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T1 Age 2 15 36- year- old T2 Personal_background 16 21 white T3 Sex 22 27 woman T4 Clinical_event 56 64 admitted E1 Clinical_event:T4 T5 Nonbiological_location 70 92 local obstetric clinic R1 MODIFY Arg1:T5 Arg2:E1 T6 Clinical_event 42 51 gestation E2 Clinical_event:T6 T7 Lab_value 31 38 40 week R2 MODIFY Arg1:T7 Arg2:E2 T8 History 181 230 previous and current pregnancy were uncomplicated T9 Therapeutic_procedure 115 132 cesarean delivery E3 Therapeutic_procedure:T9 T10 Subject 165 170 fetus T11 Detailed_description 140 157 slanting position R3 MODIFY Arg1:T11 Arg2:T10 T12 Detailed_description 106 114 repeated T13 Detailed_description 97 105 elective R4 MODIFY Arg1:T12 Arg2:E3 R5 MODIFY Arg1:T13 Arg2:E3 T14 History 236 273 past medical history was unremarkable T15 Family_history 278 327 no family history of cardiac disease was reported T16 Therapeutic_procedure 333 351 caesarean delivery E4 Therapeutic_procedure:T16 T17 Medication 414 424 anesthesia E5 Medication:T17 T18 Biological_structure 407 413 spinal R6 MODIFY Arg1:T18 Arg2:E5 T19 Detailed_description 398 406 standard R7 MODIFY Arg1:T19 Arg2:E5 T20 Sign_symptom 460 471 hypotensive E6 Sign_symptom:T20 T21 Coreference 433 440 surgery E7 Coreference:T21 R8 IDENTICAL Arg1:E7 Arg2:E4 T22 Medication 476 485 ephedrine E8 Medication:T22 T23 Administration 490 498 injected R9 MODIFY Arg1:T23 Arg2:E8 T24 Subject 594 600 infant T25 Detailed_description 589 593 male T26 Detailed_description 581 588 healthy R10 MODIFY Arg1:T25 Arg2:T24 R11 MODIFY Arg1:T26 Arg2:T24 T27 Clinical_event 569 577 delivery E9 Clinical_event:T27 R12 MODIFY Arg1:T24 Arg2:E9 T28 Time 551 568 Three hours after E10 Time:T28 T29 Diagnostic_procedure 515 529 blood pressure E11 Diagnostic_procedure:T29 T30 Lab_value 537 549 normal range R13 MODIFY Arg1:T30 Arg2:E11 T31 Sign_symptom 628 634 nausea E12 Sign_symptom:T31 T32 Sign_symptom 647 655 dyspnoea E13 Sign_symptom:T32 T33 Sign_symptom 660 672 palpitations E14 Sign_symptom:T33 T34 Diagnostic_procedure 677 697 physical examination E15 Diagnostic_procedure:T34 T35 Sign_symptom 698 709 tachycardia E16 Sign_symptom:T35 T36 Sign_symptom 727 741 extra systoles E17 Sign_symptom:T36 T37 Sign_symptom 756 761 rales E18 Sign_symptom:T37 T38 Biological_structure 746 755 pulmonary R14 MODIFY Arg1:T38 Arg2:E18 T39 Biological_structure 715 726 ventricular R15 MODIFY Arg1:T39 Arg2:E17 T40 Diagnostic_procedure 781 795 blood pressure E19 Diagnostic_procedure:T40 T41 Lab_value 800 810 80/40 mmHg R16 MODIFY Arg1:T41 Arg2:E19 T42 Medication 846 862 inotropic agents E20 Medication:T42 T43 Medication 897 911 norepinephrine E21 Medication:T43 T44 