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Evaluation is on a case by case basis

Advantages of using the Framingham total CVD risk score [12] to project CVD risk over other equations is its inclusion of persons beginning age 20 and prediction of total CVD events (not just myocardial infarction and stroke, but also angina, heart failure and peripheral arterial disease are included in the outcome as they are also important CVD manifestations) instead of only hard ASCVD events as most other CVD risk scores feature

And thats part of why people report things like an elevated heart rate

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Hopes to lose 10-15% of her weight per the treatment plan developed by her physician