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T1 Age 2 13 71-year-old T2 Sex 14 19 woman T3 Disease_disorder 41 65 congestive heart failure E1 Disease_disorder:T3 T4 Disease_disorder 66 71 (CHF) E2 Disease_disorder:T4 T5 Detailed_description 31 40 diastolic R1 MODIFY Arg1:T5 Arg2:E1 R2 IDENTICAL Arg1:E2 Arg2:E1 T6 Nonbiological_location 89 91 ER T7 Detailed_description 97 109 exacerbation T8 Disease_disorder 113 116 CHF E3 Disease_disorder:T8 R3 MODIFY Arg1:T7 Arg2:E3 T9 Sign_symptom 133 155 level of consciousness E4 Sign_symptom:T9 T10 Lab_value 123 132 decreased R4 MODIFY Arg1:T10 Arg2:E4 T11 Lab_value 202 212 55/40 mmHg T12 Sign_symptom 166 180 blood pressure E5 Sign_symptom:T12 T13 Sign_symptom 181 185 (BP) E6 Sign_symptom:T13 R5 IDENTICAL Arg1:E6 Arg2:E5 T14 Biological_structure 157 165 Brachial T15 Clinical_event 242 252 admissions E7 Clinical_event:T15 T16 Detailed_description 235 241 recent R6 MODIFY Arg1:T16 Arg2:E7 T17 Lab_value 230 234 four R7 MODIFY Arg1:T17 Arg2:E7 T19 Disease_disorder 335 344 hepatitis E8 Disease_disorder:T19 T20 Detailed_description 324 334 autoimmune R8 MODIFY Arg1:T20 Arg2:E8 T21 Diagnostic_procedure 360 374 liver function E9 Diagnostic_procedure:T21 T22 Detailed_description 350 359 preserved R9 MODIFY Arg1:T22 Arg2:E9 T24 Medication 434 456 corticosteroid therapy E11 Medication:T24 T25 Detailed_description 424 433 long-term R10 MODIFY Arg1:T25 Arg2:E11 T18 History 283 374 medical history was also significant for autoimmune hepatitis, but preserved liver function T26 History 376 418 esophageal varices with a bleeding episode T27 History 425 536 ong-term corticosteroid therapy complicated by adrenal insufficiency, type 2 diabetes mellitus and osteoporosis T28 Disease_disorder 495 519 type 2 diabetes mellitus E12 Disease_disorder:T28 T29 Disease_disorder 524 536 osteoporosis E13 Disease_disorder:T29 T30 Disease_disorder 472 493 adrenal insufficiency E14 Disease_disorder:T30 T23 Detailed_description 402 418 bleeding episode T32 Diagnostic_procedure 545 561 echocardiography E10 Diagnostic_procedure:T32 T34 Severity 575 583 moderate T35 Disease_disorder 612 623 hypertrophy E16 Disease_disorder:T35 T36 Detailed_description 584 594 concentric R13 MODIFY Arg1:T36 Arg2:E16 R14 MODIFY Arg1:T34 Arg2:E16 T37 Detailed_description 629 650 diastolic dysfunction R15 MODIFY Arg1:T37 Arg2:E16 T38 Disease_disorder 673 693 mitral regurgitation E17 Disease_disorder:T38 T39 Severity 656 660 mild T40 Severity 664 672 moderate R16 MODIFY Arg1:T40 Arg2:E17 R17 MODIFY Arg1:T39 Arg2:E17 R18 MODIFY Arg1:T14 Arg2:E5 T41 Clinical_event 731 740 admission E18 Clinical_event:T41 T43 Biological_structure 774 796 second diagonal artery T44 Biological_structure 831 854 other coronary arteries T45 Severity 803 807 mild T46 Detailed_description 808 815 diffuse T47 Coreference 816 823 disease E19 Coreference:T47 T48 Disease_disorder 758 766 stenosis E20 Disease_disorder:T48 T49 Lab_value 754 757 50% R20 MODIFY Arg1:T49 Arg2:E20 R21 IDENTICAL Arg1:E19 Arg2:E20 T50 Diagnostic_procedure 889 895 biopsy E21 Diagnostic_procedure:T50 