2020 2017–2019 Normal (n = 79) Abnormal (n = 44) P value Normal (n = 820) Abnormal (n = 418) P value Age (years) 64 ± 11 64 ± 8 0.77 63 ± 11 65 ± 11 < .05 Male gender, n (%) 23 (38) 6 (43) 0.05 337 (41) 73 (17) < .001 Body mass index (kg/m2) 28.9 ± 4.9 28.1 ± 4.4 0.38 29.1 ± 6.1 27.9 ± 4.2 < .001 Chest pain, n (%) 22 (38) 15 (43) 0.47 308 (38) 123 (29) < .005 Diabetes, n (%) 28 (19) 19 (36) 0.40 234 (29) 156 (37) < .005 Dyspnea, n (%) 29 (22) 20 (25) 0.34 375 (46) 200 (48) 0.48 Family history, n (%) 36 (48) 24 (41) 0.34 446 (54) 223 (53) 0.73 Hypertension, n (%) 66 (62) 36 (76) 0.81 614 (75) 354 (85) < .001 Hyperlipidemia, n (%) 54 (55) 38 (57) < .05 540 (66) 317 (76) < .001 Smoking, n (%) 15 (55) 11 (57) 0.43 258 (31) 132 (32) 0.97 Known CAD n (%) 21 (55) 31 (57) < .001 224 (27) 317 (76) < .001