




ANS Score Card

CardioMetabolic Score:
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HRV Total Power:
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SDANN:
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CAN Risk (Type):
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Left Foot C-Fibers (Sweat Peak):
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Right Foot C-Fibers (Sweat Peak):
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Left Foot Microcirculation:
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Right Foot Microcirculation:
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Stress Index:
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PTG Total Power (IR):
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Endothelial Function Risk (Type):
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CASP Risk (Type):
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Left ABI:
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Right ABI:
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Body Fat Mass:
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Body Mass Index (ratio):
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Fitness Chart (Type):
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LF/HF (Mental Stress) (ratio):
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Notes:
Normal
Borderline
Abnormal
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AUTONOMIC ASSESSMENT
Normal
Normal
Borderline
Borderline
Abnormal
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Abnormal
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Normal
Normal
Normal
Normal
Borderline
Borderline
Borderline
Borderline
Abnormal
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Abnormal
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Abnormal
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Abnormal
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VASCULAR ASSESSMENT
Normal
Normal
Normal
Normal
Normal
Normal
Borderline
Borderline
Borderline
Abnormal
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Abnormal
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Abnormal
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Borderline
Borderline
Borderline
Abnormal
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Abnormal
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Abnormal
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LIFESTYLE ASSESSMENT
Normal
Normal
Normal
Normal
Borderline
Borderline
Borderline
Borderline
Abnormal
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Abnormal
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Abnormal
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Abnormal
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Here is the "ANS Score Card"
Here you will upload the "Provider Report" results individually.
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This helps the provider when going over results with the patient via. Telemedicine.
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Scroll Down for more instructions.