Administration 874 893 continuous infusion R17 MODIFY Arg1:T44 Arg2:E21 T45 Dosage 912 920 0.5 mg/h R18 MODIFY Arg1:T45 Arg2:E21 T46 Medication 933 943 dobutamine E22 Medication:T46 T47 Dosage 944 955 7 μg/kg/min R19 MODIFY Arg1:T47 Arg2:E22 R20 SUB_PROCEDURE Arg1:E21 Arg2:E20 R21 SUB_PROCEDURE Arg1:E22 Arg2:E20 T48 Diagnostic_procedure 980 997 oxygen saturation E23 Diagnostic_procedure:T48 T49 Lab_value 967 976 worsening R22 MODIFY Arg1:T49 Arg2:E23 T50 Lab_value 998 1008 up to 70 % R23 MODIFY Arg1:T50 Arg2:E23 T51 Sign_symptom 1021 1051 deterioration of consciousness E24 Sign_symptom:T51 T52 Severity 1013 1020 gradual R24 MODIFY Arg1:T52 Arg2:E24 T53 Therapeutic_procedure 1053 1075 mechanical ventilation E25 Therapeutic_procedure:T53 T54 Clinical_event 1108 1119 transferred E26 Clinical_event:T54 T55 Nonbiological_location 1123 1142 intensive care unit R25 MODIFY Arg1:T55 Arg2:E26 T56 Diagnostic_procedure 1150 1155 X ray E27 Diagnostic_procedure:T56 T57 Biological_structure 1144 1149 Chest R26 MODIFY Arg1:T57 Arg2:E27 T58 Disease_disorder 1166 1186 pulmonary congestion E28 Disease_disorder:T58 #1 AnnotatorNotes E28 Note this is not just "congestion" as that may imply nasal congestion T59 Diagnostic_procedure 1198 1217 computer tomography E29 Diagnostic_procedure:T59 T60 Disease_disorder 1227 1252 pulmonary thromboembolism E30 Disease_disorder:T60 A1 POLARITY E30 NEG T61 Disease_disorder 1254 1256 PE E31 Disease_disorder:T61 R27 IDENTICAL Arg1:E31 Arg2:E30 T62 Disease_disorder 1279 1295 pulmonary oedema E32 Disease_disorder:T62 T63 Severity 1272 1278 severe R28 MODIFY Arg1:T63 Arg2:E32 T64 Detailed_description 1188 1197 Emergency R29 MODIFY Arg1:T64 Arg2:E29 T65 Medication 1326 1339 loop diuretic E33 Medication:T65 T66 Medication 1341 1351 furosemide E34 Medication:T66 R30 SUB_PROCEDURE Arg1:E34 Arg2:E33 T67 Dosage 1364 1380 daily dose 80 mg R31 MODIFY Arg1:T67 Arg2:E34 T68 Lab_value 1392 1413 progressively reduced R32 MODIFY Arg1:T68 Arg2:E34 T69 Coreference 1419 1427 diuretic E35 Coreference:T69 R33 IDENTICAL Arg1:E35 Arg2:E33 A2 POLARITY E35 NEG T70 Date 1445 1458 after 12 days E36 Date:T70 T71 Diagnostic_procedure 1477 1494 electrocardiogram E37 Diagnostic_procedure:T71 T72 Sign_symptom 1505 1522 sinus tachycardia E38 Sign_symptom:T72 T73 Sign_symptom 1528 1549 ST- segment elevation E39 Sign_symptom:T73 T74 Lab_value 1553 1559 1,5 mm R34 MODIFY Arg1:T74 Arg2:E39 T75 Sign_symptom 1565 1581 negative T waves E40 Sign_symptom:T75 T76 Diagnostic_procedure 1585 1588 aVL E41 Diagnostic_procedure:T76 R35 SUB_PROCEDURE Arg1:E41 Arg2:E37 T77 Sign_symptom 1593 1615 ST- segment depression E42 Sign_symptom:T77 T78 Lab_value 1619 1623 1 mm R36 