88F with CAD, chronic diastolic CHF, Afib on coumadin, cardioembolic CVA, DM admitted with respiratory distress.
 the patient has an acute heart failure exacerbation
(ROOT (S (NP (NP (NN 88F)) (PP (IN with) (NP (NP (NN CAD)) (, ,) (NP (JJ chronic) (JJ diastolic) (NN CHF)) (, ,) (NP (NP (NN Afib)) (PP (IN on) (NP (NN coumadin)))) (, ,) (NP (JJ cardioembolic) (NNP CVA)) (, ,) (NP (NN DM))))) (VP (VBD admitted) (PP (IN with) (NP (JJ respiratory) (NN distress)))) (. .)))
(ROOT (S (NP (DT the) (NN patient)) (VP (VBZ has) (NP (DT an) (JJ acute) (NN heart) (NN failure) (NN exacerbation)))))
( ( 88F ( with ( ( ( ( ( ( ( ( CAD , ) ( chronic ( diastolic CHF ) ) ) , ) ( Afib ( on coumadin ) ) ) , ) ( cardioembolic CVA ) ) , ) DM ) ) ) ( ( admitted ( with ( respiratory distress ) ) ) . ) )
( ( the patient ) ( has ( an ( acute ( heart ( failure exacerbation ) ) ) ) ) )