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Submissions from 2016

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Favorable Cardiovascular Risk Profile Is Associated With Lower Healthcare Costs and Resource Utilization: The 2012 Medical Expenditure Panel Survey, Javier Valero-Elizondo, Joseph Salami, Oluseye Ogunmoroti, Emeka Osondu, Ehimen Aneni, Rehan Malik, Emir Veledar, and Khurram Nasir
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Abstract 146: Drivers of Healthcare Costs Among Adults With Obesity in United States: 2012 Medical Expenditure Panel Survey, Javier Valero-Elizondo, Joseph Salami, Emeka osondu, Muhammad Latif, Emir Veledar, and khurram Nasir

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Economic Impact of Moderate-Vigorous Physical Activity Among Those With and Without Established Cardiovascular Disease: 2012 Medical Expenditure Panel Survey, Javier Valero-Elizondo, Joseph Salami, Emeka Osondu, Oluseye Ogunmoroti, Adnan Younus, Emir Veledar, and Khurram Nasir
Open Access

Abstract 13: Economic Impact of Moderate-vigorous Physical Activity Among Those with and without Established Cardiovascular Disease: 2012 Medical Expenditure Panel Survey, Javier Valero-Elizondo, Joseph Salami, Emeka osondu, Adnan Younus, Emir Veledar, and khurram Nasir

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Letter to Editor: "Ideal cardiovascular health metrics and risk of cardiovascular disease or mortality: A meta-analysis", Emir Veledar, Emeka Osondu, Adnan Younus, and Khurram Nasir
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A Systematic Review of the Prevalence and Outcomes of Ideal Cardiovascular Health in US and Non-US Populations, Adnan Younus, Ehimen Aneni, Emeka Osondu, Lara Roberson, Oluseye Ogunmoroti, Rehan Malik, Shozab Ali, Muhammad Aziz, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir
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Abstract P003: Comparison of Ideal Cardiovascular Health Status Across National Representative Cohorts: A Systematic Review, Adnan Younus, Rehan Malik, Rameez Ahmad, Shozabs Ali, Muhamma Aziz, Syed Bukhari, Oluseye Ogunmoroti, Emeka osondu, Adnan Younus, Lara Roberson, Muhammad Latif, Choudhry Humayun, Emir Veledar, and Khurram Nasir

Submissions from 2015

Abstract 16496: Relationship Between Sleep Duration and Ideal Cardiovascular Health in a Large Employee Population, Younus Adnan, Emeka Osondu, Maribeth Rouseff, Sankalp Das, Henry Guzman, Thinh Tran, Wasiam Maziak, Rameez Ahmad, Muhammad Latif, Rehan Malik, Oluseye Ogunmoroti, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir

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Relation of physical activity to prevalence of nonalcoholic Fatty liver disease independent of cardiometabolic risk, Ehimen Aneni, Arthur Agatston, and Khurram Nasir
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Comparisons of a Pre- and Post-Behaviorally Modified Lifestyle Intervention for Reducing Cardiometabolic Risk in an Employee Population: My Unlimited Potential, Ehimen Aneni, Sankalp Das, Emeka Osondu, Henry Guzman, Joseph Mora, Maribeth Rouseff, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir

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Blood pressure is associated with the presence and severity of nonalcoholic fatty liver disease across the spectrum of cardiometabolic risk, Ehimen Aneni, Ebenezer Oni, Arthur Agatston, Theodore Feldman, Emir Veledar, and Khurram Nasir
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Obesity Modifies the Effect of Fitness on Heart Rate Indices during Exercise Stress Testing in Asymptomatic Individuals, Ehimen Aneni, Ebenezer Oni, Emir Veledar, Arthur Agatston, Theodore Feldman, and Khurram Nasir

Statin Use is Associated With Prevalent Depression in Asymptomatic Octogenarians, Ehimen Aneni, Ebenezer Oni, Emir Veledar, Theodore Feldman, Arthur Agatston, and Khurram Nasir

