ID

15944

Beschreibung

Greiser KH, Kluttig A, Schumann B, Swenne CA, Kors JA, Kuss O, Haerting J, Schmidt H, Thiery J, Werdan K. Cardiovascular diseases, risk factors and short-term heart rate variability in an elderly general population: the CARLA study 2002-2006. Eur J Epidemiol. 2009;24(3):123-42 http://www.ncbi.nlm.nih.gov/pubmed/19199053 "Cross-sectional data of a population-based cohort including 1,779 women and men aged 45-83 years were used to analyse associations of time and frequency domain measures of HRV (derived from 5-min ECG segments) with age, behavioural and biomedical risk factors and disease in the whole sample and in a "healthy" subgroup." publication granted by Dr. rer. medic. Alexander Kluttig, MPH Leiter des Studienzentrums Halle der Nationalen Kohorte Institut für Medizinische Epidemiologie, Biometrie und Informatik Martin-Luther-Universität Halle-Wittenberg Magdeburger Str. 8 D-06097 Halle/Saale

Link

http://www.ncbi.nlm.nih.gov/pubmed/19199053

Stichworte

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Hochgeladen am

20. Juni 2016

DOI

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ECG CARLA Follow-up

Englisch

ECG CARLA Follow-up

1 Formulare  
  1. StudyEvent: ODM
    1. ECG CARLA Follow-up
General information
Beschreibung

General information

Subject ID
Beschreibung

Subject ID

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Date of birth (subject)
Beschreibung

Date of birth (subject)

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Examiner ID
Beschreibung

Examiner ID

Datentyp

text

Date of investigation
Beschreibung

Date of investigation

Datentyp

date

Beginning of ECG investigation
Beschreibung

Time of beginning of ECG investigation

Datentyp

time

Interview / Short medical history
Beschreibung

Interview / Short medical history

1. Has an ECG ever been performed on you before?
Beschreibung

1. Has an ECG ever been performed on you before?

Datentyp

text

1 a) If yes, how long ago is your last ECG investigation?
Beschreibung

1 a) Time of last ECG investigation

Datentyp

text

1 b) If yes, has your ECG always been normal?
Beschreibung

1 b) Has your ECG always been normal?

Datentyp

text

2. Have you ever been diagnosed with a cardiac defect (currently, formerly, or during infancy)?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

3. Are you on medication because of a cardiovascular disease?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

4. Have you ever been diagnosed with a heart attack?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

5. Have you been diagnosed with a cardiac valvular defect?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

6. Did you ever have a cardiac catherization?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

7. Have you ever been diagnosed with cardiac arrythmia?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

8. Did you ever have heart surgery?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

9. Do you have a pacemaker?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

10. Do you/Did you ever suffer from pulmonary disease?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

11. Do you/Did you ever suffer from a disease of the liver?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

12. Do you/Did you ever suffer from a stroke (apoplectic insult)?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

13. Do you/Did you ever suffer from an angiopathy (e. g. of the leg arteries, the carotid artery)?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

14. Do you/Did you ever suffer from diabetes?
Beschreibung

In case this question is answered with "Yes", please specify under "Specifications"

Datentyp

text

Specifications
Beschreibung

If one or more of questions 2-14 was answered with "Yes", please state number and specify in detail

Datentyp

text

ECG: Thorax angle
Beschreibung

ECG: Thorax angle

Has thorax angle been used?
Beschreibung

Thorax angle

Datentyp

text

ECG: Electrodes
Beschreibung

ECG: Electrodes

Position of ECG electrodes
Beschreibung

Position of ECG electrodes

Datentyp

text

In case of shifted position, please specify reason
Beschreibung

Error code 1: Reason for shifted position

Datentyp

integer

If other reason for shifted electrode position applies, please specify
Beschreibung

If other reason for shifted electrode position applies, please specify in text

Datentyp

text

Which electrode was shifted?
Beschreibung

Which electrode was shifted?

Datentyp

text

Where was the electrode shifted to?
Beschreibung

Where was the electrode shifted to?

