Linda Washington

58 F · DOB 1967-11-08 · MRN DEMO-1003

ALLERGY · NKDAActive triageNew symptoms

Primary providerDr. Michael Harper, MD

NurseBrandon S., RN

Last visit2026-04-02

Incoming triage call2026-04-24 · 08:22 AM

ReasonPatient calling with new symptoms. Triage needed.

Call notePatient states she had an episode this morning of chest pressure that lasted about 15 minutes while sitting watching TV. Rated 6/10. Radiated to left jaw this time. Took one of her husband's nitro tablets and it eased up. Denies SOB but felt sweaty. No n/v. Stress echo is still 10 days away.

Active problems

·Chest pain, unspecifiedR07.9
·HypertensionI10
·Anxiety disorderF41.9

Recent labs

Troponin I

<0.01

2026-04-02 · NORMAL

BNP

2026-04-02 · NORMAL

TSH

2.1

2026-04-02 · NORMAL

Lipid panel - LDL

142

2026-04-02 · HIGH

Risk scores

Acs Risk30Day

Guideline Concordance

Guideline gaps

No statin despite LDL 142 + cardiac workup
LDL 142 with active cardiac symptoms. Consider moderate-intensity statin initiation pending workup.
priority · medium
BP uncontrolled (152/94)
On CCB + thiazide only; consider ACE-I/ARB addition
priority · medium

AI Insights

Last analysis: 14 seconds ago

Pattern shift in chest pain: possibly atypical ACS

Today's episode is the first reported jaw radiation, longest duration (15 min), highest severity (6/10), and first responsive to nitro. Stress echo is 10 days out. Pattern is concerning enough to surface but does not meet a deterministic ACS rule.

AI Uncertain · names possibility · defers to RN judgment

Confidence: Moderate

›Why did Kairos say this?

Data sources consulted

·Pending call note 2026-04-24 08:22
·Visit 2026-04-02 (atypical chest pain workup)
·Troponin ×2 (negative), EKG (non-diagnostic)

Rules applied

·Chest-pain pattern-shift detector
·Time-to-workup gap detector

Output validated by

·Conservative-by-default triage post-processor

Confidence reasoning

Four pattern shifts in a single episode is suggestive but not specific. Calling this out as uncertainty rather than asserting ACS. Defers to RN/MD judgment.

Statin gap with LDL 142 + active cardiac workup

Moderate-intensity statin reasonable to initiate now rather than waiting on stress echo result.

Confidence: Moderate

›Why did Kairos say this?

Data sources consulted

·LDL 142 (2026-04-02)
·Active medication list

Rules applied

·Primary-prevention statin threshold w/ cardiac symptoms

Output validated by

·Guideline-gap engine ASCVD

Confidence reasoning

Threshold met; final decision is provider judgment pending workup.