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Low HDL cholesterol but not high LDL cholesterol is independently associated with subclinical coronary atherosclerosis in healthy octogenarians, Ricardo Cury, Arthur Agatston, and Khurram Nasir
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My Unlimited Potential: Multidimensional Workplace Life Style Modification Program Associated With Reduction in Cardiovascular Disease Risk Among Employees With Type 2 Diabetes, Sankalp Das, Maribeth Rouseff, Henry Guzman, Thinh Tran, Doris Brown, Joann Santiago-Charles, Teresa Ochoa, Joseph Mora, Cynthia Gilliam, Virginia Lehn, Angelica Ruiz, Ehimen Aneni, Oluseye Ogunmoroti, Lara Roberson, Emir Veledar, Janisse Post, and Khurram Nasir

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Percutaneous large arterial access closure techniques, Charles McGraw, Ripal Gandhi, Frederic Baumann, and James Benenati
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Abstract MP03: All-Cause Mortality and Cardiorespiratory Fitness Among Patients with a Family History of CHD - The FIT Project, Khurram Nasir

Age-specific gender differences in early mortality following ST-segment elevation myocardial infarction in China, Khurram Nasir
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Age-specific gender differences in early mortality following ST-segment elevation myocardial infarction in China, Khurram Nasir
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An analysis of calibration and discrimination among multiple cardiovascular risk scores in a modern multiethnic cohort, Khurram Nasir
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Association Between Endogenous Sex Hormones and Liver Fat in a Multiethnic Study of Atherosclerosis, Khurram Nasir
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Association of subclinical atherosclerosis using carotid intima-media thickness, carotid plaque, and coronary calcium score with left ventricular dyssynchrony: The multi-ethnic Study of Atherosclerosis, Khurram Nasir
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Association of subclinical atherosclerosis using carotid intima-media thickness, carotid plaque, and coronary calcium score with left ventricular dyssynchrony: The multi-ethnic Study of Atherosclerosis, Khurram Nasir
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CAC score as a possible criterion for administration of angiotensin converting enzyme inhibitors and/or angiotensin receptor blockers: the MultiEthnic Study of Atherosclerosis, Khurram Nasir
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Cardiorespiratory fitness attenuates risk for major adverse cardiac events in hyperlipidemic men and women independent of statin therapy: The Henry Ford Exercise Testing Project, Khurram Nasir
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Cardiovascular Imaging Research: Time to Think Beyond Risk Prediction?, Khurram Nasir
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Chest Pain, Abnormal Electrocardiogram, High Troponins but Normal Coronary Angiography: Mystery Resolved by Cardiac Magnetic Resonance Imaging, Khurram Nasir
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Cigarette smoking and cardiovascular events: role of inflammation and subclinical atherosclerosis from the multiethnic study of atherosclerosis, Khurram Nasir
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Coronary Artery Calcium Improves Risk Assessment in Adults With a Family History of Premature Coronary Heart Disease: Results From Multiethnic Study of Atherosclerosis., Khurram Nasir
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Cost-effectiveness of coronary artery calcium testing for coronary heart and cardiovascular disease risk prediction to guide statin allocation: the Multi-Ethnic Study of Atherosclerosis (MESA), Khurram Nasir
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Decreasing sample size in primary prevention studies: A potential role for coronary artery calcium score, Khurram Nasir
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Determination and distribution of left ventricular size as measured by noncontrast CT in the Multi-Ethnic Study of Atherosclerosis, Khurram Nasir
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Discordance between Risk Factors and Coronary Artery Calcium: Implications for Guiding Treatment Strategies in Primary Prevention Settings, Khurram Nasir
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Disparities between ideal cardiovascular health metrics and subclinical atherosclerotic burden: more than meets the eye, Khurram Nasir
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Distribution and burden of newly detected coronary artery calcium: Results from the Multi-Ethnic Study of Atherosclerosis, Khurram Nasir
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Improving the relationship between coronary artery calcium score and coronary plaque burden: Addition of regional measures of coronary artery calcium distribution, Khurram Nasir
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Improving the relationship between coronary artery calcium score and coronary plaque burden: addition of regional measures of coronary artery calcium distribution, Khurram Nasir

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Incremental prognostic value of kidney function decline over coronary artery disease for cardiovascular event prediction after coronary computed tomography, Khurram Nasir
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Leptin and incident cardiovascular disease: The Multi-Ethnic Study of Atherosclerosis (MESA), Khurram Nasir

