Shane P Prejean1, Susan Buckingham2, Ami E Iskandrian3. 1. Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, BDB 201, 1808 7th Avenue South, Birmingham, AL, 35294, USA. sprejean@uabmc.edu. 2. Department of Medicine, Center for Palliative and Supportive Care, University of Alabama at Birmingham, Birmingham, AL, USA. 3. Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, BDB 201, 1808 7th Avenue South, Birmingham, AL, 35294, USA.