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T1	Date 131 135	2013
E1	Date:T1 
T2	Age 139 150	66-year-old
T3	Occupation 151 157	farmer
T4	History 176 204	ventricular tachycardia (VT)
T5	Sign_symptom 276 287	palpitation
E2	Sign_symptom:T5 
T6	Sign_symptom 289 304	chest tightness
E3	Sign_symptom:T6 
T7	Sign_symptom 314 322	sweating
E4	Sign_symptom:T7 
T8	Severity 306 313	profuse
R1	MODIFY Arg1:T8 Arg2:E4	
T9	Sign_symptom 327 333	nausea
E5	Sign_symptom:T9 
T10	Disease_disorder 363 369	causes
E6	Disease_disorder:T10 
A1	POLARITY E6 NEG
T11	Clinical_event 222 231	presented
E7	Clinical_event:T11 
T12	Nonbiological_location 239 259	Emergency Department
R2	MODIFY Arg1:T12 Arg2:E7	
T13	Detailed_description 265 275	continuous
R3	MODIFY Arg1:T13 Arg2:E2	
T14	Diagnostic_procedure 412 426	blood pressure
E8	Diagnostic_procedure:T14 
T15	Lab_value 397 408	sudden drop
R4	MODIFY Arg1:T15 Arg2:E8	
T16	Sign_symptom 437 446	confusion
E9	Sign_symptom:T16 
T17	Detailed_description 431 436	acute
R5	MODIFY Arg1:T17 Arg2:E9	
T18	Therapeutic_procedure 467 488	electrical conversion
E10	Therapeutic_procedure:T18 
T19	Sign_symptom 494 507	consciousness
E11	Sign_symptom:T19 
T20	Sign_symptom 536 544	symptoms
E12	Sign_symptom:T20 
A2	POLARITY E12 NEG
T21	Detailed_description 457 466	immediate
R6	MODIFY Arg1:T21 Arg2:E10	
T22	Clinical_event 578 589	transferred
E13	Clinical_event:T22 
T23	Nonbiological_location 597 621	Department of Cardiology
R7	MODIFY Arg1:T23 Arg2:E13	
T24	Diagnostic_procedure 634 645	evaluations
E14	Diagnostic_procedure:T24 
T25	Therapeutic_procedure 650 660	treatments
E15	Therapeutic_procedure:T25 
T26	Diagnostic_procedure 676 690	blood pressure
E16	Diagnostic_procedure:T26 
T27	Lab_value 695 707	105/75 mm Hg
R8	MODIFY Arg1:T27 Arg2:E16	
T28	Diagnostic_procedure 731 741	heart rate
E17	Diagnostic_procedure:T28 
T29	Lab_value 745 757	75 beats/min
R9	MODIFY Arg1:T29 Arg2:E17	
T30	Diagnostic_procedure 759 775	body temperature
E18	Diagnostic_procedure:T30 
T31	Lab_value 779 785	36.6°C
R10	MODIFY Arg1:T31 Arg2:E18	
T32	Diagnostic_procedure 790 806	respiration rate
E19	Diagnostic_procedure:T32 
T33	Lab_value 810 822	18 times/min
R11	MODIFY Arg1:T33 Arg2:E19	
T34	Sign_symptom 841 849	extended
E20	Sign_symptom:T34 
T35	Biological_structure 828 840	heart border
R12	MODIFY Arg1:T35 Arg2:E20	
T36	Lab_value 850 861	to the left
R13	MODIFY Arg1:T36 Arg2:E20	
T37	Diagnostic_procedure 872 886	apical impulse
E21	Diagnostic_procedure:T37 
T38	Lab_value 902 928	left 5th intercostal space
R14	MODIFY Arg1:T38 Arg2:E21	
T39	Distance 930 970	1.0 cm lateral to the midclavicular line
R15	MODIFY Arg1:T39 Arg2:T38	
T40	Duration 1019 1027	30 years
E22	Duration:T40 
T41	Disease_disorder 1001 1013	hypertension
E23	Disease_disorder:T41 
T42	Medication 1044 1071	antihypertensive medication
E24	Medication:T42 
A3	POLARITY E24 NEG
T43	History 1001 1071	hypertension over 30 years without regular antihypertensive medication
T44	Diagnostic_procedure 1085 1099	blood pressure
