data/processed/materialized_ehr/572916.jsonl

{"person_id": "572916", "text": "[S_0] (\"2026-01-01\", \"Age 82 Hypertension, former smoker -  Prev AMI 1993.\", 0.5, 0.5) | [S_1] (\"2026-01-01\", \"4/2009 NSTEMI onset with rapid AF.\", 0.5, 0.5) | [S_2] (\"2026-01-01\", \"On coronary angiography, critical calcific disease of predivisional CT, 90% distal LAD, occluded proximal CX, DX 80% between middle tract ->PTCA on CT-LAD + DES and PTCA + DES LAD III.\", 0.5, 1.0) | [S_3] (\"2026-01-01\", \"2010 mitral valve plastic + CABG (saphenous on RCA)     - 12/2019 echocardiogram: middle-basal inferior wall akinesia, apical hypokinesia, EF 38% AR ++, MR + + TR ++.\", 0.5, 0.5) | [S_4] (\"2026-01-01\", \"left BBB - - 4/2020: Cardiac arrest oustide of hosptial      PTCA with implantation of 2 DES on LAD II-III.\", 0.5, 1.0) | [S_5] (\"2026-01-01\", \"Subsequent PTCA staged with a DES on right PIV and a DES on branch for the acute margin.\", 0.5, 1.0) | [S_6] (\"2026-01-01\", \"Pre-discharge Echo: EF 31-32%, minimum MR  regular right cavities, no TR.\", 0.5, 0.5) | [S_7] (\"2026-01-01\", \"Subsequent implantation of Biotronik single-chamber ICD; unsuccessful attempt at CRT implantation due to lack of target and small CS dissection and subsequent epicardial placement of left ventricular catheter (PLACE).\", 0.5, 1.0) | [S_8] (\"2026-01-01\", \"- Clinic F.up decompensation: NYHA II-III.\", 0.5, 1.0) | [S_9] (\"2026-01-01\", \"Persistent AF after trial with amiodarone, decrease in biventricular stimulation < 80% -> Electrical Cardioversion May 2021 with restoration of SR.\", 0.5, 1.0) | [S_10] (\"2026-01-01\", \"Due to worsening renal function, subsequent shift to OAT; due to difficult INR management with episodes of overdose and minor bleeding    Jul-2021 readmitted for suspected recurrence of angina: good outcome of previous PCI on RCA III but presence of restenosis on posterolateral branch -> POBA.\", 0.5, 1.0) | [S_11] (\"2026-01-01\", \"10/2021 left atrial appendage occlusion.\", 0.5, 0.5) | [S_12] (\"2026-01-01\", \"Pre-discharge Echo: EF 43% inferior posterior hypokinesia, moderate AR, mild MR due to plasty outcomes.\", 0.5, 0.5) | [S_13] (\"2026-01-01\", \"- 01/22/2022 hospitalization for chest pain with unchanged coronary picture.\", 0.5, 0.5) | [S_14] (\"2026-01-01\", \"EF 33% biplane due to akinesia of the apex and of the lower middle IVS, normal contractility of the mid-basal anterior wall and basal antero-lateral wall, hypokinesia of the remaining segments; increased filling pressures; severely dilated LA; aortic sclerosis with moderate degree of insufficiency, mild MR, mild TR (2+/4+) with estimated PAPs 36 mmHg. Subsequent f-up with stable dyspnoea, good results atrial occlusion with moderate AR (3+/4+) mild MR  Moved to Emergency Department on Aug.\", 0.5, 1.0) | [S_15] (\"2026-01-01\", \"3rd for dyspnoea, titrated diuretic; absence of device control Therapy:  - ACETYLSALICYLIC ACID 100 - METOPROLOL 100 mg 3/4 tablet x 2 - FUROSEMIDE 25 mg 2 tablets at 8 a.m. and 1 tablet at 4 p.m. - LUVION 251  SIMVASTATIN 20 mg - AMIODARONE 200 mg - SACUBITRIL/VALSARTAN 24/26 mg 1 tablet at 8 a.m. and 8 p.m. - ALLOPURINOL 300 mg 1/2 tablet - NITROGLYCERIN 10 mg 1 patch from 8 a.m. to 9 p.m. -RANOLAZINE 375 mg 1 tablet x 2 - TAMSULOSINE - endocarditis prophylaxis  Again in Emergency Department for persistent dyspnoea; clinical picture Rx unchanged baseline stasis Rx mild congestion CRT-D check-up confirms persistent SR recovery from about 1 month Rhythm from biventricular atrium guided stim The system is not able to stimulate the atrium RECOMMENDATION:  reduce METOPROLOL to 1/2 in the morning and 1/4 in the evening; continue with FUROSEMIDE 25 mg 2 in the morning 2 in the afternoon and Luvion 25 1.\", 0.5, 1.0) | [S_16] (\"2026-01-01\", \"other medications remain the same Clinic decompensation check-up next March 31st, already scheduled\", 0.5, 0.5)"}