[fd8900]: / processing / MACCROBAT / 22791498.ann

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T1	Age 2 13	51-year-old
T2	Sex 14 17	man
T3	Clinical_event 22 30	referred
E1	Clinical_event:T3 
T4	Biological_structure 38 46	hospital
R1	MODIFY Arg1:T4 Arg2:E1	
T5	Severity 54 60	severe
T6	Disease_disorder 72 85	heart failure
E2	Disease_disorder:T6 
T7	Detailed_description 61 71	congestive
R2	MODIFY Arg1:T7 Arg2:E2	
R3	MODIFY Arg1:T5 Arg2:E2	
T8	Disease_disorder 102 113	arrhythmias
E3	Disease_disorder:T8 
T9	Biological_structure 90 101	ventricular
R4	MODIFY Arg1:T9 Arg2:E3	
T10	Date 117 127	March 2008
E4	Date:T10 
T11	Disease_disorder 156 169	heart failure
E5	Disease_disorder:T11 
T12	Sign_symptom 186 197	tachycardia
E6	Sign_symptom:T12 
T13	Biological_structure 174 185	ventricular
R5	MODIFY Arg1:T13 Arg2:E6	
T14	Duration 198 207	for years
E7	Duration:T14 
T15	Therapeutic_procedure 230 252	conventional treatment
E8	Therapeutic_procedure:T15 
T16	Medication 258 268	furosemide
E9	Medication:T16 
T17	Medication 270 288	lisinopril hydrate
E10	Medication:T17 
T18	Medication 290 300	pimobendan
E11	Medication:T18 
T19	Medication 302 320	warfarin potassium
E12	Medication:T19 
T20	Medication 322 332	carvedilol
E13	Medication:T20 
T21	Medication 334 346	metildigoxin
E14	Medication:T21 
T22	Medication 351 375	amiodarone hydrochloride
E15	Medication:T22 
R6	SUB_PROCEDURE Arg1:E9 Arg2:E8	
R7	SUB_PROCEDURE Arg1:E10 Arg2:E8	
R8	SUB_PROCEDURE Arg1:E11 Arg2:E8	
R9	SUB_PROCEDURE Arg1:E12 Arg2:E8	
R10	SUB_PROCEDURE Arg1:E13 Arg2:E8	
R11	SUB_PROCEDURE Arg1:E14 Arg2:E8	
R12	SUB_PROCEDURE Arg1:E15 Arg2:E8	
T23	Height 393 399	161 cm
T24	Weight 420 425	83 kg
T25	Diagnostic_procedure 427 441	Blood pressure
E16	Diagnostic_procedure:T25 
T26	Lab_value 446 458	110/60 mm Hg
R13	MODIFY Arg1:T26 Arg2:E16	
T27	Diagnostic_procedure 464 485	fasting blood glucose
E17	Diagnostic_procedure:T27 
T28	Lab_value 490 499	107 mg/dl
R14	MODIFY Arg1:T28 Arg2:E17	
T29	Diagnostic_procedure 504 509	HbA1c
E18	Diagnostic_procedure:T29 
T30	Lab_value 514 518	6.3%
R15	MODIFY Arg1:T30 Arg2:E18	
T31	Diagnostic_procedure 530 535	x-ray
E19	Diagnostic_procedure:T31 
T32	Biological_structure 524 529	chest
R16	MODIFY Arg1:T32 Arg2:E19	
T33	Sign_symptom 543 555	cardiomegaly
E20	Sign_symptom:T33 
T34	Diagnostic_procedure 563 583	cardiothoracic ratio
E21	Diagnostic_procedure:T34 
T35	Lab_value 587 591	0.67
R17	MODIFY Arg1:T35 Arg2:E21	
T36	Diagnostic_procedure 605 608	ECG
E22	Diagnostic_procedure:T36 
T37	Sign_symptom 651 677	hypokinetic left ventricle
E23	Sign_symptom:T37 
T38	Detailed_description 642 650	diffused
R18	MODIFY Arg1:T38 Arg2:E23	
T39	Diagnostic_procedure 700 724	left ventricle dimension
E24	Diagnostic_procedure:T39 
T41	Diagnostic_procedure 726 738	end-diastole
E25	Diagnostic_procedure:T41 
T42	Lab_value 740 745	95 mm
R20	MODIFY Arg1:T42 Arg2:E25	