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Management of Coronary Artery Calcium and Coronary CTA Findings, Khurram Nasir
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Maximal exercise testing variables and 10-year survival: fitness risk score derivation from the FIT Project, Khurram Nasir
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National assessment of statin therapy for patients with acute myocardial infarction, 2001–11: insight from the China PEACE-Retrospective Acute Myocardial Infarction study, Khurram Nasir
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Novel risk model predicting high-risk coronary artery disease: let common sense prevail in medical decision making, Khurram Nasir
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Overhauling Cardiovascular Risk Prediction in Primary Prevention: Difficult Journey Worth the Destination, Khurram Nasir
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Predictors of Long-Term Healthy Arterial Aging: Coronary Artery Calcium Nondevelopment in the MESA Study, Khurram Nasir
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Predictors of Long-Term Healthy Arterial Aging: Coronary Artery Calcium Nondevelopment in the MESA Study, Khurram Nasir

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Qingdao Port Cardiovascular Health Study: a prospective cohort study, Khurram Nasir
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Relation of Anthropometric Obesity and Computed Tomography Measured Nonalcoholic Fatty Liver Disease (from the Multiethnic Study of Atherosclerosis), Khurram Nasir
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Relation of Risk of Atrial Fibrillation With Systolic Blood Pressure Response During Exercise Stress Testing, Khurram Nasir

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Relation of Risk of Atrial Fibrillation With Systolic Blood Pressure Response During Exercise Stress Testing (from the Henry Ford Exercise Testing Project), Khurram Nasir
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Relationship of cigarette smoking with inflammation and subclinical vascular disease: the multi-ethnic study of atherosclerosis, Khurram Nasir
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Risk Factors for the Development and Progression of Thoracic Aorta Calcification: The Multi-Ethnic Study of Atherosclerosis, Khurram Nasir
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Scoring of coronary artery calcium scans: History, assumptions, current limitations, and future directions, Khurram Nasir
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Screening and advanced lipid phenotyping in familial hypercholesterolemia: The Very Large Database of Lipids Study-17 (VLDL-17), Khurram Nasir
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Splenic Metabolic Activity Predicts Risk of Future Cardiovascular Events: Demonstration of a Cardiosplenic Axis in Humans, Khurram Nasir
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The association of nonalcoholic fatty liver disease, obesity, and metabolic syndrome, with systemic inflammation and subclinical atherosclerosis: The Multi-Ethnic Study of Atherosclerosis (MESA), Khurram Nasir
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The association of resistin with cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis, Khurram Nasir

The highs and lows of cardiovascular risk prediction: time for paradigm shift?, Khurram Nasir

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The highs and lows of cardiovascular risk prediction: Time for paradigm shift?, Khurram Nasir
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The Prevalence and Correlates of Advanced Atherosclerosis Among Those With Optimal Low-Density Lipoprotein Cholesterol Levels: The Multi-Ethnic Study of Atherosclerosis (MESA), Khurram Nasir

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Traditional Cardiovascular Disease Risk Factors Associated With One-Year All-Cause Mortality Among Those With Coronary Artery Calcium Scores ≥400, Khurram Nasir
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Usefulness of regional distribution of coronary artery calcium to improve the prediction of all-cause mortality, Khurram Nasir
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Use of cardiac CT and calcium scoring for detecting coronary plaque: implications on prognosis and patient management, Khurram Nasir
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Implications of Coronary Artery Calcium Testing Among Statin Candidates According to American College of Cardiology/American Heart Association Cholesterol Management Guidelines: MESA (Multi-Ethnic Study of Atherosclerosis), Khurram Nasir and Arthur Agatston
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Abstract 143: A Meta-analysis of the Short and Long Term Effects of Home Blood Pressure Monitoring, Khurram Nasir and Emir Veledar

Abstract 144: Cost of Cardiovascular Disease Episodes among Patients with Hypertension, Khurram Nasir and Emir Veledar

Abstract 329: Potential Role of Enrichment Strategies with CAC Testing for Future Clinical Trials Assessing PCSK-9 Inhibitors Efficacy Among Diabetics Without Established Cardiovascular Disease, Khurram Nasir and Emir Veledar

Abstract 471: Impact of Enrichment Strategies for Future Clinical Trials Assessing PCSK-9 Inhibitors Efficacy in Primary Prevention Settings, Khurram Nasir and Emir Veledar

