1. From the Heart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, Ohio (T.I., J.E.F., M.S., I.D.G., D.S.R., J.K.D.); Department of Biostatistics, The University of Tokyo, Tokyo, Japan (A.T.); Department of Preventive Medicine and Community Health, University of Occupational and Environmental Health, Kitakyushu, Japan (Y.F.).