T43	Diagnostic_procedure 759 761	EF
E26	Diagnostic_procedure:T43 
T44	Lab_value 763 767	0.11
R21	MODIFY Arg1:T44 Arg2:E26	
#1	AnnotatorNotes E26	ejection fraction
T45	Lab_value 751 758	reduced
R22	MODIFY Arg1:T45 Arg2:E26	
T46	Diagnostic_procedure 783 792	angiogram
E27	Diagnostic_procedure:T46 
T47	Biological_structure 774 782	coronary
R23	MODIFY Arg1:T47 Arg2:E27	
T48	Lab_value 797 803	normal
R24	MODIFY Arg1:T48 Arg2:E27	
T49	Diagnostic_procedure 818 824	biopsy
E28	Diagnostic_procedure:T49 
T50	Biological_structure 807 817	myocardial
R25	MODIFY Arg1:T50 Arg2:E28	
T51	Sign_symptom 1002 1021	thickening of hands
E29	Sign_symptom:T51 
T52	Nonbiological_location 1046 1070	endocrinology department
T53	Clinical_event 1030 1038	referred
E30	Clinical_event:T53 
T54	Diagnostic_procedure 1076 1094	plasma level of GH
E31	Diagnostic_procedure:T54 
T55	Diagnostic_procedure 1113 1118	IGF-1
E32	Diagnostic_procedure:T55 
T56	Lab_value 1099 1108	8.2 ng/ml
R26	MODIFY Arg1:T56 Arg2:E31	
T57	Lab_value 1123 1132	504 ng/ml
R27	MODIFY Arg1:T57 Arg2:E32	
T58	Diagnostic_procedure 1134 1137	MRI
E33	Diagnostic_procedure:T58 
T59	Disease_disorder 1153 1165	macroadenoma
E34	Disease_disorder:T59 
T60	Biological_structure 1173 1182	pituitary
R28	MODIFY Arg1:T60 Arg2:E34	
T61	Therapeutic_procedure 919 945	cardioverter-defibrillator
E35	Therapeutic_procedure:T61 
T62	Detailed_description 907 918	implantable
R29	MODIFY Arg1:T62 Arg2:E35	
T63	Sign_symptom 883 891	fibrosis
E36	Sign_symptom:T63 
T64	Lab_value 839 865	over 50% of cardiomyocytes
R30	MODIFY Arg1:T64 Arg2:E36	
T65	Diagnostic_procedure 980 997	facial appearance
E37	Diagnostic_procedure:T65 
T66	Lab_value 972 979	typical
R31	MODIFY Arg1:T66 Arg2:E37	
T67	Disease_disorder 1210 1220	acromegaly
E38	Disease_disorder:T67 
T68	Medication 1242 1252	octreotide
E39	Medication:T68 
T69	Duration 1283 1291	8 months
E40	Duration:T69 
T70	Detailed_description 1253 1272	long-acting-release
T71	Detailed_description 1274 1277	LAR
R32	IDENTICAL Arg1:T71 Arg2:T70	
R33	MODIFY Arg1:T70 Arg2:E39	
T72	Therapeutic_procedure 1318 1342	trans-sphenoidal surgery
E41	Therapeutic_procedure:T72 
T73	Date 1346 1358	January 2009
E42	Date:T73 
T74	Medication 2066 2076	pimobendan
E43	Medication:T74 
T75	Diagnostic_procedure 1375 1394	plasma levels of GH
E44	Diagnostic_procedure:T75 
T76	Diagnostic_procedure 1399 1404	IGF-1
E45	Diagnostic_procedure:T76 
T77	Lab_value 1410 1419	decreased
R34	MODIFY Arg1:T77 Arg2:E45	
R35	MODIFY Arg1:T77 Arg2:E44	
T78	Medication 1425 1435	octreotide
E46	Medication:T78 
T79	Diagnostic_procedure 1445 1470	basal plasma levels of GH
E47	Diagnostic_procedure:T79 
T80	Lab_value 1483 1500	more than 4 ng/ml
R36	MODIFY Arg1:T80 Arg2:E47	
T81	Diagnostic_procedure 1505 1524	plasma IGF-1 levels
E48	Diagnostic_procedure:T81 
T82	Lab_value 1530 1561	above the appropriate age range