MODIFY Arg1:T78 Arg2:E42 T79 Diagnostic_procedure 1641 1646 V5-V6 E43 Diagnostic_procedure:T79 T80 Diagnostic_procedure 1636 1639 aVF E44 Diagnostic_procedure:T80 T81 Diagnostic_procedure 1631 1634 III E45 Diagnostic_procedure:T81 T82 Diagnostic_procedure 1627 1629 II E46 Diagnostic_procedure:T82 R37 SUB_PROCEDURE Arg1:E46 Arg2:E37 R38 SUB_PROCEDURE Arg1:E45 Arg2:E37 R39 SUB_PROCEDURE Arg1:E44 Arg2:E37 R40 SUB_PROCEDURE Arg1:E43 Arg2:E37 R41 MODIFY Arg1:E40 Arg2:E41 R42 MODIFY Arg1:E42 Arg2:E46 R43 MODIFY Arg1:E42 Arg2:E45 R44 MODIFY Arg1:E42 Arg2:E44 R45 MODIFY Arg1:E42 Arg2:E43 T83 Diagnostic_procedure 1656 1672 Laboratory tests E47 Diagnostic_procedure:T83 T84 Diagnostic_procedure 1689 1697 troponin E48 Diagnostic_procedure:T84 T85 Lab_value 1680 1688 elevated R46 MODIFY Arg1:T85 Arg2:E48 T86 Lab_value 1698 1713 up to 908 pg/ml R47 MODIFY Arg1:T86 Arg2:E48 T87 Diagnostic_procedure 1740 1751 NT- pro BNP E49 Diagnostic_procedure:T87 T88 Lab_value 1752 1762 6236 pg/ml R48 MODIFY Arg1:T88 Arg2:E49 R49 SUB_PROCEDURE Arg1:E48 Arg2:E47 R50 SUB_PROCEDURE Arg1:E49 Arg2:E47 T89 Diagnostic_procedure 1802 1832 transthoracic echocardiography E50 Diagnostic_procedure:T89 T90 Diagnostic_procedure 1834 1837 TTE E51 Diagnostic_procedure:T90 R51 IDENTICAL Arg1:E51 Arg2:E50 T91 Detailed_description 1794 1801 bedside R52 MODIFY Arg1:T91 Arg2:E50 T92 Biological_structure 1855 1871 left ventricular T93 Biological_structure 1873 1875 LV R53 IDENTICAL Arg1:T93 Arg2:T92 T94 Severity 1848 1854 severe T95 Disease_disorder 1877 1897 systolic dysfunction E52 Disease_disorder:T95 R54 MODIFY Arg1:T92 Arg2:E52 R55 MODIFY Arg1:T94 Arg2:E52 T96 Clinical_event 1925 1936 transferred E53 Clinical_event:T96 T97 Biological_structure 1940 1972 Intensive Cardiac Therapy Clinic R56 MODIFY Arg1:T97 Arg2:E53 T98 Diagnostic_procedure 1983 1986 TTE E54 Diagnostic_procedure:T98 T99 Diagnostic_procedure 1997 2014 ejection fraction E55 Diagnostic_procedure:T99 T100 Biological_structure 1994 1996 LV R57 MODIFY Arg1:T100 Arg2:E55 T101 Lab_value 2015 2019 30 % R58 MODIFY Arg1:T101 Arg2:E55 T102 Sign_symptom 2025 2036 hypokinesis E56 Sign_symptom:T102 T103 Biological_structure 2070 2106 posterior, anterior and lateral wall T104 Detailed_description 2044 2066 mid and basal segments R59 MODIFY Arg1:T104 Arg2:T103 R60 MODIFY Arg1:T103 Arg2:E56 T105 Diagnostic_procedure 2122 2135 contractility E57 Diagnostic_procedure:T105 T106 Lab_value 2112 2121 preserved R61 MODIFY Arg1:T106 Arg2:E57 T107 Biological_structure 2143 2158 apical segments R62 MODIFY Arg1:T107 Arg2:E57 T108 Diagnostic_procedure 2167 2187 coronary angiography E58 Diagnostic_procedure:T108 T109 Detailed_description 2160 2166 Urgent