E25	Diagnostic_procedure:T44 
T45	Lab_value 1104 1117	170/110 mm Hg
R16	MODIFY Arg1:T45 Arg2:E25	
T46	Detailed_description 1077 1084	highest
R17	MODIFY Arg1:T46 Arg2:E25	
T47	Family_history 1129 1203	no family history of early coronary artery disease or sudden cardiac death
T48	History 1208 1282	did not smoke cigarettes or use illicit drugs, and rarely consumed alcohol
T49	History 1301 1357	no known contacts with sick persons and no recent travel
T50	Diagnostic_procedure 1379 1396	electrocardiogram
E26	Diagnostic_procedure:T50 
T51	Diagnostic_procedure 1398 1401	ECG
E27	Diagnostic_procedure:T51 
R18	IDENTICAL Arg1:E27 Arg2:E26	
T52	Disease_disorder 1406 1408	VT
E28	Disease_disorder:T52 
#1	AnnotatorNotes E28	ventricular tachycardia
T53	Biological_structure 1469 1500	right ventricular outflow tract
T54	Biological_structure 1502 1506	RVOT
T55	Biological_structure 1512 1527	tricuspid valve
R19	IDENTICAL Arg1:T54 Arg2:T53	
T56	Detailed_description 1371 1378	surface
T57	Detailed_description 1359 1370	Twelve-lead
R20	MODIFY Arg1:T56 Arg2:E26	
R21	MODIFY Arg1:T57 Arg2:E26	
T58	Biological_structure 1452 1468	boundary between
R22	MODIFY Arg1:T53 Arg2:T58	
R23	MODIFY Arg1:T55 Arg2:T58	
R24	MODIFY Arg1:T58 Arg2:E28	
T59	Disease_disorder 1534 1536	VT
E29	Disease_disorder:T59 
T60	Lab_value 1550 1573	150 beats/min or higher
R25	MODIFY Arg1:T60 Arg2:E29	
T61	Sign_symptom 1578 1591	epsilon waves
E30	Sign_symptom:T61 
A4	POLARITY E30 NEG
T62	Diagnostic_procedure 1610 1626	precordial leads
E31	Diagnostic_procedure:T62 
R26	MODIFY Arg1:E30 Arg2:E31	
R27	SUB_PROCEDURE Arg1:E31 Arg2:E26	
T63	Disease_disorder 1663 1665	VT
E32	Disease_disorder:T63 
T64	Lab_value 1537 1546	increased
R28	MODIFY Arg1:T64 Arg2:E29	
T65	Lab_value 1666 1675	decreased
R29	MODIFY Arg1:T65 Arg2:E32	
T66	Lab_value 1679 1701	120 beats/min or lower
R30	MODIFY Arg1:T66 Arg2:E32	
T67	Sign_symptom 1703 1716	epsilon waves
E33	Sign_symptom:T67 
T68	Diagnostic_procedure 1729 1740	leads V1–V2
E34	Diagnostic_procedure:T68 
R31	SUB_PROCEDURE Arg1:E34 Arg2:E26	
R32	MODIFY Arg1:E33 Arg2:E34	
T69	Sign_symptom 5442 5453	palpitation
E35	Sign_symptom:T69 
A5	POLARITY E35 NEG
T70	Sign_symptom 5461 5470	tightness
E36	Sign_symptom:T70 
A6	POLARITY E36 NEG
T71	Biological_structure 5455 5460	chest
R33	MODIFY Arg1:T71 Arg2:E36	
T72	Sign_symptom 5480 5488	sweating
E37	Sign_symptom:T72 
A7	POLARITY E37 NEG
T73	Sign_symptom 5492 5498	nausea
E38	Sign_symptom:T73 
A8	POLARITY E38 NEG
T74	Severity 5472 5479	profuse
R34	MODIFY Arg1:T74 Arg2:E37	
T75	Clinical_event 5384 5395	followed up
E39	Clinical_event:T75 
T76	Date 5396 5410	3 months after
E40	Date:T76 
T77	Clinical_event 5095 5105	discharged
E41	Clinical_event:T77 
T78	Nonbiological_location 5111 5119	hospital
R35	MODIFY Arg1:T78 Arg2:E41	
T79	Date 5123 5128	day 9
E42	Date:T79 
T80	Medication 5147 5167	metoprolol succinate
E43	Medication:T80 
T81	Administration 5168 5193	sustained-release tablets
T82	Dosage 5195 5209	23.75 mg daily
T83	Administration 5211 5215	p.o.
