Blood pressure check, lipids, statin decision
AKAnna Keller, 47 · Hypertension, prediabetes, LDL 162 mg/dl
16 September 2026, 11:20 · 14 min · Tablet in the room · consent recorded
Signed
The note
ReasonBlood pressure control, lipids, decision on statin therapy.
FindingsBP 142/88, HR 72, BMI 29.1. Lab 12 September 2026: LDL 162 mg/dl, HbA1c 5.9 %, ALT 48 U/l. Family history: father myocardial infarction at 58. Simvastatin stopped 2024 for myalgia.
AssessmentHypertension not at target under ramipril 5 mg; primary prevention with high LDL and premature family history; prediabetes; mild steatosis.
PlanAtorvastatin 20 mg started, CK and ALT after six weeks; lipoprotein(a) once; ramipril to 10 mg; home blood pressure for four weeks in the app; referral for coronary artery calcium scoring. Follow-up in three months.
SignedSigned by the physician and copied into the practice software. Hover a sentence: it comes from a passage of the conversation.
From the conversation
PhysicianYour blood pressure is 142 over 88 today, about where it was in March. The LDL is 162, that is high, and your father had his heart attack at 58.
PatientI stopped the statin two years ago because of the muscle pain.
PhysicianThat was simvastatin. We can try a different one at a low dose, atorvastatin, and see how you tolerate it. And I would like to know your lipoprotein(a) once, it has never been measured.
PatientAnd the sugar?
Physician5.9 percent, prediabetes. Weight and movement help most; we look at it again in three months.
Excerpt. The audio was deleted after the note was signed.
On the screen during the visit
What you opened in the practice software while the patient was in the room. It is part of the chart Mosaic answers from.
- Lab 12.09.2026read
- Medication listread
- Visit note 14.03.2026read
Documents from this visit
Your visit on 16 September 2026Visit summary · 16 September 2026 · shared 16 September 2026, opened by the patientSharedYour planPatient plan · 16 September 2026 · shared 16 September 2026, opened by the patientSharedWhy taking your statin mattersTake-home · 16 September 2026 · shared 16 September 2026, opened by the patientSharedYour medicationsMedication list · 16 September 2026 · shared 16 September 2026, opened by the patientSharedYour results from 8 May 2026Results explained · 8 May 2026 · shared 12 May 2026, opened by the patientSharedReferral: coronary artery calcium scoringReferral letter · 16 September 2026Signed
Ask about this visit
Anna Keller, 47Mosaic