Nikhil Menon

45M · SH-10378OFF

Preventive (strong family history) · Architect

Next consult

Wed 22 Apr, 16:00

Negative· p 0.18Steady

Trajectory headline

Rule-out robust despite family history. Lp(a) measurement would close the residual lifetime-risk gap.

Model priority

Low zone

Biggest single change you could makeStatin · low → −14% (LDL-C)

Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Came in anxious about his father's MI. Risk is low — Lp(a) would confirm.

Trajectory narrative

Nikhil's father had an MI at 49. His own profile is genuinely reassuring — BP, lipids, activity and glucose are all in healthy ranges. Horizon-1 rules him out with calibration 0.89. One remaining gap is Lp(a), a single-measurement lifetime risk marker where FHx of early ASCVD increases prior probability.

Active concerns

None at this time.

Suggested consultation focus

Reassure — communicate the rule-out
Order one-off Lp(a)
No medication indicated

Supporting record context

Current medications

Nil

Allergies

NKDA

Family history

Father MI age 49; mother hypothyroid

For demonstration purposes. Not a diagnostic tool.

Horizon-1 · Syndrome activation

Latent clinical states

Output of the dynamic hypergraph. Direction = trajectory on that axis.

Background (low-risk)

0.18

For demonstration purposes. Not a diagnostic tool.