Patient Dashboard
CardiologyRahul Sharma
ID: #PAT-20231089 • Last Visit: 2 days ago
Click on highlighted organs for detailed information
Vital Signs
Recent Findings
Elevated blood pressure
Consistent pattern over last 3 readings
Low Vitamin D
18 ng/mL (Normal range: 30-50)
Cholesterol levels
LDL: 145 mg/dL (High)
Current Symptoms
-
Chest pain (3 days)
Radiating to left arm, provoked by exertion
-
Shortness of breath
When climbing stairs or walking long distances
-
Fatigue
Worsening over the past week
-
Occasional dizziness
Particularly after standing up quickly
Current Medications
Atorvastatin
40mg daily, evening
Metoprolol
25mg twice daily
Aspirin
81mg daily
Vitamin D3
2000 IU daily
Recent Lab Reports
ECG Report
3 days agoChest X-Ray
1 week agoBlood Work
1 week agoLipid Panel
1 week agoNivaran AI Insights
Updated 10 minutes agoComprehensive Analysis
Patient's symptoms and test results suggest potential coronary artery disease. Recommend stress test and echocardiogram for further evaluation.
Medication Adjustment
Consider increasing Atorvastatin dosage to 80mg daily based on elevated LDL levels and patient's risk factors.
Treatment Plan Suggestions
- Schedule stress test within 1 week
- Consider increasing Atorvastatin to 80mg
- Refer to cardiology for consultation
- Emphasize lifestyle modifications (diet, exercise)
Health Visualization
InteractiveBody Systems
View Options
Cardiovascular Issue
Signs of coronary artery disease. Click for details.
Respiratory Observation
Slight reduction in lung capacity. Monitoring advised.
Lumbar Strain
Reported lower back pain. Physical therapy recommended.
Cardiovascular System
CriticalCurrent Status
Signs of coronary artery disease with elevated cholesterol levels and hypertension.
Key Metrics
Blood Pressure
140/90 mmHg
Heart Rate
88 bpm
Cholesterol
245 mg/dL
LDL
165 mg/dL
Recent Tests
- ECG Abnormal
- Stress Test Borderline
- Angiogram Pending
Nivaran AI Insights
Patient's cardiovascular health shows concerning trends. Based on test results and symptoms, there's a 78% probability of coronary artery disease requiring intervention.
Historical Data
Blood Pressure Trend
Cholesterol Trend
Recent Findings
AI EnhancedRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
Critical Findings
2 itemsElevated Blood Pressure
Consistently high readings over last 3 visits (140/90 mmHg). Indicates Stage 2 Hypertension.
Abnormal ECG
ST-segment depression and T-wave inversion. Suggests possible myocardial ischemia.
Warning Findings
3 itemsElevated LDL Cholesterol
LDL level of 145 mg/dL (Target: <100 mg/dL). Current statin therapy may need adjustment.
Low Vitamin D
Level at 18 ng/mL (Optimal range: 30-50 ng/mL). Supplementation recommended.
Elevated Heart Rate
Resting heart rate of 88 bpm (Normal range: 60-80 bpm). Monitor for consistency.
Normal Findings
4 itemsComplete Blood Count
All parameters within normal ranges. No signs of infection or inflammation.
Kidney Function
Creatinine and BUN within normal limits. eGFR >90 mL/min/1.73m².
Thyroid Function
TSH, T3, and T4 all within normal reference ranges. No thyroid dysfunction.
Chest X-Ray
No acute cardiopulmonary disease. Heart size normal. Clear lung fields.
Trend Analysis
Blood Pressure
⬆ IncreasingLDL Cholesterol
⬆ Gradually increasingNivaran AI Insights
Based on recent findings, there's a high probability (78%) of coronary artery disease that requires further evaluation.
The combination of hypertension, elevated LDL, and ECG abnormalities suggests a cardiovascular risk that should be addressed promptly.
Recommended Actions
- Schedule cardiology consultation
- Order stress test and echocardiogram
- Consider intensifying statin therapy
- Add Vitamin D3 2000 IU daily
- Re-evaluate BP medication regimen
Recent Test Result Cards
ECG Report
AbnormalDate: 3 days ago
Requested by: Dr. Sharma
ST-segment depression, T-wave inversion in leads V3-V6
Lipid Panel
AbnormalDate: 1 week ago
Requested by: Dr. Sharma
Chest X-Ray
NormalDate: 1 week ago
Requested by: Dr. Sharma
No acute cardiopulmonary disease. Heart size normal.
Vitamin D Level
DeficientDate: 1 week ago
Requested by: Dr. Sharma
18 ng/mL (Normal range: 30-50 ng/mL)
Lab Reports
All TestsRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
ECG Report
Ordered by Dr. Sharma
ST-segment depression and T-wave inversion in leads V3-V6
Chest X-Ray
Ordered by Dr. Sharma
No acute cardiopulmonary disease. Heart size and pulmonary vascularity normal.
