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+T1	Age 2 13	69-year-old
+T2	Sex 14 18	male
+T3	History 19 27	diabetic
+T4	Clinical_event 40 48	admitted
+E1	Clinical_event:T4 
+T5	Disease_disorder 60 89	left ventricular (LV) failure
+E2	Disease_disorder:T5 
+T6	Detailed_description 54 59	acute
+R1	MODIFY Arg1:T6 Arg2:E2	
+T7	Therapeutic_procedure 121 141	decongestive therapy
+E3	Therapeutic_procedure:T7 
+T8	Detailed_description 111 120	intensive
+R2	MODIFY Arg1:T8 Arg2:E3	
+T9	Sign_symptom 168 173	edema
+E4	Sign_symptom:T9 
+T10	Biological_structure 157 167	peripheral
+R3	MODIFY Arg1:T10 Arg2:E4	
+T11	Severity 150 156	severe
+R4	MODIFY Arg1:T11 Arg2:E4	
+T12	Sign_symptom 194 206	crepitations
+E5	Sign_symptom:T12 
+#1	AnnotatorNotes E5	crackling in the lungs
+T13	Detailed_description 178 187	bilateral
+T14	Detailed_description 188 193	basal
+R5	MODIFY Arg1:T14 Arg2:E5	
+R6	MODIFY Arg1:T13 Arg2:E5	
+T15	Diagnostic_procedure 216 222	workup
+E6	Diagnostic_procedure:T15 
+T16	Diagnostic_procedure 249 258	troponine
+E7	Diagnostic_procedure:T16 
+T17	Lab_value 260 271	<0.01 ng/ml
+T18	Lab_value 232 238	normal
+R7	MODIFY Arg1:T17 Arg2:E7	
+R8	MODIFY Arg1:T18 Arg2:E7	
+T19	Diagnostic_procedure 277 283	CPK-MB
+E8	Diagnostic_procedure:T19 
+T20	Lab_value 285 294	4.6 ng/ml
+R9	MODIFY Arg1:T20 Arg2:E8	
+R10	MODIFY Arg1:T18 Arg2:E8	
+T21	Disease_disorder 316 339	acute coronary syndrome
+E9	Disease_disorder:T21 
+A1	POLARITY E9 NEG
+T22	Diagnostic_procedure 354 357	BNP
+E10	Diagnostic_procedure:T22 
+T23	Lab_value 362 372	1230 pg/ml
+R11	MODIFY Arg1:T23 Arg2:E10	
+T24	Disease_disorder 401 414	heart failure
+E11	Disease_disorder:T24 
+T25	Diagnostic_procedure 416 444	Echocardiographic assessment
+E12	Diagnostic_procedure:T25 
+T26	Diagnostic_procedure 454 458	LVEF
+E13	Diagnostic_procedure:T26 
+#2	AnnotatorNotes E13	 left ventricular ejection fraction
+T27	Lab_value 462 465	10%
+R12	MODIFY Arg1:T27 Arg2:E13	
+T28	Sign_symptom 471 495	dilated cardiac chambers
+E14	Sign_symptom:T28 
+T29	Diagnostic_procedure 511 545	pulmonary artery systolic pressure
+E15	Diagnostic_procedure:T29 
+T30	Diagnostic_procedure 547 551	PASP
+E16	Diagnostic_procedure:T30 
+R13	IDENTICAL Arg1:E16 Arg2:E15	
+T31	Lab_value 557 568	70 mm of Hg
+T32	Lab_value 574 614	features of raised LV diastolic pressure
+R14	MODIFY Arg1:T31 Arg2:E15	
+R15	MODIFY Arg1:T32 Arg2:E15	
+T33	Diagnostic_procedure 616 627	Angiography
+E17	Diagnostic_procedure:T33 
+T34	Duration 642 654	after 3 days
+E18	Duration:T34 
+T35	Therapeutic_procedure 658 678	decongestive therapy
+E19	Therapeutic_procedure:T35 
+T36	Disease_disorder 703 724	triple vessel disease
+E20	Disease_disorder:T36 
+T37	Severity 694 702	critical
+R16	MODIFY Arg1:T37 Arg2:E20	
