@dmshope I already had been seeing an excellent cardiologist / functional medicine doctor for a number of years when I was deciding to take Evenity. So I talked to him about Evenity and he just referred to my previous testing to say that I had no indications of elevated risk of CVD. He did not have knowledge of Evenity but gave me assurance that I had no special issues of concern.
I took Evenity for a year with no side effects worth mentioning and terrific gains in my spine and slight gains in my hips.
Prior testing with the cardiologist included stress echocardiogram, electrocardiogram, complete lung function testing (I forget what that was called), extensive blood work (Boston Heart's extensive blood testing), coronary calcium scans and carotid ultrasounds. The test results were not perfect but reasonably good.

I had done all that because I was clearly getting more winded than anyone else while playing pickleball. We finally decided it was because I was playing more intensely than anyone else anywhere near my age. I was running all over the court after balls that most others would not even try to return. I was in my late sixties at that time. Also I thought I could withstand the heat like I could when I was a kid. So I didn't get the testing done for Evenity but I'd already had it done, and that made it clear there were no red flags in the CVD area for me.

I think Evenity is in general one of the safest osteo meds. I'm not denying that there is risk but generally I think it's maybe the safest and it is clearly the most effective at building bone. Best of luck to you.