Exam 1 (Baseline) Components
| Component | Purpose |
|---|---|
| Reception | Greet the participant.
Review eligibility. Explain the schedule. Determine adherence to the fasting requirement. Obtain informed consent. |
| Personal History/Demographics | Obtain standard measures of education, income, health, occupation, smoking, and alcohol intake. |
| Change Clothes | Standardize and facilitate anthropometric and other measurements. |
| Blood Pressures | Obtain measure of sitting blood pressure of the brachial artery, at rest, and of the posterior tibial artery and/or dorsalis pedis and brachial artery, to determine the ankle-brachial index. |
| Electrocardiography | Obtain a 12-lead electrocardiogram. |
| Anthropometry | Measure weight, height, waist and hip circumferences. |
| Urine Sample Collection | Obtain specimen for measurement of microalbuminuria. |
| Phlebotomy | Obtain blood samples for lipids, chemistry, hemostasis, and other laboratory tests and for storage. |
| Snack | Provide the participant with a snack containing no fat or caffeine. |
| Carotid Ultrasound | Measure intimal-media carotid wall thickness and identify echogenic lucencies. |
| Brachial Ultrasound | Measure flow-mediated brachial artery vasodilation. |
| Carotid Distensibility | Evaluate the stiffness of the common carotid artery. |
| Arterial Wave Form | Measure compliance of arteries. |
| Medical History | Obtain relevant medical history. |
| Medications | Obtain information on types and dosages of all prescribed and over the counter medications. |
| Diet | Obtain information on usual intake of foods, including types and quantities. |
| Physical Activity | Obtain information on usual low, medium, and high-level activities during past month. |
| Psychosocial Information | Obtain information on anger, anxiety, social support, depression, chronic burden, discrimination, and neighborhood environment. |
| Exit Interview | Explain next steps and answer questions and solicit comments about the exam.
Discuss referrals. Obtain tracking information. Schedule CT and MRI exams. Thank participant. |
| Cardac MRI Scan | Obtain MRI scan of the heart. |
| Chest CT Scan | Obtain CT scan of the heart. |
MESA Coordinating Center, Seattle, WA
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