+T38	Disease_disorder 740 763	coronary artery disease
+E21	Disease_disorder:T38 
+T39	Biological_structure 730 739	left main
+R17	MODIFY Arg1:T39 Arg2:E21	
+T40	Therapeutic_procedure 793 797	CABG
+E22	Therapeutic_procedure:T40 
+#3	AnnotatorNotes E22	Coronary artery bypass grafting (surgery)
+T41	Medication 822 831	frusemide
+E23	Medication:T41 
+T42	Administration 832 840	infusion
+R18	MODIFY Arg1:T42 Arg2:E23	
+T43	Medication 851 859	ramipril
+E24	Medication:T43 
+T44	Administration 846 850	oral
+R19	MODIFY Arg1:T44 Arg2:E24	
+T45	Medication 864 873	aldactone
+E25	Medication:T45 
+T46	Therapeutic_procedure 904 909	OPCAB
+E26	Therapeutic_procedure:T46 
+#4	AnnotatorNotes E26	Off-pump coronary artery bypass
+T47	Date 910 922	1 week after
+E27	Date:T47 
+T48	Coreference 923 934	angiography
+E28	Coreference:T48 
+R20	IDENTICAL Arg1:E28 Arg2:E17	
+T49	Diagnostic_procedure 936 950	Renal function
+E29	Diagnostic_procedure:T49 
+T50	Detailed_description 975 998	to adjust diuretic dose
+R21	MODIFY Arg1:T50 Arg2:E29	
+T51	Disease_disorder 1024 1045	end organ dysfunction
+E30	Disease_disorder:T51 
+A2	POLARITY E30 NEG
+T52	Diagnostic_procedure 1047 1068	STS risk of mortality
+E31	Diagnostic_procedure:T52 
+#5	AnnotatorNotes E31	Society of Thoracic Surgery Risk Score
+T53	Lab_value 1073 1077	2.4%
+R22	MODIFY Arg1:T53 Arg2:E31	
+T54	Diagnostic_procedure 1086 1114	echocardiographic assessment
+E32	Diagnostic_procedure:T54 
+T55	Clinical_event 780 788	referred
+E33	Clinical_event:T55 
+T56	Diagnostic_procedure 1139 1143	LVEF
+E34	Diagnostic_procedure:T56 
+T57	Lab_value 1124 1135	improvement
+T58	Lab_value 1147 1150	15%
+R23	MODIFY Arg1:T57 Arg2:E34	
+R24	MODIFY Arg1:T58 Arg2:E34	
+T59	Diagnostic_procedure 1167 1171	PASP
+E35	Diagnostic_procedure:T59 
+T60	Lab_value 1155 1163	decrease
+R25	MODIFY Arg1:T60 Arg2:E35	
+T61	Lab_value 1175 1183	30 mm Hg
+R26	MODIFY Arg1:T61 Arg2:E35	
+T62	Diagnostic_procedure 1200 1219	LV filling pressure
+E36	Diagnostic_procedure:T62 
+T63	Lab_value 1188 1196	decrease
+R27	MODIFY Arg1:T63 Arg2:E36	
+T64	Therapeutic_procedure 1221 1226	OPCAB
+E37	Therapeutic_procedure:T64 
+T65	Therapeutic_procedure 1249 1266	median sternotomy
+E38	Therapeutic_procedure:T65 
+R28	SUB_PROCEDURE Arg1:E38 Arg2:E37	
+T66	Biological_structure 1268 1276	Left ITA
+T67	Biological_structure 1299 1330	left anterior descending artery
+T68	Biological_structure 1332 1335	LAD
+R29	IDENTICAL Arg1:T68 Arg2:T67	
+T69	Therapeutic_procedure 1290 1298	grafting
+E39	Therapeutic_procedure:T69 
+R30	MODIFY Arg1:T66 Arg2:E39	
+R31	MODIFY Arg1:T67 Arg2:E39	
+R32	SUB_PROCEDURE Arg1:E39 Arg2:E37	
+T70	Therapeutic_procedure 1344 1359	revascularizing
+E40	Therapeutic_procedure:T70 
+T71	Biological_structure 1360 1363	LAD
+R33	MODIFY Arg1:T71 Arg2:E40	
