[**Known patient lastname 26444**] is a 54y/o gentleman with HTN, HLD, DM2, CKD (baseline Cr 2.0-2.2), CAD s/p CABG [**2947**] (LIMA-LAD, SVG-PDA, and radial-OM1-OM2) with systolic and diastolic heart failure (EF has been as low as 20% in the past) who is admitted from clinic due to concern for CHF exacerbation.
 the patient has heart failure
(ROOT (SINV (-LRB- -LSB-) (NP (SYM **) (VBN Known) (NN patient) (JJ lastname) (CD 26444)) (X (SYM **)) (SINV (ADJP (-RRB- -RSB-)) (VP (VBZ is)) (NP (NP (DT a) (JJ 54y/o) (NN gentleman)) (PP (IN with) (NP (NP (NN HTN)) (, ,) (NP (NN HLD)) (, ,) (NP (NN DM2)) (, ,) (NP (NP (NN CKD)) (PRN (-LRB- -LRB-) (NP (NN baseline) (NN Cr) (CD 2.0-2) (NN .2)) (-RRB- -RRB-))) (, ,) (NP (NP (NN CAD) (NN s/p) (NN CABG)) (PRN (-LRB- -LSB-) (NP (NP (SYM **) (CD 2947) (X (SYM **)) (-RRB- -RSB-) (-LRB- -LRB-) (NN LIMA-LAD) (, ,) (NN SVG-PDA) (PRN (, ,) (CC and) (NN radial-OM1-OM2) (-RRB- -RRB-))) (PP (IN with) (NP (NP (ADJP (JJ systolic) (CC and) (JJ diastolic)) (NN heart) (NN failure)) (PRN (-LRB- -LRB-) (S (NP (NN EF)) (VP (VBZ has) (VP (VBN been) (NP (QP (RB as) (JJ low) (IN as) (CD 20)) (NN %)) (PP (IN in) (NP (DT the) (NN past)))))) (-RRB- -RRB-)) (SBAR (WHNP (WP who)) (S (VP (VBZ is) (VP (VBN admitted) (PP (IN from) (NP (NN clinic))) (ADJP (JJ due) (PP (TO to) (NP (NP (NN concern)) (PP (IN for) (NP (NN CHF) (NN exacerbation))))))))))))))))))) (. .)))
(ROOT (S (NP (DT the) (NN patient)) (VP (VBZ has) (NP (NN heart) (NN failure)))))
( -LSB- ( ( ** ( Known ( ( patient lastname ) 26444 ) ) ) ( ** ( ( -RSB- ( is ( ( a ( 54y/o gentleman ) ) ( with ( ( ( ( ( ( ( ( HTN , ) HLD ) , ) DM2 ) , ) ( CKD ( -LRB- ( ( baseline ( Cr ( 2.0-2 .2 ) ) ) -RRB- ) ) ) ) , ) ( ( CAD ( s/p CABG ) ) ( -LSB- ( ( ** ( 2947 ( ** ( -RSB- ( -LRB- ( LIMA-LAD ( , ( SVG-PDA ( , ( and ( radial-OM1-OM2 -RRB- ) ) ) ) ) ) ) ) ) ) ) ( with ( ( ( ( ( systolic and ) diastolic ) ( heart failure ) ) ( -LRB- ( ( EF ( has ( ( been ( ( as ( low ( as 20 ) ) ) % ) ) ( in ( the past ) ) ) ) ) -RRB- ) ) ) ( who ( is ( ( admitted ( from clinic ) ) ( due ( to ( concern ( for ( CHF exacerbation ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) . ) ) ) )
( ( the patient ) ( has ( heart failure ) ) )