R36	MODIFY Arg1:T82 Arg2:E43	
R37	MODIFY Arg1:T81 Arg2:E43	
R38	MODIFY Arg1:T83 Arg2:E43	
T84	Medication 5218 5242	amiodarone hydrochloride
E44	Medication:T84 
T85	Administration 5243 5250	tablets
R39	MODIFY Arg1:T85 Arg2:E44	
T86	Dosage 5252 5264	200 mg daily
T87	Administration 5266 5270	p.o.
R40	MODIFY Arg1:T86 Arg2:E44	
R41	MODIFY Arg1:T87 Arg2:E44	
T88	Medication 5273 5287	spironolactone
E45	Medication:T88 
T89	Medication 5321 5338	fosinopril sodium
E46	Medication:T89 
T90	Dosage 5297 5308	40 mg daily
T91	Administration 5310 5314	p.o.
T92	Administration 5288 5295	tablets
R42	MODIFY Arg1:T92 Arg2:E45	
R43	MODIFY Arg1:T90 Arg2:E45	
R44	MODIFY Arg1:T91 Arg2:E45	
T93	Administration 5339 5346	tablets
T94	Dosage 5348 5359	10 mg daily
T95	Administration 5361 5365	p.o.
R45	MODIFY Arg1:T93 Arg2:E46	
R46	MODIFY Arg1:T94 Arg2:E46	
R47	MODIFY Arg1:T95 Arg2:E46	
T96	Diagnostic_procedure 1984 1987	ECG
E47	Diagnostic_procedure:T96 
T97	Detailed_description 1978 1983	Sinus
R48	MODIFY Arg1:T97 Arg2:E47	
T98	Date 1995 2007	year of 2013
E48	Date:T98 
T99	Diagnostic_procedure 2045 2058	electric axis
E49	Diagnostic_procedure:T99 
T100	Lab_value 2020 2041	slight left deviation
R49	MODIFY Arg1:T100 Arg2:E49	
R50	SUB_PROCEDURE Arg1:E49 Arg2:E47	
T101	Diagnostic_procedure 2067 2077	heart rate
E50	Diagnostic_procedure:T101 
T102	Lab_value 2081 2093	87 beats/min
T103	Diagnostic_procedure 2114 2121	lead II
E51	Diagnostic_procedure:T103 
R51	SUB_PROCEDURE Arg1:E51 Arg2:E47	
T104	Lab_value 2098 2110	flat T waves
R52	MODIFY Arg1:T104 Arg2:E51	
R53	MODIFY Arg1:T102 Arg2:E50	
T105	Sign_symptom 2379 2394	premature beats
E52	Sign_symptom:T105 
T106	Biological_structure 2372 2378	Atrial
R54	MODIFY Arg1:T106 Arg2:E52	
T107	Frequency 2404 2416	occasionally
R55	MODIFY Arg1:T107 Arg2:E52	
T108	Sign_symptom 2440 2455	premature beats
E53	Sign_symptom:T108 
T109	Biological_structure 2428 2439	ventricular
R56	MODIFY Arg1:T109 Arg2:E53	
T110	Diagnostic_procedure 2791 2809	biochemical assays
E54	Diagnostic_procedure:T110 
T111	Diagnostic_procedure 2827 2845	cardiac troponin I
E55	Diagnostic_procedure:T111 
T112	Lab_value 2856 2866	0.714 μg/L
R57	MODIFY Arg1:T112 Arg2:E55	
R58	SUB_PROCEDURE Arg1:E55 Arg2:E54	
T113	Diagnostic_procedure 2896 2928	serum B-type natriuretic peptide
E56	Diagnostic_procedure:T113 
T114	Lab_value 2939 2952	466.530 pg/mL
R59	MODIFY Arg1:T114 Arg2:E56	
R60	SUB_PROCEDURE Arg1:E56 Arg2:E54	
T115	Diagnostic_procedure 2982 2995	serum d-dimer
E57	Diagnostic_procedure:T115 
T116	Lab_value 3006 3015	8.14 mg/L
