Autonomic nervous system has been shown consistently responsible at a physiological level for the development of heart disease. The ANS machine can clearly show if the patient has a cardio metabolic disorder or evidence of coronary artery disease. Since it is 84.2% sensitive and specificity is as high as 96.8% the clinician can clearly rely on its outcome. It also acts as a great base and benchmark for a specific patient particularly when compared to the history physical and the blood test of the panel “offer wellness.”