Lipid Panel
Ordered by Dr. Sharma
All Laboratory Tests
| Test Name | Date | Category | Ordering Doctor | Status | Actions |
|---|---|---|---|---|---|
| ECG | Mar 15, 2023 | Cardiology | Dr. Sharma | Abnormal | |
| Chest X-Ray | Mar 12, 2023 | Imaging | Dr. Sharma | Normal | |
| Lipid Panel | Mar 12, 2023 | Blood Work | Dr. Sharma | Abnormal | |
| Complete Blood Count | Mar 12, 2023 | Blood Work | Dr. Sharma | Normal | |
| Vitamin D | Mar 12, 2023 | Blood Work | Dr. Sharma | Deficient | |
| Liver Function | Mar 12, 2023 | Blood Work | Dr. Sharma | Normal | |
| Kidney Function | Mar 12, 2023 | Blood Work | Dr. Sharma | Normal |
Nivaran AI Test Analysis
Key Insights
Based on the patient's test results, there's a high likelihood of coronary artery disease. The ECG changes, combined with the lipid profile, suggest a cardiovascular risk that requires prompt attention.
Test Correlation Analysis
The combination of ST-segment depression on ECG, elevated cholesterol levels, and normal cardiac enzymes suggests stable coronary artery disease rather than acute myocardial infarction.
Recommended Tests
Based on current findings, the following additional tests are recommended:
Stress Echocardiogram
To assess cardiac function during exercise and identify ischemic regions
Coronary Calcium Score
To quantify coronary artery calcification and assess atherosclerotic burden
Current Symptoms
Patient ReportRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
Active Symptoms
Chest Pain
Description
Sharp, radiating pain to left arm and jaw. Provoked by physical exertion.
Severity
Duration
Episodes lasting 5-10 minutes
AI Analysis
Pattern suggests angina pectoris, consistent with coronary artery disease. Immediate cardiology evaluation recommended.
Shortness of Breath
Description
Difficulty breathing, especially during physical activity or climbing stairs.
Severity
Duration
During exertion, resolves with rest
AI Analysis
Could indicate cardiac or pulmonary cause. Correlates with chest pain and requires evaluation for heart failure or coronary ischemia.
Fatigue
Description
Persistent tiredness, worse in the afternoons. Not improved with rest.
Severity
Duration
Chronic, worsening over 2 weeks
AI Analysis
Multiple possible causes including cardiac insufficiency, anemia, or vitamin D deficiency. Correlates with other cardiovascular symptoms.
Dizziness
Description
Light-headedness, particularly after standing up quickly. Brief episodes.
Severity
Duration
Brief episodes, 1-2 minutes
AI Analysis
Suggests orthostatic hypotension. May be related to current BP medication. Monitor for syncope events.
Palpitations
2 weeks agoOccasional awareness of heartbeat, especially during rest
Ankle Swelling
1 week agoMild bilateral ankle edema, worse in evenings
Symptom History & Patterns
Symptom Frequency
AI-Detected Pattern
Chest pain episodes occur most frequently during physical exertion, particularly in the morning. Strong correlation with shortness of breath (83% co-occurrence), suggesting cardiopulmonary origin.
Related Findings
ECG
3 days ago
ST-segment depression, T-wave inversion in leads V3-V6
Blood Pressure
2 days ago
140/90 mmHg (Elevated)
Lipid Panel
1 week ago
LDL: 145 mg/dL (High)
Nivaran AI Recommendations
Symptoms strongly suggest coronary artery disease with stable angina. Urgent cardiology referral recommended.
Suggested Actions
- Refer for cardiology consult within 48 hours
- Order stress test and echocardiogram
- Initiate sublingual nitroglycerin for acute chest pain
- Optimize blood pressure management
Patient Education
- Instruct on recognizing emergent cardiac symptoms
- Provide cardiac-friendly diet recommendations
- Advise on appropriate physical activity limits
Daily Symptom Tracking
Enable patient symptom tracking via the mobile app
Daily reminders help track symptom progression and treatment effectiveness
Medications
Prescription ManagementRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
Medication Alerts
Nivaran AI has detected potential issues with the current medication regimen:
- Potential interaction between Metoprolol and Atorvastatin (moderate severity)
- Suboptimal LDL control with current statin dosage
Current Medications
Atorvastatin
Lipitor • HMG-CoA Reductase Inhibitor
Dosage
40mg once daily
Instructions
Take in the evening
Prescribed
Jan 12, 2023 by Dr. Sharma
AI Insight
LDL still elevated at 145 mg/dL. Consider increasing to 80mg daily.
Metoprolol
Lopressor • Beta Blocker
Dosage
25mg twice daily
Instructions
Take with food, morning and evening
Prescribed
Jan 12, 2023 by Dr. Sharma
AI Insight
BP still elevated (140/90 mmHg). Consider increasing dose or adding another agent.