R61	MODIFY Arg1:T116 Arg2:E57	
R62	SUB_PROCEDURE Arg1:E57 Arg2:E54	
T117	Diagnostic_procedure 3045 3055	blood urea
E58	Diagnostic_procedure:T117 
T118	Lab_value 3066 3078	11.69 mmol/L
R63	MODIFY Arg1:T118 Arg2:E58	
T119	Diagnostic_procedure 3113 3129	serum creatinine
E59	Diagnostic_procedure:T119 
T120	Lab_value 3140 3153	144.00 μmol/L
R64	MODIFY Arg1:T120 Arg2:E59	
T121	Diagnostic_procedure 3185 3200	serum uric acid
E60	Diagnostic_procedure:T121 
T122	Lab_value 3211 3224	611.40 μmol/L
R65	MODIFY Arg1:T122 Arg2:E60	
T123	Diagnostic_procedure 3261 3291	endogenous creatinine clearing
E61	Diagnostic_procedure:T123 
T124	Lab_value 3302 3314	57.90 mL/min
R66	MODIFY Arg1:T124 Arg2:E61	
R67	SUB_PROCEDURE Arg1:E58 Arg2:E54	
R68	SUB_PROCEDURE Arg1:E59 Arg2:E54	
R69	SUB_PROCEDURE Arg1:E60 Arg2:E54	
R70	SUB_PROCEDURE Arg1:E61 Arg2:E54	
T125	Biological_structure 2494 2516	right ventricular apex
R71	MODIFY Arg1:T125 Arg2:E53	
T126	Sign_symptom 2191 2204	epsilon waves
E62	Sign_symptom:T126 
T127	Lab_value 2216 2237	following QRS complex
R72	MODIFY Arg1:T127 Arg2:E62	
T128	Sign_symptom 2123 2140	T wave inversions
E63	Sign_symptom:T128 
T129	Diagnostic_procedure 2155 2179	leads III, avF and V1–V3
E64	Diagnostic_procedure:T129 
R73	SUB_PROCEDURE Arg1:E64 Arg2:E47	
T130	Diagnostic_procedure 2241 2252	leads V1–V3
E65	Diagnostic_procedure:T130 
R74	SUB_PROCEDURE Arg1:E65 Arg2:E47	
T131	Diagnostic_procedure 2287 2295	lead avR
E66	Diagnostic_procedure:T131 
T132	Detailed_description 2300 2309	amplified
R75	MODIFY Arg1:T132 Arg2:E66	
T133	Sign_symptom 2311 2324	epsilon waves
E67	Sign_symptom:T133 
T134	Lab_value 2341 2357	behind QRS waves
R76	MODIFY Arg1:T134 Arg2:E67	
T135	Sign_symptom 2523 2536	epsilon waves
E68	Sign_symptom:T135 
T136	Lab_value 2547 2563	behind QRS waves
R77	MODIFY Arg1:T136 Arg2:E68	
T137	Diagnostic_procedure 2608 2611	ECG
E69	Diagnostic_procedure:T137 
T138	Biological_structure 2602 2607	sinus
R78	MODIFY Arg1:T138 Arg2:E69	
T139	Date 2628 2640	year of 1999
E70	Date:T139 
T140	Diagnostic_procedure 2676 2689	electric axis
E71	Diagnostic_procedure:T140 
T141	Lab_value 2658 2672	left deviation
R79	MODIFY Arg1:T141 Arg2:E71	
R80	SUB_PROCEDURE Arg1:E71 Arg2:E69	
T142	Sign_symptom 2691 2703	flat T waves
E72	Sign_symptom:T142 
T143	Sign_symptom 2708 2725	T wave inversions
E73	Sign_symptom:T143 
T144	Sign_symptom 2742 2755	epsilon waves
E74	Sign_symptom:T144 
A9	POLARITY E74 NEG
T145	Sign_symptom 3420 3427	widened
E75	Sign_symptom:T145 
T146	Biological_structure 3428 3432	ROVT
R81	MODIFY Arg1:T146 Arg2:E75	