T51 Detailed_description 856 888 Right ventricular endomyocardial R22 MODIFY Arg1:T51 Arg2:E21 T52 Disease_disorder 939 955 cardiomyopathies E22 Disease_disorder:T52 T53 Disease_disorder 910 921 myocarditis E23 Disease_disorder:T53 A1 POLARITY E22 NEG A2 POLARITY E23 NEG T54 Disease_disorder 969 991 ischemic microinfarcts E24 Disease_disorder:T54 T55 Disease_disorder 997 1009 atheroemboli E25 Disease_disorder:T55 T56 Detailed_description 961 968 healing R23 MODIFY Arg1:T56 Arg2:E24 T57 Sign_symptom 1034 1043 BP values E26 Sign_symptom:T57 T58 Lab_value 1054 1057 low R25 MODIFY Arg1:T58 Arg2:E26 T60 Sign_symptom 1059 1070 systolic BP E27 Sign_symptom:T60 T61 Lab_value 1083 1090 60 mmHg T62 Lab_value 1095 1102 65 mmHg R26 MODIFY Arg1:T61 Arg2:E27 R27 MODIFY Arg1:T62 Arg2:E27 T63 Sign_symptom 1108 1120 diastolic BP E28 Sign_symptom:T63 T64 Lab_value 1133 1140 40 mmHg T65 Lab_value 1145 1152 45 mmHg R28 MODIFY Arg1:T64 Arg2:E28 R29 MODIFY Arg1:T65 Arg2:E28 T66 Therapeutic_procedure 1164 1174 intubation E29 Therapeutic_procedure:T66 T68 Medication 1176 1184 dopamine E31 Medication:T68 T69 Medication 1252 1265 noradrenaline E32 Medication:T69 T70 Clinical_event 1238 1246 replaced E33 Clinical_event:T70 T72 Therapeutic_procedure 1201 1223 hypotension management E35 Therapeutic_procedure:T72 R30 SUB_PROCEDURE Arg1:E31 Arg2:E35 R31 SUB_PROCEDURE Arg1:E32 Arg2:E35 T71 Diagnostic_procedure 695 718 Cardiac catheterization E34 Diagnostic_procedure:T71 T73 Disease_disorder 1289 1303 atrial flutter E36 Disease_disorder:T73 T74 Diagnostic_procedure 1034 1043 BP values E37 Diagnostic_procedure:T74 T75 Diagnostic_procedure 1059 1070 systolic BP E38 Diagnostic_procedure:T75 T76 Diagnostic_procedure 1108 1120 diastolic BP E39 Diagnostic_procedure:T76 R32 SUB_PROCEDURE Arg1:E38 Arg2:E37 T77 Therapeutic_procedure 1371 1386 electric shocks E40 Therapeutic_procedure:T77 T78 Lab_value 1352 1355 two R34 MODIFY Arg1:T78 Arg2:E40 T79 Detailed_description 1356 1370 direct current R35 MODIFY Arg1:T79 Arg2:E40 T80 Sign_symptom 1334 1346 sinus rhythm E41 Sign_symptom:T80 T82 Clinical_event 1424 1433 admission E43 Clinical_event:T82 T81 Nonbiological_location 1441 1459 coronary care unit T83 Nonbiological_location 1460 1465 (CCU) R36 IDENTICAL Arg1:T83 Arg2:T81 T84 Diagnostic_procedure 1388 1411 Cardiology consultation E42 Diagnostic_procedure:T84 T85 Coreference 1470 1479 admission E44 Coreference:T85 T86 Biological_structure 1487 1490 CCU T88 Clinical_event 1321 1330 converted E46 Clinical_event:T88 T89 Sign_symptom 1492 1494 BP E47 Sign_symptom:T89 T90 Lab_value 1511 1521 56/36 mmHg T91 Biological_structure 1529 1537 left arm T92 Biological_structure 1568 1577 right arm T93 Lab_value 1546 1560 not detectable R37 MODIFY Arg1:T90 Arg2:E47 R38 MODIFY Arg1:T93 Arg2:E47 R39 MODIFY Arg1:T91 Arg2:T90 R40 MODIFY Arg1:T92 Arg2:T93 T94 Diagnostic_procedure 1492 1494 BP E48 Diagnostic_procedure:T94 T95 Diagnostic_procedure 1582 1595 arterial line E49 Diagnostic_procedure:T95 T96 Biological_structure 1617 1631 femoral artery T97 Sign_symptom 1637 1639 BP