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Demographic data
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Age (years)
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Gender (female)
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Height (cm)
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Weight (kg)
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BMI (kg/m2)
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Prior medical conditions
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Hypertension
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Congestive cardiac failure
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Angina
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Myocardial infarction
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Coronary intervention
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Known significant valve disease
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Valve replacement
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Cardiac arrhythmia
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Pulmonary hypertension
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COPD
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Interstitial lung disease
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Asthma
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Smoking
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Diabetes
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Known renal failure
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Stroke
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HIV
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Venous thromboembolism
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Cancer (type, active/remission, metastasis)
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Chronic liver disease
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Hypothyroidism
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Hyperthyroidism
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Cognitive impairment/dementia
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Chronic medication
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Antihypertensive
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Beta-blockers
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Antiplatelet
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Anticoagulant
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Systemic steroids
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Diuretics
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Chemotherapy
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Other
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Cardiopulmonary symptoms
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Dyspnea/shortness of breath
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Chest pain
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Palpitations
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Cough
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Fever suspected to be respiratory or cardiac
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Lower limb edema
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Altered state of consciousness
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Other
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Vital signs
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Blood pressure (mmHg)
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Heart rate (beats per minute)
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Temperature (°C)
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Respiratory rate (breaths per minute)
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O2 saturation (%)
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