Datentyp

text

ECG: Recording
Beschreibung

ECG: Recording

1. 10 seconds 12 channel ECG 50 mm/sec
Beschreibung

Storage of ECG data

Datentyp

text

1. If ECG data (10 sec) is missing, please indicate reason
Beschreibung

Error code 3: Reason for missing ECG

Datentyp

integer

2. 5 minutes 12 channel ECG without metronome
Beschreibung

2. 5 minutes 12 channel ECG without metronome

Datentyp

text

2. If ECG (5 min) is deficient, please indicate reason
Beschreibung

Error code 2: Reason for deficient ECG

Datentyp

integer

2. If ECG data (5 min) is missing, please indicate reason
Beschreibung

Error code 3: Reason for missing ECG

Datentyp

integer

3. 20 minutes 12 channel resting ECG
Beschreibung

3. 20 minutes 12 channel resting ECG

Datentyp

text

3. If resting ECG is deficient, please indicate reason
Beschreibung

Error code 2: Reason for deficient ECG

Datentyp

integer

3. If resting ECG data is missing, please indicate reason
Beschreibung

Error code 3: Reason for missing ECG

Datentyp

integer

If other reasons apply for any deficient ECG, please specify
Beschreibung

Reasons for deficient ECG

Datentyp

text

If other reasons apply for any missing data, please specify
Beschreibung

Reasons for missing ECG data

Datentyp

text

With metronome-controlled breathing
Beschreibung

ECG with metronome-controlled breathing

Datentyp

text

ECG: Description of incidents
Beschreibung

ECG: Description of incidents

ECG Number
Beschreibung

ECG Number

Datentyp

text

Beginning of incident (time)
Beschreibung

Beginning of incident

Datentyp

time

End of incident (time)
Beschreibung

End of incident

Datentyp

time

Error code
Beschreibung

Error code

Datentyp

integer

If necessary, give detailed description
Beschreibung

If necessary, give detailed description

Datentyp

text

Final information
Beschreibung

Final information

Comments/Special incidents
Beschreibung

Comments/Special incidents

Datentyp

text

End of ECG investigation
Beschreibung

End of ECG investigation

Datentyp

time

Data entry
Beschreibung

Data entry

1st data entry: DNo.
Beschreibung

1st data entry: DNo.

Datentyp

text

1st data entry: Date
Beschreibung

1st data entry: Date

Datentyp

date

2nd data entry: DNo.
Beschreibung

2nd data entry: DNo.