E50 Sign_symptom:T97 T98 Lab_value 1656 1667 191/92 mmHg T99 Diagnostic_procedure 1637 1639 BP E51 Diagnostic_procedure:T99 R41 SUB_PROCEDURE Arg1:E49 Arg2:E51 R42 MODIFY Arg1:T98 Arg2:E50 T101 Lab_value 1702 1708 higher T102 Severity 1697 1701 much T103 Detailed_description 1684 1696 consistently R43 MODIFY Arg1:T103 Arg2:T101 R44 MODIFY Arg1:T102 Arg2:T101 T104 Coreference 1721 1742 femoral arterial line E53 Coreference:T104 R47 IDENTICAL Arg1:E53 Arg2:E49 T107 Lab_value 1778 1784 higher T108 Biological_structure 1792 1800 left arm T109 Biological_structure 1813 1822 right arm T110 Detailed_description 1785 1822 in the left arm than in the right arm #1 AnnotatorNotes T110 Not sure how to tackle this type of comparison other than group everything into "Detailed description" R49 MODIFY Arg1:T110 Arg2:T107 T111 Date 1838 1873 on the first day post-CCU admission E55 Date:T111 T112 Sign_symptom 1875 1877 BP E56 Sign_symptom:T112 T113 Time 1878 1890 at one point E57 Time:T113 T114 Lab_value 1907 1918 170/80 mmHg T115 Coreference 1931 1944 arterial line E58 Coreference:T115 R50 MODIFY Arg1:T114 Arg2:E56 T116 Detailed_description 1709 1768 through the femoral arterial line than the cuff on the arms #2 AnnotatorNotes T116 Not sure how to tackle this type of comparison other than group everything in "Detailed description" R52 MODIFY Arg1:T116 Arg2:T101 T117 Coreference 1952 1965 cuff readings E59 Coreference:T117 T119 Lab_value 1983 1993 83/74 mmHg T120 Lab_value 2010 2020 60/39 mmHg T121 Biological_structure 2001 2005;2034 2037 left arm T122 Biological_structure 2028 2037 right arm R53 MODIFY Arg1:T121 Arg2:T119 R54 MODIFY Arg1:T122 Arg2:T120 T123 Diagnostic_procedure 1875 1877 BP E60 Diagnostic_procedure:T123 R57 MODIFY Arg1:T119 Arg2:E56 R58 MODIFY Arg1:T120 Arg2:E56 T124 Diagnostic_procedure 2114 2133;2139 2143 computed tomography scan E61 Diagnostic_procedure:T124 T125 Diagnostic_procedure 2134 2143 (CT) scan E62 Diagnostic_procedure:T125 R59 IDENTICAL Arg1:E62 Arg2:E61 T126 Sign_symptom 2101 2110 BP values E63 Sign_symptom:T126 T127 Biological_structure 2080 2088 brachial T128 Biological_structure 2093 2100 femoral R60 MODIFY Arg1:T128 Arg2:E63 R61 MODIFY Arg1:T127 Arg2:E63 T129 Biological_structure 2151 2157 thorax T130 Distance 2177 2184 1.25 mm T131 Diagnostic_procedure 2185 2191 slices E64 Diagnostic_procedure:T131 T132 Duration 3000 3085 during the eight months between discharge and the time the present report was written E65 Duration:T132 T133 Date 3032 3041 discharge E66 Date:T133 T134 Date 3050 3085 time the present report was written E67 Date:T134 T135 Disease_disorder 3119 3122 CHF E68 Disease_disorder:T135 A3 TREND E68 STAY T136 Clinical_event 3134 3143 ER visits E69 Clinical_event:T136 A4 POLARITY E69 NEG T137 Clinical_event 2984 2999 remained stable E70 Clinical_event:T137 T138 Clinical_event 2948 2958 discharged E71 Clinical_event:T138 T139 Diagnostic_procedure 2969 2978 condition E72 Diagnostic_procedure:T139 A5 TREND E70 STAY T140 Medication 2901 2919 BP-lowering agents E73 Medication:T140 T141 Medication 2887 