Dyspnea (exertional, rest, or nocturnal) or chest pain as a primary or secondary chief complaint
Prior history of heart failure, coronary artery disease, myocardial infarction, cardiomyopathy (any), valvular heart disease (any) or renal failure with current, previous, or planned dialysis
Acute illness or injury that necessitates hospital admission
Acute alcohol or cocaine intoxication or history of chronic alcohol (determined using the CAGE screening questions) or cocaine (self‐reported) abuse
Acute or decompensated psychiatric disorder or any underlying psychiatric disorder or cognitive deficit that precludes effective ongoing communication or ability to follow‐up as required
Cancer (other than skin), HIV, or any other medical condition that might limit life expectancy
Hepatitis or liver enzyme (ALT, AST) elevation > 1.5x normal
Planned move > 50 miles in the next 9 months
History of kidney stones
Glomerular filtration rate < 30
Serum calcium > 10.5 mg/dl or known history of hypercalcemia
History of or known primary hyperparathyroidism
Sarcoidosis or other granulomatous disease
Pregnant or planning to become pregnant
Allergy or known hypersensitivity to gadolinium contrast
Severe claustrophobia