[fd8900]: / processing / MACCROBAT / 22514576.ann

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T1	Age 2 13	70–year–old
T2	Sex 14 20	female
T3	Nonbiological_location 38 58	Emergency Department
T4	Sign_symptom 64 76	palpitations
E1	Sign_symptom:T4 
T5	Sign_symptom 78 85	dyspnea
E2	Sign_symptom:T5 
T6	Sign_symptom 99 108	epistaxis
E3	Sign_symptom:T6 
T7	Detailed_description 90 98	anterior
R1	MODIFY Arg1:T7 Arg2:E3	
T8	History 120 199	3 years history of atrial fibrillation and chronic heart failure NYHA class III
T9	Duration 120 127	3 years
E4	Duration:T9 
T10	Disease_disorder 139 158	atrial fibrillation
E5	Disease_disorder:T10 
T11	Disease_disorder 171 184	heart failure
E6	Disease_disorder:T11 
T12	Detailed_description 163 170	chronic
R2	MODIFY Arg1:T12 Arg2:E6	
T13	Lab_value 185 199	NYHA class III
R3	MODIFY Arg1:T13 Arg2:E6	
T14	Medication 222 229	aspirin
E7	Medication:T14 
T15	Dosage 230 240	100 mg/day
R4	MODIFY Arg1:T15 Arg2:E7	
T16	Diagnostic_procedure 242 262	Physical examination
E8	Diagnostic_procedure:T16 
T17	Diagnostic_procedure 285 290	pulse
E9	Diagnostic_procedure:T17 
T18	Lab_value 275 284	irregular
R5	MODIFY Arg1:T18 Arg2:E9	
T19	Lab_value 294 307	148 beats/min
R6	MODIFY Arg1:T19 Arg2:E9	
T20	Diagnostic_procedure 309 323	blood pressure
E10	Diagnostic_procedure:T20 
T21	Lab_value 327 339	130/100 mmHg
R7	MODIFY Arg1:T21 Arg2:E10	
T22	Sign_symptom 360 366	murmur
E11	Sign_symptom:T22 
T23	Detailed_description 341 352	pansystolic
T24	Biological_structure 353 359	mitral
R8	MODIFY Arg1:T24 Arg2:E11	
R9	MODIFY Arg1:T23 Arg2:E11	
T25	Lab_value 370 379	2/6 grade
R10	MODIFY Arg1:T25 Arg2:E11	
#1	AnnotatorNotes T25	qualitative because this is a grading scale
T26	Sign_symptom 381 387	murmur
E12	Sign_symptom:T26 
T27	Biological_structure 391 400	tricuspid
T28	Detailed_description 401 414	regurgitation
R11	MODIFY Arg1:T28 Arg2:E12	
R12	MODIFY Arg1:T27 Arg2:E12	
T29	Lab_value 418 427	3/6 grade
R13	MODIFY Arg1:T29 Arg2:E12	
T30	Sign_symptom 447 455	swelling
E13	Sign_symptom:T30 
T31	Biological_structure 429 446	lower extremities
R14	MODIFY Arg1:T31 Arg2:E13	
T32	Diagnostic_procedure 461 487	oto-rhino-laryngology exam
E14	Diagnostic_procedure:T32 
T33	Sign_symptom 515 524	epistaxis
E15	Sign_symptom:T33 
T34	Detailed_description 506 514	anterior
R15	MODIFY Arg1:T34 Arg2:E15	
T35	Diagnostic_procedure 538 555	electrocardiogram
E16	Diagnostic_procedure:T35 
T36	Detailed_description 530 537	12–lead
R16	MODIFY Arg1:T36 Arg2:E16	
T37	Diagnostic_procedure 609 639	International Normalized Ratio
E17	Diagnostic_procedure:T37 
T38	Diagnostic_procedure 641 644	INR
E18	Diagnostic_procedure:T38 
R17	IDENTICAL Arg1:E18 Arg2:E17	
T39	Lab_value 653 657	1,24
R18	MODIFY Arg1:T39 Arg2:E17	
T40	Diagnostic_procedure 693 709	echocardiography
E19	Diagnostic_procedure:T40 
T41	Disease_disorder 565 584	atrial fibrillation
E20	Disease_disorder:T41 
T42	Sign_symptom 595 603	ischemia
E21	Sign_symptom:T42 
T43	Detailed_description 586 594	inferior
R19	MODIFY Arg1:T43 Arg2:E21	
T44	Biological_structure 679 692	transthoracic
T45	Detailed_description 663 678	two–dimensional
R20	MODIFY Arg1:T44 Arg2:E19	
R21	MODIFY Arg1:T45 Arg2:E19	
T46	Sign_symptom 721 752	thickening of the mitral valves
E22	Sign_symptom:T46 
T47	Sign_symptom 769 789	mitral insufficiency
E23	Sign_symptom:T47 
T48	Severity 760 768	moderate
R22	MODIFY Arg1:T48 Arg2:E23	
T49	Sign_symptom 809 813	mass
E24	Sign_symptom:T49 
T50	Shape 803 808	round
T51	Detailed_description 796 802	mobile
R23	MODIFY Arg1:T50 Arg2:E24	
R24	MODIFY Arg1:T51 Arg2:E24	
T52	Biological_structure 821 832	left atrium
R25	MODIFY Arg1:T52 Arg2:E24	
T53	Detailed_description 834 847	heterogeneous
