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Retrospective cohort study on combined and harmonized data from Black and White individuals of this Framingham Offspring, Atherosclerosis Risk in Communities (ARIC), Multi-Ethnic Study for Atherosclerosis (MESA), and Reasons for Geographical and Racial Differences in Stroke (REGARDS) studies (1983-2019) performed in america. The 62 482 participants included at standard had been at least 45 years old and free from stroke or transient ischemic attack. Published strokodel had the greatest calibration. All f