R37	MODIFY Arg1:T82 Arg2:E48	
T83	Coreference 1580 1587	surgery
E49	Coreference:T83 
R38	IDENTICAL Arg1:E49 Arg2:E41	
T84	Diagnostic_procedure 1594 1613	plasma levels of GH
E50	Diagnostic_procedure:T84 
T85	Diagnostic_procedure 1618 1623	IGF-1
E51	Diagnostic_procedure:T85 
T86	Lab_value 1624 1641	further decreased
R39	MODIFY Arg1:T86 Arg2:E51	
R40	MODIFY Arg1:T86 Arg2:E50	
T87	Diagnostic_procedure 1643 1668	Basal plasma levels of GH
E52	Diagnostic_procedure:T87 
T88	Lab_value 1674 1700	mostly less than 0.5 ng/ml
R41	MODIFY Arg1:T88 Arg2:E52	
T89	Diagnostic_procedure 1705 1710	IGF-1
E53	Diagnostic_procedure:T89 
T90	Lab_value 1723 1743	within normal ranges
R42	MODIFY Arg1:T90 Arg2:E53	
T91	Coreference 1778 1781	LAR
E54	Coreference:T91 
R43	IDENTICAL Arg1:E54 Arg2:E46	
T92	Detailed_description 1436 1439	LAR
R44	MODIFY Arg1:T92 Arg2:E46	
T93	Diagnostic_procedure 1787 1803	cardiac function
E55	Diagnostic_procedure:T93 
T94	Lab_value 1804 1822	improved partially
R45	MODIFY Arg1:T94 Arg2:E55	
T95	Diagnostic_procedure 1824 1844	cardiothoracic ratio
E56	Diagnostic_procedure:T95 
T96	Lab_value 1845 1849	0.58
R46	MODIFY Arg1:T96 Arg2:E56	
T97	Diagnostic_procedure 1851 1853	EF
E57	Diagnostic_procedure:T97 
T98	Lab_value 1854 1858	0.20
R47	MODIFY Arg1:T98 Arg2:E57	
T99	Date 1862 1876	September 2008
E58	Date:T99 
T100	Coreference 1885 1892	surgery
E59	Coreference:T100 
R48	IDENTICAL Arg1:E59 Arg2:E49	
T101	Diagnostic_procedure 1898 1914	cardiac function
E60	Diagnostic_procedure:T101 
T102	Lab_value 1915 1935	improved drastically
R49	MODIFY Arg1:T102 Arg2:E60	
T103	Diagnostic_procedure 1937 1957	cardiothoracic ratio
E61	Diagnostic_procedure:T103 
T104	Lab_value 1958 1962	0.47
R50	MODIFY Arg1:T104 Arg2:E61	
T105	Diagnostic_procedure 1964 1966	EF
E62	Diagnostic_procedure:T105 
T106	Lab_value 1967 1971	0.55
R51	MODIFY Arg1:T106 Arg2:E62	
T107	Date 1975 1985	April 2009
E63	Date:T107 
T108	Disease_disorder 2040 2051	arrhythmias
E64	Disease_disorder:T108 
T109	Biological_structure 2028 2039	ventricular
R52	MODIFY Arg1:T109 Arg2:E64	
T110	Lab_value 2015 2024;2052 2061	Frequency decreased
A1	TREND E43 DEC
*	OVERLAP E1 E2 E3 E4
R53	AFTER Arg1:E4 Arg2:E5	
*	OVERLAP E5 E6 E7 E8
R54	BEFORE Arg1:E8 Arg2:E16	
*	OVERLAP E16 E17 E18 E19 E20 E21 E22 E23 E24 E25 E26 E27 E28 E36
T40	Lab_value 683 699	markedly dilated
R19	MODIFY Arg1:T40 Arg2:E24	
R55	BEFORE Arg1:E36 Arg2:E35	
*	OVERLAP E35 E37 E29
R56	BEFORE Arg1:E29 Arg2:E30	
R57	MODIFY Arg1:T52 Arg2:E30	
*	OVERLAP E30 E31 E32 E33 E34 E38
R58	BEFORE Arg1:E38 Arg2:E39	
*	OVERLAP E39 E40
R59	BEFORE Arg1:E40 Arg2:E41	
*	OVERLAP E41 E42
R60	AFTER Arg1:E42 Arg2:E44	
*	OVERLAP E44 E45 E46 E47 E48
R61	BEFORE Arg1:E48 Arg2:E49	
R62	BEFORE Arg1:E49 Arg2:E50	
*	OVERLAP E50 E51 E52 E53 E54 E55 E56 E57 E58
R63	BEFORE Arg1:E58 Arg2:E59	
*	OVERLAP E59 E60 E61 E62 E63 E64 E43