T147	Diagnostic_procedure 3343 3347	Echo
E76	Diagnostic_procedure:T147 
T148	Sign_symptom 3373 3381	enlarged
E77	Sign_symptom:T148 
T149	Severity 3362 3372	remarkably
R82	MODIFY Arg1:T149 Arg2:E77	
T150	Biological_structure 3382 3394	right atrium
R83	MODIFY Arg1:T150 Arg2:E77	
T151	Biological_structure 3399 3414	right ventricle
R84	MODIFY Arg1:T151 Arg2:E77	
T152	Sign_symptom 3434 3455	Uncoordinated motions
E78	Sign_symptom:T152 
T153	Biological_structure 3463 3495	left and right ventricular walls
R85	MODIFY Arg1:T153 Arg2:E78	
T154	Sign_symptom 3553 3564	degradation
E79	Sign_symptom:T154 
T155	Sign_symptom 3577 3590	regurgitation
E80	Sign_symptom:T155 
T156	Biological_structure 3540 3552	aortic valve
R86	MODIFY Arg1:T156 Arg2:E79	
R87	MODIFY Arg1:T156 Arg2:E80	
T157	Severity 3570 3576	slight
R88	MODIFY Arg1:T157 Arg2:E80	
T158	Sign_symptom 3606 3619	regurgitation
E81	Sign_symptom:T158 
T159	Biological_structure 3599 3605	mitral
R89	MODIFY Arg1:T159 Arg2:E81	
T160	Severity 3592 3598	slight
R90	MODIFY Arg1:T160 Arg2:E81	
T161	Sign_symptom 3654 3667	regurgitation
E82	Sign_symptom:T161 
T162	Biological_structure 3644 3653	tricuspid
R91	MODIFY Arg1:T162 Arg2:E82	
T163	Severity 3625 3643	moderate to severe
R92	MODIFY Arg1:T163 Arg2:E82	
T164	Diagnostic_procedure 3673 3708	left ventricular diastolic function
E83	Diagnostic_procedure:T164 
T165	Lab_value 3713 3720	reduced
T166	Lab_value 3724 3727	55%
R93	MODIFY Arg1:T165 Arg2:E83	
R94	MODIFY Arg1:T166 Arg2:E83	
T167	Diagnostic_procedure 3752 3770	coronary angiogram
E84	Diagnostic_procedure:T167 
T168	Disease_disorder 3783 3800	vascular stenosis
E85	Disease_disorder:T168 
A10	POLARITY E85 NEG
T169	Disease_disorder 4008 4012	ARVC
E86	Disease_disorder:T169 
#2	AnnotatorNotes E86	Arrhythmogenic right ventricular cardiomyopathy 
T170	Therapeutic_procedure 4016 4020	diet
E87	Therapeutic_procedure:T170 
A11	POLARITY E87 UNCERTAIN
#3	AnnotatorNotes E87	Uncertain because this is just a suggestion
T171	Detailed_description 4026 4034	low salt
T172	Detailed_description 4039 4046	low fat
R95	MODIFY Arg1:T171 Arg2:E87	
R96	MODIFY Arg1:T172 Arg2:E87	
T173	Medication 4096 4116	metoprolol succinate
E88	Medication:T173 
T174	Administration 4117 4142	sustained-release tablets
T175	Dosage 4144 4158	23.75 mg daily
T176	Administration 4160 4163	p.o
R97	MODIFY Arg1:T174 Arg2:E88	
R98	MODIFY Arg1:T175 Arg2:E88	
R99	MODIFY Arg1:T176 Arg2:E88	
T177	Medication 4167 4177	amiodarone
E89	Medication:T177 
T178	Dosage 4179 4191	200 mg daily
T179	Administration 4193 4197	p.o.