T54	Detailed_description 849 862	inhomogeneous
R26	MODIFY Arg1:T53 Arg2:E24	
R27	MODIFY Arg1:T54 Arg2:E24	
T55	Distance 867 872	18 mm
R28	MODIFY Arg1:T55 Arg2:E24	
T56	Biological_structure 918 936	interatrial septum
R29	MODIFY Arg1:T56 Arg2:E24	
T57	Detailed_description 882 910	attached with a narrow stalk
R30	MODIFY Arg1:T57 Arg2:T56	
T58	Biological_structure 1005 1025	mitral annular plane
T59	Coreference 938 940	It
E25	Coreference:T59 
R31	IDENTICAL Arg1:E25 Arg2:E24	
T60	Detailed_description 950 990	tumor–like movement with a cardiac cycle
R32	MODIFY Arg1:T60 Arg2:E25	
R33	MODIFY Arg1:T58 Arg2:E25	
T61	Diagnostic_procedure 1053 1069	echocardiography
E26	Diagnostic_procedure:T61 
T62	Sign_symptom 1077 1100	tricuspid insufficiency
E27	Sign_symptom:T62 
T63	Diagnostic_procedure 1108 1124	maximum gradient
E28	Diagnostic_procedure:T63 
T64	Lab_value 1128 1135	30 mmHg
R34	MODIFY Arg1:T64 Arg2:E28	
T65	Sign_symptom 1137 1162	intact interatrial septum
E29	Sign_symptom:T65 
T66	Sign_symptom 1164 1172	akinesia
E30	Sign_symptom:T66 
T67	Biological_structure 1176 1209	two thirds of basal inferior wall
R35	MODIFY Arg1:T67 Arg2:E30	
T68	Diagnostic_procedure 1211 1228	ejection fraction
E31	Diagnostic_procedure:T68 
T69	Lab_value 1232 1235	42%
R36	MODIFY Arg1:T69 Arg2:E31	
T70	Sign_symptom 1250 1254	mass
E32	Sign_symptom:T70 
A1	POLARITY E32 NEG
T71	Biological_structure 1262 1283	left atrial appendage
R37	MODIFY Arg1:T71 Arg2:E32	
T72	Diagnostic_procedure 1321 1337	echocardiography
E33	Diagnostic_procedure:T72 
T73	Biological_structure 1305 1320	transesophageal
T74	Detailed_description 1289 1304	two–dimensional
R38	MODIFY Arg1:T73 Arg2:E33	
R39	MODIFY Arg1:T74 Arg2:E33	
T75	Sign_symptom 1380 1384	mass
E34	Sign_symptom:T75 
T76	Biological_structure 1368 1379	intraatrial
R40	MODIFY Arg1:T76 Arg2:E34	
T77	Disease_disorder 1424 1437	heart failure
E35	Disease_disorder:T77 
T78	Sign_symptom 1386 1395	Epistaxis
E36	Sign_symptom:T78 
R41	CAUSE Arg1:E35 Arg2:E36	
T79	Sign_symptom 1456 1471	venous pressure
E37	Sign_symptom:T79 
T80	Lab_value 1446 1455	increased
R42	MODIFY Arg1:T80 Arg2:E37	
T81	Nonbiological_location 1505 1534	cardiovascular surgery clinic
T82	Clinical_event 1489 1497	referred
E38	Clinical_event:T82 
R43	MODIFY Arg1:T81 Arg2:E38	
T83	Therapeutic_procedure 1552 1559	surgery
E39	Therapeutic_procedure:T83 
A2	POLARITY E39 NEG
T84	Therapeutic_procedure 1561 1576	Anticoagulation
E40	Therapeutic_procedure:T84 
T85	Medication 1582 1593	fraxiparine
E41	Medication:T85 
T86	Dosage 1597 1607	0,6 ml/day
T87	Duration 1634 1645	for 3 weeks
E42	Duration:T87 
R44	SUB_PROCEDURE Arg1:E41 Arg2:E40	
R45	MODIFY Arg1:T86 Arg2:E41	
R46	MODIFY Arg1:E42 Arg2:E40	
T88	Therapeutic_procedure 1679 1696	nasal tamponament
E43	Therapeutic_procedure:T88 
T89	Sign_symptom 1666 1675	epistaxis
E44	Sign_symptom:T89 
A3	POLARITY E44 NEG
R47	CAUSE Arg1:E43 Arg2:E44	
T90	Date 1698 1711	After 3 weeks
E45	Date:T90 
T91	Diagnostic_procedure 1716 1732	echocardiography
E46	Diagnostic_procedure:T91 
T92	Sign_symptom 1763 1767	mass
E47	Sign_symptom:T92 
A4	POLARITY E47 NEG
T93	Sign_symptom 1838 1846	thrombus
E48	Sign_symptom:T93 
A5	POLARITY E48 UNCERTAIN
T94	Clinical_event 21 30	presented
E49	Clinical_event:T94 
R48	MODIFY Arg1:T3 Arg2:E49	
*	OVERLAP E49 E1 E2 E3
R49	AFTER Arg1:E3 Arg2:E4	
*	OVERLAP E4 E5 E6 E7
R50	BEFORE Arg1:E7 Arg2:E8	
*	OVERLAP E8 E9 E10 E11 E12 E13 E14 E15 E16 E20 E21 E17 E19 E22 E23 E24 E26 E27 E28 E29 E30 E31 E32 E33 E34 E36 E35 E37
R51	BEFORE Arg1:E37 Arg2:E38	
*	OVERLAP E38 E39
R52	BEFORE Arg1:E39 Arg2:E40	
*	OVERLAP E40 E42
R53	AFTER Arg1:E42 Arg2:E44	
R54	BEFORE Arg1:E44 Arg2:E45	
*	OVERLAP E45 E46 E47
R55	AFTER Arg1:E47 Arg2:E48