2896 diuretics E74 Medication:T141 T142 Diagnostic_procedure 2870 2881 BP readings E75 Diagnostic_procedure:T142 T143 Detailed_description 2862 2869 femoral R62 MODIFY Arg1:T143 Arg2:E75 T144 Diagnostic_procedure 2827 2848 femoral arterial line E76 Diagnostic_procedure:T144 T145 Therapeutic_procedure 2777 2795 Further management E77 Therapeutic_procedure:T145 T146 Coreference 2367 2376 CT images E78 Coreference:T146 T147 Detailed_description 2348 2355 initial T148 Detailed_description 2356 2366 unenhanced R65 MODIFY Arg1:T148 Arg2:E78 R66 MODIFY Arg1:T147 Arg2:E78 T150 Sign_symptom 2402 2408 plaque E80 Sign_symptom:T150 T151 Sign_symptom 2412 2420 thrombus E81 Sign_symptom:T151 T152 Detailed_description 2392 2401 calcified T153 Severity 2384 2391 densely R67 MODIFY Arg1:T153 Arg2:T152 R68 MODIFY Arg1:T152 Arg2:E80 R69 MODIFY Arg1:T152 Arg2:E81 T154 Biological_structure 2428 2438;2444 2463 origins of subclavian arteries T155 Biological_structure 2428 2438;2472 2499 origins of right common carotid artery T156 Diagnostic_procedure 2505 2517 CT angiogram E82 Diagnostic_procedure:T156 T157 Sign_symptom 2536 2540 flow E83 Sign_symptom:T157 A6 POLARITY E83 NEG T159 Disease_disorder 2586 2594 stenosis E84 Disease_disorder:T159 T160 Detailed_description 2580 2585 tight T161 Severity 2575 2579 very R70 MODIFY Arg1:T161 Arg2:T160 R71 MODIFY Arg1:T160 Arg2:E84 T163 Disease_disorder 2651 2659 stenosis E85 Disease_disorder:T163 T164 Detailed_description 2645 2650 tight R72 MODIFY Arg1:T164 Arg2:E85 T167 Diagnostic_procedure 2227 2245 contrast injection E87 Diagnostic_procedure:T167 T168 Diagnostic_procedure 2295 2330 maximum-intensity projection images E88 Diagnostic_procedure:T168 T169 Detailed_description 2251 2291 sagittal and coronal planar reformatting R73 MODIFY Arg1:T169 Arg2:E88 T170 Administration 2215 2226 intravenous R74 MODIFY Arg1:T170 Arg2:E87 T172 Sign_symptom 2748 2755 calibre E89 Sign_symptom:T172 T173 Sign_symptom 2760 2764 flow E90 Sign_symptom:T173 T174 Lab_value 2741 2747 normal R75 MODIFY Arg1:T174 Arg2:E89 R76 MODIFY Arg1:T174 Arg2:E90 T171 Coreference 2710 2733 Both vertebral arteries E91 Coreference:T171 T158 Coreference 2548 2571 right subclavian artery E92 Coreference:T158 R77 CO-OCCURRENCE Arg1:E92 Arg2:T154 T162 Coreference 2602 2638 origin of the left subclavian artery E93 Coreference:T162 R78 CO-OCCURRENCE Arg1:E93 Arg2:T154 T165 Coreference 2667 2708 origin of the right common carotid artery E94 Coreference:T165 R79 CO-OCCURRENCE Arg1:E94 Arg2:T155 R80 CO-OCCURRENCE Arg1:E91 Arg2:E92 R81 CO-OCCURRENCE Arg1:E91 Arg2:E93 * OVERLAP E4 E5 E3 R84 MODIFY Arg1:T11 Arg2:E6 R85 BEFORE Arg1:E2 Arg2:E3 T176 Disease_disorder 274 277 CHF E95 Disease_disorder:T176 T177 Detailed_description 258 270 exacerbation R86 MODIFY Arg1:T177 Arg2:E95 * OVERLAP E95 E7 R87 AFTER Arg1:E6 Arg2:E7 T178 History 230 277 four recent admissions with exacerbation of CHF T31 Biological_structure 376 394 esophageal varices R11 MODIFY Arg1:T23 Arg2:T31 R88 AFTER Arg1:E95 Arg2:E8 * OVERLAP E11 E14 E12 E13 E8 E9 R89 BEFORE Arg1:E13 Arg2:E10 T33 