+T72	Biological_structure 1365 1374	right ITA
+T73	Biological_structure 1376 1380	RITA
+R34	IDENTICAL Arg1:T73 Arg2:T72	
+R35	MODIFY Arg1:T72 Arg2:E40	
+T74	Biological_structure 1386 1388	RA
+R36	MODIFY Arg1:T74 Arg2:E40	
+R37	SUB_PROCEDURE Arg1:E40 Arg2:E37	
+T75	Therapeutic_procedure 1400 1405	graft
+E41	Therapeutic_procedure:T75 
+T76	Therapeutic_procedure 1456 1471	revascularizing
+E42	Therapeutic_procedure:T76 
+R38	SUB_PROCEDURE Arg1:E41 Arg2:E37	
+R39	SUB_PROCEDURE Arg1:E42 Arg2:E37	
+T77	Biological_structure 1424 1442	distal end of RITA
+T78	Biological_structure 1476 1491	diagonal artery
+R40	MODIFY Arg1:T77 Arg2:E42	
+R41	MODIFY Arg1:T78 Arg2:E42	
+T79	Diagnostic_procedure 1539 1553	blood pressure
+E43	Diagnostic_procedure:T79 
+T80	Detailed_description 1530 1538	systolic
+R42	MODIFY Arg1:T80 Arg2:E43	
+T81	Lab_value 1515 1526	improvement
+R43	MODIFY Arg1:T81 Arg2:E43	
+T82	Detailed_description 1503 1514	significant
+R44	MODIFY Arg1:T82 Arg2:T81	
+T83	Therapeutic_procedure 1572 1583	anastomosis
+E44	Therapeutic_procedure:T83 
+T84	Detailed_description 1565 1571	distal
+R45	MODIFY Arg1:T84 Arg2:E44	
+T85	Therapeutic_procedure 1619 1664	lifted for lateral and posterior wall vessels
+E45	Therapeutic_procedure:T85 
+T86	Biological_structure 1609 1614	heart
+R46	MODIFY Arg1:T86 Arg2:E45	
+T87	Therapeutic_procedure 1683 1696	skin incision
+E46	Therapeutic_procedure:T87 
+T88	Therapeutic_procedure 2106 2116	ventilated
+E47	Therapeutic_procedure:T88 
+T89	Duration 2121 2127	2 days
+E48	Duration:T89 
+T90	Diagnostic_procedure 2129 2145	Echocardiography
+E49	Diagnostic_procedure:T90 
+T91	Date 2149 2156	1st POD
+E50	Date:T91 
+T92	Diagnostic_procedure 2181 2185	LVEF
+E51	Diagnostic_procedure:T92 
+T93	Lab_value 2189 2192	20%
+R47	MODIFY Arg1:T93 Arg2:E51	
+T94	Lab_value 2166 2177	improvement
+R48	MODIFY Arg1:T94 Arg2:E51	
+T95	Medication 2221 2234	beta blockers
+E52	Medication:T95 
+T96	Dosage 2212 2220	low dose
+R49	MODIFY Arg1:T96 Arg2:E52	
+T97	Medication 2241 2259	inotropic supports
+E53	Medication:T97 
+A3	POLARITY E53 NEG
+T98	Clinical_event 2304 2312	recovery
+E54	Clinical_event:T98 
+T99	Lab_value 2284 2288	slow
+T100	Lab_value 2293 2303	uneventful
+R50	MODIFY Arg1:T100 Arg2:E54	
+R51	MODIFY Arg1:T99 Arg2:E54	
+T101	Diagnostic_procedure 2314 2330	Echocardiography
+E55	Diagnostic_procedure:T101 
+T102	Date 2334 2341	4th POD
+E56	Date:T102 
+T103	Diagnostic_procedure 2366 2370	LVEF
+E57	Diagnostic_procedure:T103 
+T104	Lab_value 2374 2377	30%
+T105	Lab_value 2351 2362	improvement
+R52	MODIFY Arg1:T104 Arg2:E57	
+R53	MODIFY Arg1:T105 Arg2:E57	
+T106	Sign_symptom 2407 2423	pleural drainage
+E58	Sign_symptom:T106 
+T107	Detailed_description 2396 2406	persistent
+R54	MODIFY Arg1:T107 Arg2:E58	