R63 MODIFY Arg1:T109 Arg2:E58 T110 Lab_value 2198 2204 normal T111 Biological_structure 2205 2222 coronary arteries R64 MODIFY Arg1:T111 Arg2:T110 R65 MODIFY Arg1:T110 Arg2:E58 T112 Disease_disorder 2266 2280 cardiomyopathy E59 Disease_disorder:T112 T113 Detailed_description 2250 2265 stress- induced T114 Detailed_description 2241 2249 inverted R66 MODIFY Arg1:T113 Arg2:E59 R67 MODIFY Arg1:T114 Arg2:E59 T115 Date 2321 2333 After 3 days E60 Date:T115 T116 Therapeutic_procedure 2362 2372 respirator E61 Therapeutic_procedure:T116 A3 POLARITY E61 NEG T117 Therapeutic_procedure 2377 2386 extubated E62 Therapeutic_procedure:T117 T118 Medication 2423 2439 inotropic agents E63 Medication:T118 A4 TREND E63 DEC T119 Diagnostic_procedure 2398 2409 hemodynamic E64 Diagnostic_procedure:T119 T120 Lab_value 2410 2421 improvement R68 MODIFY Arg1:T120 Arg2:E64 T121 Diagnostic_procedure 2469 2472 TTE E65 Diagnostic_procedure:T121 T122 Diagnostic_procedure 2477 2503 magnetic resonance imaging E66 Diagnostic_procedure:T122 T123 Date 2530 2546 on the fifth day E67 Date:T123 T124 Diagnostic_procedure 2575 2594 myocardial function E68 Diagnostic_procedure:T124 T125 Lab_value 2554 2571 complete recovery R69 MODIFY Arg1:T125 Arg2:E68 T126 Clinical_event 2612 2622 discharged E69 Clinical_event:T126 T127 Date 2623 2636 after 15 days E70 Date:T127 T128 Diagnostic_procedure 2645 2662 overall condition E71 Diagnostic_procedure:T128 T129 Lab_value 2640 2644 good R70 MODIFY Arg1:T129 Arg2:E71 T130 Clinical_event 2677 2687 follow- up E72 Clinical_event:T130 T131 Date 2667 2676 12- month E73 Date:T131 T132 Sign_symptom 2701 2713 asymptomatic E74 Sign_symptom:T132 T133 Sign_symptom 2722 2753 echocardiographic abnormalities E75 Sign_symptom:T133 A5 POLARITY E75 NEG * OVERLAP E2 E1 R71 BEFORE Arg1:E1 Arg2:E3 R72 CAUSE Arg1:T10 Arg2:E3 * OVERLAP E3 E4 R73 AFTER Arg1:E4 Arg2:E5 R74 BEFORE Arg1:E5 Arg2:E7 * OVERLAP E7 E6 E8 E11 R75 BEFORE Arg1:E11 Arg2:E10 R76 AFTER Arg1:E10 Arg2:E9 R77 BEFORE Arg1:E9 Arg2:E12 * OVERLAP E12 E13 E14 E15 E16 E17 E18 E19 R78 BEFORE Arg1:E19 Arg2:E20 R79 BEFORE Arg1:E20 Arg2:E23 * OVERLAP E23 E24 R80 BEFORE Arg1:E24 Arg2:E25 R81 BEFORE Arg1:E25 Arg2:E26 * OVERLAP E26 E27 E28 E29 E30 E32 R82 BEFORE Arg1:E32 Arg2:E33 R83 BEFORE Arg1:E33 Arg2:E35 * OVERLAP E35 E36 R84 AFTER Arg1:E36 Arg2:E37 * OVERLAP E37 E38 E39 E40 E42 E47 E50 E52 R85 BEFORE Arg1:E52 Arg2:E53 * OVERLAP E53 E54 E55 E56 E57 E58 E59 R86 BEFORE Arg1:E59 Arg2:E60 * OVERLAP E60 E61 E62 R87 BEFORE Arg1:E62 Arg2:E64 * OVERLAP E64 E63 R88 BEFORE Arg1:E63 Arg2:E65 * OVERLAP E65 E66 E67 E68 R89 BEFORE Arg1:E68 Arg2:E69 * OVERLAP E69 E70 E71 R90 BEFORE Arg1:E71 Arg2:E73 * OVERLAP E73 E72 E74 E75