T180	Medication 4200 4210	furosemide
E90	Medication:T180 
T181	Dosage 4212 4223	20 mg daily
T182	Administration 4225 4229	i.v.
R100	MODIFY Arg1:T181 Arg2:E90	
R101	MODIFY Arg1:T182 Arg2:E90	
T183	Medication 4245 4255	α-ketoacid
E91	Medication:T183 
T184	Detailed_description 4236 4244	compound
R102	MODIFY Arg1:T184 Arg2:E91	
T185	Administration 4256 4263	tablets
T186	Dosage 4265 4277	2.52 g daily
T187	Administration 4279 4283	p.o.
R103	MODIFY Arg1:T185 Arg2:E91	
R104	MODIFY Arg1:T186 Arg2:E91	
R105	MODIFY Arg1:T187 Arg2:E91	
T188	Therapeutic_procedure 4364 4387	radiofrequency ablation
E92	Therapeutic_procedure:T188 
T189	Disease_disorder 4296 4298	VT
E93	Disease_disorder:T189 
T190	Detailed_description 4305 4345	different morphologies and cycle lengths
R106	MODIFY Arg1:T190 Arg2:E93	
T191	Diagnostic_procedure 4404 4429	substrate voltage mapping
E94	Diagnostic_procedure:T191 
T192	Biological_structure 4448 4469	anterior wall of RVOT
R107	MODIFY Arg1:T192 Arg2:E94	
T193	Sign_symptom 4494 4498	scar
E95	Sign_symptom:T193 
R108	MODIFY Arg1:T192 Arg2:E95	
T194	Shape 4485 4493	circular
R109	MODIFY Arg1:T194 Arg2:E95	
T195	Therapeutic_procedure 4563 4581	substrate ablation
E96	Therapeutic_procedure:T195 
T196	Therapeutic_procedure 4694 4703	ablations
E97	Therapeutic_procedure:T196 
R110	SUB_PROCEDURE Arg1:E97 Arg2:E96	
T197	Detailed_description 4677 4683	linear
T198	Detailed_description 4688 4693	focal
R111	MODIFY Arg1:T198 Arg2:E97	
R112	MODIFY Arg1:T197 Arg2:E97	
T199	Diagnostic_procedure 4752 4763	stimulation
E98	Diagnostic_procedure:T199 
T200	Detailed_description 4741 4751	programmed
R113	MODIFY Arg1:T200 Arg2:E98	
T201	Diagnostic_procedure 4776 4787	stimulation
E99	Diagnostic_procedure:T201 
T202	Detailed_description 4768 4775	induced
R114	MODIFY Arg1:T202 Arg2:E99	
T203	Disease_disorder 4801 4803	VT
E100	Disease_disorder:T203 
A12	POLARITY E100 NEG
T204	Diagnostic_procedure 4880 4883	ECG
E101	Diagnostic_procedure:T204 
T205	Sign_symptom 4921 4933	sinus rhythm
E102	Sign_symptom:T205 
T206	Diagnostic_procedure 4942 4952	heart rate
E103	Diagnostic_procedure:T206 
T207	Lab_value 4956 4968	61 beats/min
R115	MODIFY Arg1:T207 Arg2:E103	
T209	Diagnostic_procedure 4991 5008	leads III and avF
E104	Diagnostic_procedure:T209 
T210	Sign_symptom 5014 5027	epsilon waves
E105	Sign_symptom:T210 
T211	Sign_symptom 5032 5049	T wave inversions
E106	Sign_symptom:T211 
T212	Diagnostic_procedure 5053 5064	leads V1–V3
