513 lines (512 with data), 18.5 kB
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