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. 2019 Sep 6;19:1234. doi: 10.1186/s12889-019-7573-8

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Markov model. All patients start in the healthy state and can transition to myocardial infarction (MI), stroke, or congestive heart failure (CHF) states. Subsequent transitions are indicated by arrows. Model cycles on a one-year timeframe