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{"decision": "revise", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "revise"}
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# Hypothesis-Generating Brief: Cardiovascular Subgroups — full paper
## Abstract

Evidence-honesty note: 58/64 retained sources are indirect, review-level, adjacent, or mechanistic and are used only to bound interpretation. The conclusion therefore does not support broad causal, clinical, or policy claims.

Cardiovascular disease remains the dominant mortality driver in older adults, with U.S. adu…
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