Aspirin
Low-dose • Antiplatelet
Dosage
81mg once daily
Instructions
Take with food in the morning
Prescribed
Jan 12, 2023 by Dr. Sharma
AI Insight
Appropriate for CV risk prevention. Continue current dosage.
Vitamin D3
Cholecalciferol • Supplement
Dosage
2000 IU once daily
Instructions
Take with food
Prescribed
Mar 15, 2023 by Dr. Sharma
AI Insight
Appropriate for current deficiency (18 ng/mL). Recheck levels in 3 months.
Nivaran AI Recommendations
Medication Optimization
Based on current health status and recent test results, the following medication changes are recommended:
Potential Interactions
Metoprolol + Atorvastatin
Moderate interaction: May increase statin blood levels. Monitor for muscle pain.
Medication Adherence
Overall Adherence
Patient reports occasional missed doses of Metoprolol due to evening schedule conflicts. Consider once-daily extended-release formulation.
Medication History
Lisinopril 10mg
Discontinued Jan 10, 2023
Reason: Persistent dry cough
Atorvastatin 20mg
Increased to 40mg on Jan 12, 2023
Reason: Inadequate LDL response
Medical Timeline
Historical ViewRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
April 15, 2023
Office Visit - Cardiology
9:30 AM • Dr. Sharma
Patient reports chest pain radiating to left arm, shortness of breath during exertion. ECG shows ST-segment depression.
April 12, 2023
Lab Tests
10:15 AM • Memorial Lab
Routine blood work and lipid panel. Lipid panel shows elevated LDL (145 mg/dL) and total cholesterol (215 mg/dL).
Chest X-Ray
11:30 AM • Radiology Dept
Routine chest X-ray. No acute cardiopulmonary disease. Heart size normal. Lungs are clear.
March 28, 2023
Symptom Report
Patient Portal • Self-reported
Patient reported increased fatigue and occasional shortness of breath when climbing stairs. First occurrence of mild chest discomfort.
January 12, 2023
Medication Change
10:00 AM • Dr. Sharma
Discontinued Lisinopril 10mg due to persistent cough. Started Metoprolol 25mg BID, Atorvastatin 40mg daily, and Aspirin 81mg daily.
Event Types
Nivaran AI Timeline Insights
Key Pattern Detection
Analysis of your timeline shows a progressive development of cardiac symptoms, beginning with mild fatigue in March and escalating to chest pain with exertion by mid-April.
Significant Trends
- Gradual increase in cardiac symptoms over 45 days
- Correlation between medication changes and symptom onset
- LDL cholesterol hasn't improved despite statin therapy
Nivaran AI Assistant
BetaRahul Sharma
ID: #PAT-20231089 • Male, 42 yrs • Last Visit: 2 days ago
Nivaran AI
Medical AI Assistant
Hello Dr. Sharma. I'm Nivaran AI, your medical assistant. I have access to Rahul's complete medical records. How can I help you today?
Can you summarize the patient's cardiac status and recent findings?
Rahul's cardiac status shows concerning signs of possible coronary artery disease:
- Critical: ECG from April 15 shows ST-segment depression and T-wave inversion in leads V3-V6
- Critical: Patient reports chest pain radiating to left arm, provoked by exertion
- Warning: Elevated LDL (145 mg/dL) despite Atorvastatin 40mg
- Warning: Hypertension (140/90 mmHg) despite beta-blocker therapy
These findings together suggest stable angina pectoris with inadequately controlled cardiovascular risk factors.
Sources:
- ECG Report (April 15, 2023)
- Office Visit Notes (April 15, 2023)
- Lipid Panel (April 12, 2023)
- Vital Signs History (Last 3 months)
What medication adjustments would you recommend?
Based on current findings, I recommend the following medication adjustments:
Increase Atorvastatin to 80mg daily
Current LDL of 145 mg/dL is well above target for a patient with likely CAD
Add Amlodipine 5mg daily
For better BP control; current metoprolol monotherapy is insufficient
Add Nitroglycerin 0.4mg SL PRN
For acute angina episodes; patient should be educated on proper use
Note:
These recommendations should be implemented after confirming the diagnosis with a stress test and/or cardiac catheterization.
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Common questions to ask Nivaran AI:
Relevant Patient Data
Critical Issues
- Chest pain radiating to left arm, exertional
- ECG: ST-segment depression, T-wave inversion
- Elevated blood pressure: 140/90 mmHg
Current Medications
- Atorvastatin 40mg QD
- Metoprolol 25mg BID
- Aspirin 81mg QD
- Vitamin D3 2000 IU QD
Recent Lab Values
- LDL 145 mg/dL
- HDL 42 mg/dL
- Total Cholesterol 215 mg/dL
- Triglycerides 180 mg/dL
- Vitamin D 18 ng/mL
Relevant Literature
2023 ACC/AHA Guidelines
Updated recommendations for management of patients with stable coronary artery disease.
JACC 2022;79(12):1198-1213
High-Intensity Statin Therapy in Patients with Stable Coronary Disease: A Meta-analysis.
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