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Prevalence of Obesity and Estimated Medical and Work Loss Costs Attributable to High BMI: The Baptist Health South Florida Employee Study, Khurram Nasir, Emir Veledar, Chukwuemeka Osondu, Ehimen Aneni, Oluseye Ogunmoroti, Sankalp Das, Maribeth Rouseff, Thinh Tran, Don Parris, Leah Holzwarth, Henry Guzman, Theodore Feldman, Michael Ozner, Jonathan Fialkow, Bernie Fernandez, Jack Ziffer, and Arthur Agatston
Open Access

Perception of Overall Health and Life’s Simple 7 Health Metrics: The Baptist Health South Florida Employee Study, Oluseye Ogunmoroti, Don Parris, Daniel Del Campo, Maribeth Rouseff, Sankalp Das, Henry Guzman, Gladys Alvarado Namen, Lara Roberson, Muhammad Latif, Adnan Younus, Arthur Agatston, Theodore Feldman, Emir Veledar, and Khurram Nasir

Three Year Trends of Ideal Cardiovascular Health Metrics Among Employees of a Large Health Care Organization: The Baptist Health South Florida Employee Study, Oluseye Ogunmoroti, Adnan Younus, Maribeth Rouseff, Ehimen Aneni, Sankalp Das, Don Parris, Leah Holzwarth, Henry Guzman, Thinh Tran, Omar Jamal, Shozab Ali, Rehan Malik, Rameez Ahmad, Emeka Osondu, Janisse Post, Arthur Agatston, Theodore Feldman, Michael Ozner, Emir Veledar, and Khurram Nasir

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Assessment of American Heart Association's Ideal Cardiovascular Health Metrics Among Employees of a Large Healthcare Organization: The Baptist Health South Florida Employee Study, Oluseye Ogunmoroti, Adnan Younus, Maribeth Rouseff, Sankalp Das, Don Parris, Ehimen Aneni, Leah Holzwarth, Henry Guzman, Thinh Tran, Lara Roberson, Shozab Ali, Arthur Agatston, Theodore Feldman, Emir Veledar, and Khurram Nasir
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Comparisons of Self-reported and Measured Body Mass Index in a large Employee Population: The Baptist Health South Florida Employee Study, Emeka Osondu, Ehimen Aneni, Sankalp Das, Maribeth Rouseff, Henry Guzman, Thinh Tran, Lara Roberson, Janisse Post, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir

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Obesity and metabolic phenotypes (metabolically healthy and unhealthy variants) are significantly associated with prevalence of elevated C-reactive protein and hepatic steatosis in a large healthy Brazilian population, Sameer Shaharyar, Lara Roberson, Omar Jamal, Adnan Younus, Shozab Ali, Arthur Agatston, and Khurram Nasir Baptist Health Medical Group
Open Access

Abstract 684: Principal Component Analysis Identifies Lipoprotein Subfractions Associated with Coronary Artery Calcification in a Young High Cardiometabolic Risk Population: The Baptist Employee Healthy Heart Study Study, Emir Veledar, Ehimen Aneni, Emeka osondu, Oluseye Ogunmoroti, Lara Roberson, Muhammad Latif, Omar Jamal, Shozabs Ali, Muhammad Aziz, Adnan Younus, Rameez Ahmad, Sher Khan, Janisse Post, Ricardo Cury, Theodore Feldman, and Khurram Nasir

Serum Fibroblast Growth Factor-23 Does Not Have a Linear Relation to Cardiovascular Mortality, Emir Veledar and Khurram Nasir

Differences in Cardiovascular Health: Why Hispanic Women Fare Better Then Non Hispanic Women: The Baptist Health South Florida Employee Study, Emir Veledar, Oluseye Ogunmoroti, Sankalp Das, Maribeth Rouseff, Emeka Osondu, Ehimen Aneni, and Khurram Nasir

Abstract P003: Distribution of Ideal Cardiovascular Health Metrics in US and Non-US populations: A Meta-Analysis of Proportions, Adnan Younus, Ehimen Aneni, Oluseye Ogunmoroti, Omar Jamal, Shozabs Ali, Muhammad Aziz, Rehan Malik, Rameez Ahmad, Emeka osondu, Lara Roberson, Janisse Post, Theodore Feldman, Wasim Maziak, Arthur Agatston, Emir Veledar, and Khurram Nasir