Biological_structure 595 611 left ventricular R12 MODIFY Arg1:T33 Arg2:E16 R90 MODIFY Arg1:E16 Arg2:E10 R91 MODIFY Arg1:E17 Arg2:E10 * OVERLAP E17 E34 E16 E10 E18 R19 MODIFY Arg1:E20 Arg2:E34 R92 MODIFY Arg1:T43 Arg2:E20 R94 MODIFY Arg1:T44 Arg2:E19 * OVERLAP E19 E21 E23 E22 E24 E25 T42 Detailed_description 926 938 infiltrative R93 MODIFY Arg1:T42 Arg2:E22 R95 MODIFY Arg1:E23 Arg2:E21 R96 MODIFY Arg1:E22 Arg2:E21 R97 MODIFY Arg1:E17 Arg2:E10 R98 MODIFY Arg1:E24 Arg2:E21 R99 MODIFY Arg1:E25 Arg2:E21 R24 AFTER Arg1:E25 Arg2:E37 R33 SUB_PROCEDURE Arg1:E39 Arg2:E37 * OVERLAP E38 E39 R100 BEFORE Arg1:E39 Arg2:E29 R101 BEFORE Arg1:E29 Arg2:E31 R102 BEFORE Arg1:E31 Arg2:E33 * OVERLAP E33 E32 R103 BEFORE Arg1:E32 Arg2:E36 R104 BEFORE Arg1:E36 Arg2:E46 * OVERLAP E46 E41 R105 AFTER Arg1:E41 Arg2:E40 R106 BEFORE Arg1:E40 Arg2:E42 R107 BEFORE Arg1:E42 Arg2:E43 R108 MODIFY Arg1:T81 Arg2:E43 R109 MODIFY Arg1:T86 Arg2:E44 R110 IDENTICAL Arg1:E44 Arg2:E43 R111 BEFORE Arg1:E44 Arg2:E48 R112 BEFORE Arg1:E48 Arg2:E49 T59 Sign_symptom 1669 1678 BP values E15 Sign_symptom:T59 R113 MODIFY Arg1:T101 Arg2:E15 T67 Coreference 1752 1756 cuff E30 Coreference:T67 R46 IDENTICAL Arg1:E30 Arg2:E48 T87 Coreference 1760 1768 the arms E45 Coreference:T87 R116 MODIFY Arg1:T107 Arg2:E15 * OVERLAP E55 E60 E57 E58 E59 E96 T100 Diagnostic_procedure 1669 1678 BP values E52 Diagnostic_procedure:T100 R45 IDENTICAL Arg1:E45 Arg2:T91 R48 IDENTICAL Arg1:E45 Arg2:T92 #4 AnnotatorNotes R45 Combined coreference #5 AnnotatorNotes R48 Combined coreference R114 AFTER Arg1:E52 Arg2:E51 R115 AFTER Arg1:E52 Arg2:E55 T105 Lab_value 2962 2968 stable R117 MODIFY Arg1:T105 Arg2:E72 * OVERLAP E70 E65 E68 E69 T106 Detailed_description 3095 3115 further exacerbation R119 MODIFY Arg1:T106 Arg2:E68 * OVERLAP E71 E72 R118 BEFORE Arg1:E72 Arg2:E70 R120 AFTER Arg1:E77 Arg2:E76 R121 CAUSE Arg1:E75 Arg2:E77 * OVERLAP E76 E75 E74 E73 R63 BEFORE Arg1:E73 Arg2:E71 R64 MODIFY Arg1:E83 Arg2:E82 R122 MODIFY Arg1:E92 Arg2:E83 R123 MODIFY Arg1:E84 Arg2:E82 R124 MODIFY Arg1:E93 Arg2:E84 R125 MODIFY Arg1:E85 Arg2:E82 R126 MODIFY Arg1:E94 Arg2:E85 T118 Coreference 1969 1977 the arms E54 Coreference:T118 R51 MODIFY Arg1:E54 Arg2:E59 R55 IDENTICAL Arg1:E54 Arg2:E45 R56 IDENTICAL Arg1:E59 Arg2:E30 R127 IDENTICAL Arg1:E58 Arg2:E53 R128 MODIFY Arg1:E59 Arg2:T119 R129 MODIFY Arg1:E58 Arg2:T114 R130 MODIFY Arg1:E59 Arg2:T120 T179 Diagnostic_procedure 2101 2110 BP values E96 Diagnostic_procedure:T179 R131 BEFORE Arg1:E96 Arg2:E61 R132 MODIFY Arg1:T129 Arg2:E62 R133 MODIFY Arg1:T130 Arg2:E64 R134 SUB_PROCEDURE Arg1:E64 Arg2:E62 R135 BEFORE Arg1:E64 Arg2:E87 R136 AFTER Arg1:E64 Arg2:E87 R137 SUB_PROCEDURE Arg1:E87 Arg2:E62 R138 SUB_PROCEDURE Arg1:E88 Arg2:E62 R139 IDENTICAL Arg1:E78 Arg2:E88 R140 MODIFY Arg1:E80 Arg2:E78 * OVERLAP E78 E80 E81 E84 E83 E82 E85 R141 MODIFY Arg1:E81 Arg2:E78 R142 MODIFY Arg1:T155 Arg2:E80 R143 MODIFY Arg1:T155 Arg2:E81 R144 MODIFY Arg1:T154 Arg2:E80 R145 MODIFY Arg1:T154 Arg2:E81 R146 IDENTICAL Arg1:E93 Arg2:T154 R147 IDENTICAL Arg1:E92 Arg2:T154 R148 IDENTICAL Arg1:E94 Arg2:T155