milligrams", "QDay", "." ]
[ { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 57 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.758669
null
Humulin N. insulin 50 units in a.m. HCTZ 50 mg QDay.
[ " ", "Humulin", "N.", "insulin", "50", "units", "in", "a.m.", " ", "HCTZ", "50", "mg", "QDay", "." ]
[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.758895
null
Nitroglycerin 1/150 sublingually PRN chest pain.
[ " ", "Nitroglycerin", "1/150", "sublingually", "PRN", "chest", "pain", "." ]
[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 38 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.759081
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,PHYSICAL EXAM: , The patient is a 40-year-old white male.
[ ",PHYSICAL", "EXAM", ":", ",", "The", "patient", "is", "a", "40", "-", "year", "-", "old", "white", "male", "." ]
[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 53 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
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2022-12-07T10:15:38.759422
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,General: The patient is moderately obese but he is otherwise well developed & well nourished.
[ ",General", ":", " ", "The", "patient", "is", "moderately", "obese", "but", "he", "is", "otherwise", "well", "developed", "&", "well", "nourished", "." ]
[ { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 77, "label": "KEYPHRASE", "score": 0, "start": 68 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.759662
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He appears in moderate discomfort but there is no evidence of distress.
[ " ", "He", "appears", "in", "moderate", "discomfort", "but", "there", "is", "no", "evidence", "of", "distress", "." ]
[ { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 63 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.759889
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He is alert, and oriented to person place and circumstance.
[ " ", "He", "is", "alert", ",", "and", "oriented", "to", "person", "place", "and", "circumstance", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 36, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 37 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.760107
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There is no evidence of respiratory distress.
[ " ", "There", "is", "no", "evidence", "of", "respiratory", "distress", "." ]
[ { "end": 45, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.760303
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HISTORY OF PRESENT ILLNESS: , The patient is a 68-year-old woman whom I have been following, who has had angina.
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[ { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 105 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.765981
null
In any case today, she called me because she had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin when I spoke to her.
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Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.766516
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While waiting for 911, she was attended to by a physician who is her neighbor and he advised her to take the third nitroglycerin and that apparently relieved her pain.
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[ { "end": 129, "label": "KEYPHRASE", "score": 0, "start": 116 }, { "end": 167, "label": "KEYPHRASE", "score": 0, "start": 163 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.767336
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By the time she presented here, she is currently pain-free and is feeling well.
[ " ", "By", "the", "time", "she", "presented", "here", ",", "she", "is", "currently", "pain", "-", "free", "and", "is", "feeling", "well", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 50 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.767762
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,PAST CARDIAC HISTORY: , The patient has been having arm pain for several months.
[ ",PAST", "CARDIAC", "HISTORY", ":", ",", "The", "patient", "has", "been", "having", "arm", "pain", "for", "several", "months", "." ]
[ { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 74 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.768159
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She underwent an exercise stress echocardiogram within the last several months with me, which was equivocal, but then she had a nuclear stress test which showed inferobasilar ischemia.
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Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.768629
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I had originally advised her for a heart catheterization but she wanted medical therapy, so we put her on a beta-blocker.
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[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 109 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.769095
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However, her arm pain symptoms accelerated and she had some jaw pain, so she presented to the emergency room.
[ " ", "However", ",", "her", "arm", "pain", "symptoms", "accelerated", "and", "she", "had", "some", "jaw", "pain", ",", "so", "she", "presented", "to", "the", "emergency", "room", "." ]
[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 95 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.769533
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On 08/16/08, she ended up having a cardiac catheterization and that showed normal left main 80% mid LAD lesion, circumflex normal, and RCA totally occluded in the mid portion and there were collaterals from the left to the right, as well as right to right to that area.
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[ { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 82, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 101, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 112, "label": "KEYPHRASE", "score": 0, "start": 106 }, { "end": 124, "label": "KEYPHRASE", "score": 0, "start": 114 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 125 }, { "end": 168, "label": "KEYPHRASE", "score": 0, "start": 165 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.770126
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The decision was made to transfer her as she may be having collateral insufficiency from the LAD stenosis to the RCA vessel.
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[ { "end": 71, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 107, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 125, "label": "KEYPHRASE", "score": 0, "start": 119 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.770622
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She underwent that with drug-eluting stents on 08/16/08, with I believe three or four total placed, and was discharged on 08/17/08.
[ " ", "She", "underwent", "that", "with", "drug", "-", "eluting", "stents", "on", "08/16/08", ",", "with", "I", "believe", "three", "or", "four", "total", "placed", ",", "and", "was", "discharged", "on", "08/17/08", "." ]
[ { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 87 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.771079
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She had some left arm discomfort on 08/18/08, but this was mild.
[ " ", "She", "had", "some", "left", "arm", "discomfort", "on", "08/18/08", ",", "but", "this", "was", "mild", "." ]
[ { "end": 22, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 23 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.771484
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Yesterday, she felt very fatigued, but no arm pain, and today, she had arm pain after walking and again it resolved now completely after three sublingual nitroglycerin.
[ " ", "Yesterday", ",", "she", "felt", "very", "fatigued", ",", "but", "no", "arm", "pain", ",", "and", "today", ",", "she", "had", "arm", "pain", "after", "walking", "and", "again", "it", "resolved", "now", "completely", "after", "three", "sublingual", "nitroglycerin", "." ]
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Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.771959
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This is her usual angina.
[ " ", "This", "is", "her", "usual", "angina", "." ]
[ { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 19 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.772345
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She is being admitted with unstable angina post stent.
[ " ", "She", "is", "being", "admitted", "with", "unstable", "angina", "post", "stent", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 49 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.772706
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,PAST MEDICAL HISTORY: , Longstanding hypertension, CAD as above, hyperlipidemia, and overactive bladder.
[ ",PAST", "MEDICAL", "HISTORY", ":", ",", "Longstanding", "hypertension", ",", "CAD", "as", "above", ",", "hyperlipidemia", ",", "and", "overactive", "bladder", "." ]
[ { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 38 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 66 }, { "end": 104, "label": "KEYPHRASE", "score": 0, "start": 86 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.773105
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Glucosamine 500/400 mg once a day for arthritis.
[ " ", "Glucosamine", "500/400", "mg", "once", "a", "day", "for", "arthritis", "." ]
[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 39 } ]
Argilla
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null
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.774916
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Claritin 10 mg once a day for allergic rhinitis.
[ " ", "Claritin", "10", "mg", "once", "a", "day", "for", "allergic", "rhinitis", "." ]
[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.779377
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SHE DENIES ANY SHRIMP OR SEA FOOD ALLERGY.,FAMILY HISTORY: , Her father died of an MI in his 50s and a brother had his first MI and bypass surgery at 54.,SOCIAL HISTORY: ,She does not smoke cigarettes, abuse alcohol, no use of illicit drugs.
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Argilla
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.781961
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,REVIEW OF SYSTEMS:, She denies a history of stroke, cancer, vomiting up blood, coughing up blood, bright red blood per rectum, bleeding stomach ulcers, renal calculi, cholelithiasis, asthma, emphysema, pneumonia, tuberculosis, home oxygen use or sleep apnea, although she has been told in the past that she snores and there was some question of apnea in 05/08.
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Argilla
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null
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{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:15:38.783053
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