E107	Diagnostic_procedure:T212 
R117	SUB_PROCEDURE Arg1:E107 Arg2:E101	
T208	Sign_symptom 4970 4987	T wave inversions
E108	Sign_symptom:T208 
R116	MODIFY Arg1:E108 Arg2:E104	
T213	Other_entity 5500 5717	Although ARVC was the main diagnosis at the time of this patient's initial presentation, it is essential in such cases to perform a reassessment for the presence of structural heart disease, which can evolve over time
#4	AnnotatorNotes T213	ignored as discussion
T214	Sign_symptom 1766 1779	epsilon waves
E109	Sign_symptom:T214 
T215	Lab_value 1780 1798	preceded QRS waves
R118	MODIFY Arg1:T215 Arg2:E109	
T216	Diagnostic_procedure 1802 1813	leads V1–V2
E110	Diagnostic_procedure:T216 
R119	MODIFY Arg1:E109 Arg2:E110	
T217	Diagnostic_procedure 1821 1840	endocardiac tracing
E111	Diagnostic_procedure:T217 
T218	Lab_value 1874 1889	local potential
R120	MODIFY Arg1:T218 Arg2:E111	
T219	Biological_structure 1907 1911	RVOT
R121	MODIFY Arg1:T219 Arg2:T218	
T220	Detailed_description 1921 1952	prior to the ventricular rhythm
R122	MODIFY Arg1:T220 Arg2:T218	
*	OVERLAP E1 E7 E2 E3 E4 E5 E6 E8 E9
R123	BEFORE Arg1:E9 Arg2:E10	
*	OVERLAP E10 E11 E12
R124	BEFORE Arg1:E12 Arg2:E13	
*	OVERLAP E13 E14 E15 E16 E17 E18 E19 E20 E21
R125	AFTER Arg1:E21 Arg2:E23	
*	OVERLAP E23 E22 E24
R126	BEFORE Arg1:E24 Arg2:E25	
*	OVERLAP E28 E29 E30 E32 E33 E109 E111
R127	SUB_PROCEDURE Arg1:E110 Arg2:E26	
R128	BEFORE Arg1:E111 Arg2:E47	
*	OVERLAP E47 E48 E50 E63 E62 E66 E67 E52 E53 E68
R129	AFTER Arg1:E68 Arg2:E69	
*	OVERLAP E69 E70 E72 E73 E74
R130	BEFORE Arg1:E74 Arg2:E54	
*	OVERLAP E54 E76 E77 E75 E78 E79 E80 E81 E82 E83 E84 E85 E86
R131	BEFORE Arg1:E86 Arg2:E87	
*	OVERLAP E87 E88 E89 E90 E91
R132	MODIFY Arg1:T178 Arg2:E89	
R133	MODIFY Arg1:T179 Arg2:E89	
R134	BEFORE Arg1:E91 Arg2:E93	
*	OVERLAP E93 E92 E94 E95
R135	BEFORE Arg1:E95 Arg2:E96	
R136	BEFORE Arg1:E96 Arg2:E98	
*	OVERLAP E98 E99 E100 E101 E102 E103 E108 E105 E106
R137	SUB_PROCEDURE Arg1:E104 Arg2:E101	
R138	BEFORE Arg1:E106 Arg2:E41	
*	OVERLAP E41 E42 E43 E44 E45 E46
R139	BEFORE Arg1:E46 Arg2:E39	
*	OVERLAP E39 E40 E35 E36 E37 E38
T221	History 209 221	hypertension
T222	Activity 1216 1232	smoke cigarettes
E112	Activity:T222 
A13	POLARITY E112 NEG
T223	Activity 1236 1253	use illicit drugs
E113	Activity:T223 
A14	POLARITY E113 NEG
T224	Activity 1266 1282	consumed alcohol
E114	Activity:T224 
A15	POLARITY E114 MAYBE_NEG
R140	AFTER Arg1:E25 Arg2:E112	
*	OVERLAP E112 E113 E114
R141	BEFORE Arg1:E114 Arg2:E26