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Prevalence of Ideal Cardiovascular Health Among Adults in the United States, Adnan Younus, Ehimen Aneni, Emeka Osondu, Sameer Shaharyar, Lara Roberson, Shozab Ali, Ogunmoroti Oluseye, Rameez Ahmad, Janisse Post, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir
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Submissions from 2014

Impact of coronary artery calcium on coronary heart disease events in individuals at the extremes of traditional risk factor burden: the Multi-Ethnic Study of Atherosclerosis, Agatston Agatston and Khurram Nasir

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Baseline subclinical atherosclerosis burden and distribution are associated with frequency and mode of future coronary revascularization: multi-ethnic study of atherosclerosis, Arthur Agatston and Khurram Nasir
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C-reactive protein is independently associated with coronary atherosclerosis burden among octogenarians, Arthur Agatston and Khurram Nasir
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Dyslipidemia, coronary artery calcium, and incident atherosclerotic cardiovascular disease: implications for statin therapy from the multi-ethnic study of atherosclerosis, Arthur Agatston and Khurram Nasir
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Impact of coronary artery calcium on coronary heart disease events in individuals at the extremes of traditional risk factor burden: the Multi-Ethnic Study of Atherosclerosis, Arthur Agatston and Khurram Nasir
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Polypill therapy, subclinical atherosclerosis, and cardiovascular events-implications for the use of preventive pharmacotherapy: MESA (Multi-Ethnic Study of Atherosclerosis), Arthur Agatston and Khurram Nasir
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Systematic review on noninvasive assessment of subclinical cardiovascular disease in obstructive sleep apnea: new kid on the block!, Shozab Ali, Adil Karim, Sameer Shaharyar, Omar Jamal, Jonathan Fialkow, Ricardo Cury, and Khurram Nasir
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Sleep Duration is Associated with Degree of Insulin Resistance in a High Risk Population: the Baptist Employee Healthy Heart Study, Shozab Ali, Ebenezer Oni, Ehimen Aneni, Lara Roberson, Janisse Post, Gagandeep Nagi, Sameer Shaharyar, Omar Jamal, Rehan Malik, Muhammad Aziz, Adnan Younus, Beatriz Rosell, Henry Guzman, Ricardo Cury, Jonathan Fialkow, Arthur Agatston, Emir Veledar, Theodore Feldman, and Khurram Nasir

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Low zinc levels is associated with increased inflammatory activity but not with atherosclerosis, arteriosclerosis or endothelial dysfunction among the very elderly, Ehimen Aneni and Khurram Nasir
Open Access

Increased Physical Fitness Is Associated with Greater Improvement in Cardiac Parasympathetic Function Among the Obese than Overweight or Normal Weight Individuals, Ehimen Aneni, Ebenezer Oni, Lara Roberson, Janisse Post, Arthur Agatston, Theodore Feldman, and Khurram Nasir

Relationship of Insulin Resistance with Impaired Endothelial Function & Coronary Atherosclerosis among High Risk Individuals Enrolled in a Web-Based Lifestyle Intervention Study: Baptist Employee Healthy Heart Study (BEHHS), Ehimen Aneni, Ebenezer Oni, Lara Roberson, Janisse Post, Gagandeep Nagi, Sameer Shaharyar, Omar Jamal, Shozab Ali, Rehan Malik, Muhammad Aziz, Adnan Younus, Chen Ye, Beatriz Rosell, Henry Guzman, Ricardo Cury, Jonathan Fialkow, Arthur Agatston, Emir Veledar, Theodore Feldman, and Khurram Nasir

Increase in Physical Fitness after an Intensive 12-Week Healthy Lifestyle Workplace Intervention is Associated with Improvement in Heart Rate Profile Independent of Weight Changes or Traditional Metabolic Risk Factors, Ehimen Aneni, Ebenezer Oni, Lara Roberson, Maribeth Rouseff, Henry Guzman, Thinh Tran, Sankalp Das, Doris Brown, Joann Santiago-Charles, Teresa Ochoa, Joseph Mora, Cynthia Gilliam, Virginia Lehn, Josette Bou-Khalil, Beatriz Castillo, Janisse Post, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir

Increased Aerobic Fitness is associated with Cardiometabolic Risk Reduction in a High Cardiovascular Disease Risk Occupational Cohort Independent of Significant Weight Loss, Ehimen Aneni, Ebenezer Oni, Lara Roberson, Maribeth Rouseff, Henry Guzman, Thinh Tran, Sankalp Das, Joann Santiago-Charles, Teresa Ochoa, Joseph Mora, Cynthia Gilliam, Virginia Lehn, Josette Bou-Khalil, Beatriz Castillo, Emir Veledar, Theodore Feldman, Arthur Agatston, Janisse Post, and Khurram Nasir

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Delayed heart rate recovery is strongly associated with early and late-stage prehypertension during exercise stress testing, Ehimen Aneni, Lara Roberson, Sameer Shaharyar, Arthur Agatston, and Khurram Nasir
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Lipoprotein Sub-fractions by Ion Mobility Analysis Association with Burden of Subclinical Coronary Atherosclerosis in a High Risk Population: the Baptist Employee Healthy Heart Study (BEHHS), Ehimen Aneni, Emir Veledar, Ebenezer Oni, Lara Roberson, Janisse Post, Gagandeep Nagi, Sameer Shaharyar, Omar Jamal, Shozab Ali, Rehan Malik, Muhammad Aziz, Adnan Younus, Beatriz Rosell, Henry Guzman, Ricardo Cury, Michael Ozner, Jonathan Fialkow, Theodore Feldman, Arthur Agatston, and Khurram Nasir

Improved Cardio-metabolic Risk Profile through Targeted Life Style Modification Program, Sankalp Das, Maribeth Rouseff, Thinh Tran, Khurram Nasir, Josette Bou-Khalil, Joseph Mora, Henry Guzman, Doris Brown, Joann Santiago-Charles, Teresa Ochoa, Cynthia Gilliam, Virginia Lehn, Beatriz Castillo, Ehimen Aneni, Lara Roberson, Emir Veledar, Ebenezer Oni, and Janisse Post

Improved Cardio-Metabolic Risk Profile through Targeted Life Style Modification Program, Sankalp Das, Maribeth Rouseff, Thinh Tran, Khurram Nasir, Josette Bou-Khalil, Joseph Mora, Henry Guzman, Doris Brown, Joann Santiago-Charles, Teresa Ochoa, Cynthia Gilliam, Virginia Lehn, Beatriz Castillo, Ehimen Aneni, Lara Roberson, Emir Veledar, Ebenezer Oni, and Janisse Post

Clinically Significant Blood Pressure Reduction Among Participants of a Lifestyle Intervention Improvement Program Strongly Associated with Reduced Systemic Inflammation in a High Risk Working Population, Henry Guzman, Maribeth Rouseff, Thinh Tran, Khurram Nasir, Josette Bou-Khalil, Joseph Mora, Sankalp Das, Doris Brown, Joann Santiago-Charles, Teresa Ochoa, Cynthia Gilliam, Virginia Lehn, Ehimen Aneni, Ebenezer Oni, Lara Roberson, Emir Veledar, Janisse Post, and Beatriz Castillo

Association of LpPLA2 with Lipoprotein Subclasses, Inflammation, Atherosclerosis & Endothelial Dysfunction in a Web-Based Lifestyle Intervention Study: Baptist Employee Healthy Heart Study (BEHHS), Omar Jamal, Ehimen Aneni, Lara Roberson, Sameer Shaharyar, Adnan Younus, Shozab Ali, Beatriz Rosell, Ebenezer Oni, Henry Guzman, Chen Ye, Rehan Malik, Muhammad Aziz, Janisse Post, Ricardo Cury, Jonathan Fialkow, Michael Ozner, Theodore Feldman, Arthur Agatston, Emir Veledar, and Khurram Nasir

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Cigarette smoking worsens systemic inflammation in persons with metabolic syndrome, Omar Jamal, Ehimen Aneni, Sameer Shaharyar, Shozab Ali, Don Parris, Emir Veledar, Arthur Agatston, and Khurram Nasir
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Non-Alcoholic Fatty Liver Disease in a Lean Population is Associated with Hypertension Independent of Metabolic Risk Factors, Adil Karim, Arthur Agatston, and Khurram Nasir