Coronary Artery Disease (CAD) happens when the arteries that bring blood to your heart become narrow or blocked. This can cause chest pain during exercise. CAD can make your heart weak, lead to heart failure, or increase the risk of a heart attack or death. In this study, scientists are looking at proteins in the blood called biomarkers, which can show the risk of having problems due to CAD. The goal is to see if personalized treatment based on these biomarkers can lower their levels and reduce health risks. Participants will be randomly placed into two groups: treatment or usual care. The treatment group will have medicine adjustments and lifestyle changes, while the usual care group will continue with their usual doctor’s advice. Participation involves physical exams, blood tests, and answering questions at Emory University Hospital. Participants will be paid for their time. Blood samples collected may be shared with other researchers for future studies.

• Study takes place at Emory University Hospital.
• Participants will receive compensation.
• Blood and data will be used for further research.