Blood samples were taken at the time of ARIC visit 4 and plasma was stored centrally at −80°C. Hs-TnT was measured using a highly sensitive assay (Elecsys Troponin T, Roche diagnostics, Indianapolis, IN).19 NT-proBNP was measured using electrochemiluminescent immunoassay (Roche Diagnostics).18 (link) Hs-CRP was assessed by immunoturbidimetric CRP-Latex high sensitivity assay from Denka Seiken using Hitachi 911 analyzer according to the manufacturer’s protocol.18 (link)