+T108	Nonbiological_location 2444 2463	intensive care unit
+T109	Clinical_event 2464 2468	stay
+E59	Clinical_event:T109 
+R55	MODIFY Arg1:T108 Arg2:E59	
+T110	Sign_symptom 2476 2492	pleural drainage
+E60	Sign_symptom:T110 
+A4	POLARITY E60 NEG
+T111	Medication 2548 2557	diuretics
+E61	Medication:T111 
+T112	Clinical_event 2534 2544	discharged
+E62	Clinical_event:T112 
+T113	Medication 2568 2580	beta blocker
+E63	Medication:T113 
+T114	Dosage 2559 2567	low dose
+R56	MODIFY Arg1:T114 Arg2:E63	
+T115	Medication 2586 2594	ramipril
+E64	Medication:T115 
+T116	Therapeutic_procedure 2038 2049	anastamoses
+E65	Therapeutic_procedure:T116 
+T117	Lab_value 2026 2030	five
+T118	Detailed_description 2031 2037	distal
+R57	MODIFY Arg1:T118 Arg2:E65	
+R58	MODIFY Arg1:T117 Arg2:E65	
+T119	Medication 1877 1894	inotropic support
+E66	Medication:T119 
+T120	Dosage 1860 1873	Liberal doses
+R59	MODIFY Arg1:T120 Arg2:E66	
+T121	Therapeutic_procedure 1933 1941	grafting
+E67	Therapeutic_procedure:T121 
+T122	Detailed_description 1922 1932	sequential
+R60	MODIFY Arg1:T122 Arg2:E67	
+T123	Biological_structure 1906 1908	RA
+R61	MODIFY Arg1:T123 Arg2:E67	
+T124	Biological_structure 1945 1960	obtuse marginal
+T125	Biological_structure 1962 1981	posterior LV branch
+T126	Biological_structure 1987 2014	posterior descending artery
+R62	MODIFY Arg1:T124 Arg2:E67	
+R63	MODIFY Arg1:T125 Arg2:E67	
+R64	MODIFY Arg1:T126 Arg2:E67	
+T127	Therapeutic_procedure 1850 1858	position
+E68	Therapeutic_procedure:T127 
+T128	Detailed_description 1837 1849	lateral tilt
+T129	Detailed_description 1825 1832	headlow
+R65	MODIFY Arg1:T128 Arg2:E68	
+#6	AnnotatorNotes T129	AKA Trendelenburg position
+R66	MODIFY Arg1:T129 Arg2:E68	
+T131	Therapeutic_procedure 1698 1714	open the sternum
+E69	Therapeutic_procedure:T131 
+T130	Therapeutic_procedure 1727 1746	release pericardium
+E70	Therapeutic_procedure:T130 
+*	OVERLAP E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 E11 E12 E13 E14 E15
+R67	BEFORE Arg1:E15 Arg2:E17	
+R68	AFTER Arg1:E17 Arg2:E18	
+*	OVERLAP E18 E19 E20 E21
+R69	BEFORE Arg1:E21 Arg2:E33	
+*	OVERLAP E33 E22 E23 E24 E25
+R70	BEFORE Arg1:E25 Arg2:E26	
+R71	AFTER Arg1:E26 Arg2:E27	
+*	OVERLAP E27 E28
+R72	BEFORE Arg1:E28 Arg2:E29	
+*	OVERLAP E29 E30 E31
+R73	BEFORE Arg1:E31 Arg2:E32	
+*	OVERLAP E32 E34 E35 E36
+R74	BEFORE Arg1:E36 Arg2:E37	
+R75	BEFORE Arg1:E37 Arg2:E43	
+R76	AFTER Arg1:E43 Arg2:E44	
+R77	AFTER Arg1:E44 Arg2:E45	
+*	OVERLAP E45 E46 E69 E70 E68 E66 E67 E65
+R78	BEFORE Arg1:E65 Arg2:E47	
+*	OVERLAP E47 E48
+R79	BEFORE Arg1:E48 Arg2:E49	
+*	OVERLAP E49 E50 E51
+R80	BEFORE Arg1:E51 Arg2:E52	
+*	OVERLAP E52 E53
+R81	BEFORE Arg1:E53 Arg2:E54	
+R82	BEFORE Arg1:E54 Arg2:E55	
+*	OVERLAP E55 E56 E57 E58 E59
+R83	BEFORE Arg1:E59 Arg2:E60	
+*	OVERLAP E60 E62 E61 E63 E64