Datentyp

text

2nd data entry: Date
Beschreibung

2nd data entry: Date

Datentyp

date

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Ähnliche Modelle

ECG CARLA Follow-up

1 Formulare
  1. StudyEvent: ODM
    1. ECG CARLA Follow-up
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
General information
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Date of birth (subject)
Item
Date of birth (subject)
date
C0421451 (UMLS CUI [1])
Examiner ID
Item
Examiner ID
text
Date of investigation
Item
Date of investigation
date
Beginning of ECG investigation
Item
Beginning of ECG investigation
time
Item Group
Interview / Short medical history
Item
1. Has an ECG ever been performed on you before?
text
1. Has an ECG been performed on you before?
Code List
1. Has an ECG ever been performed on you before?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
1 a) If yes, how long ago is your last ECG investigation?
text
1 a) Time of last ECG examination
Code List
1 a) If yes, how long ago is your last ECG investigation?
CL Item
< 4 weeks (< 4 weeks)
CL Item
2-12 months (2-12 months)
CL Item
> 1 year (> 1 year)
CL Item
I don't know (I don't know)
Item
1 b) If yes, has your ECG always been normal?
text
1 b) Has your ECG always been normal?
Code List
1 b) If yes, has your ECG always been normal?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
2. Have you ever been diagnosed with a cardiac defect (currently, formerly, or during infancy)?
text
2. Cardiac defect
Code List
2. Have you ever been diagnosed with a cardiac defect (currently, formerly, or during infancy)?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
3. Are you on medication because of a cardiovascular disease?
text
3. Medication against cardiovascular diseases
Code List
3. Are you on medication because of a cardiovascular disease?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
4. Have you ever been diagnosed with a heart attack?
text
4. Diagnosis of heart attack
Code List
4. Have you ever been diagnosed with a heart attack?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
5. Have you been diagnosed with a cardiac valvular defect?
text
5. Cardiac valvular defect
Code List
5. Have you been diagnosed with a cardiac valvular defect?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
6. Did you ever have a cardiac catherization?
text
6. Cardiac catherization
Code List
6. Did you ever have a cardiac catherization?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
7. Have you ever been diagnosed with cardiac arrythmia?
text
7. Cardiac arrhythmia
Code List
7. Have you ever been diagnosed with cardiac arrythmia?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
8. Did you ever have heart surgery?
text
8. Heart surgery
Code List
8. Did you ever have heart surgery?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
9. Do you have a pacemaker?
text
9. Pulmonary disease
Code List
9. Do you have a pacemaker?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
10. Do you/Did you ever suffer from pulmonary disease?
text
9. Pulmonary disease
Code List
10. Do you/Did you ever suffer from pulmonary disease?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
11. Do you/Did you ever suffer from a disease of the liver?
text
9. Pulmonary disease
Code List
11. Do you/Did you ever suffer from a disease of the liver?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
12. Do you/Did you ever suffer from a stroke (apoplectic insult)?
text
9. Pulmonary disease
Code List
12. Do you/Did you ever suffer from a stroke (apoplectic insult)?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
13. Do you/Did you ever suffer from an angiopathy (e. g. of the leg arteries, the carotid artery)?
text
9. Pulmonary disease
Code List
13. Do you/Did you ever suffer from an angiopathy (e. g. of the leg arteries, the carotid artery)?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Item
14. Do you/Did you ever suffer from diabetes?
text
9. Pulmonary disease
Code List
14. Do you/Did you ever suffer from diabetes?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
I don't know (I don't know)
Specifications
Item
Specifications
text
Item Group
ECG: Thorax angle
Item
Has thorax angle been used?
text
Thorax angle
Code List
Has thorax angle been used?
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Missing (Missing)
Item Group
ECG: Electrodes
Item
Position of ECG electrodes
text
ECG electrodes
Code List
Position of ECG electrodes
CL Item
O.K. (O.K.)
CL Item
Shifted position (Shifted position)
Item
In case of shifted position, please specify reason
integer
Reason for shifted position
Code List
In case of shifted position, please specify reason
CL Item
Position on nipple (1)
CL Item
Other (see text) (2)
Other reason for shifted position
Item
If other reason for shifted electrode position applies, please specify
text
Which electrode was shifted?
Item
Which electrode was shifted?
text
Where was the electrode shifted to?
Item
Where was the electrode shifted to?
text
Item Group
ECG: Recording
Item
1. 10 seconds 12 channel ECG 50 mm/sec
text
10 seconds 12 channel ECG 50 mm/sec
Code List
1. 10 seconds 12 channel ECG 50 mm/sec
CL Item
Paper (Paper)
CL Item
Saved on computer (Saved on computer)
CL Item
Both missing (Both missing)
Item
1. If ECG data (10 sec) is missing, please indicate reason
integer
Reason for missing ECG data
Code List
1. If ECG data (10 sec) is missing, please indicate reason
CL Item
Malfunction ECG recorder (1)
CL Item
Laptop defect (2)
CL Item
Vacuum pump defect (3)
CL Item
Subject refuses ECG (4)
CL Item
Other (Specify below) (5)
Item
2. 5 minutes 12 channel ECG without metronome
text
20 minutes 12 channel resting ECG
Code List
2. 5 minutes 12 channel ECG without metronome
CL Item
Computer O.K. (Computer O.K.)
CL Item
With deficiencies (With deficiencies)
CL Item
Missing (Missing)
Item
2. If ECG (5 min) is deficient, please indicate reason
integer
Deficient ECG
Code List
2. If ECG (5 min) is deficient, please indicate reason
CL Item
Premature termination (1)
CL Item
Subject coughing/talking (2)
CL Item
Subject moving (3)
CL Item
Subject sitting up (4)
CL Item
Other (Specify below) (5)
Item
2. If ECG data (5 min) is missing, please indicate reason
integer
Reason for missing ECG data
Code List
2. If ECG data (5 min) is missing, please indicate reason
CL Item
Malfunction ECG recorder (1)
CL Item
Laptop defect (2)
CL Item
Vacuum pump defect (3)
CL Item
Subject refuses ECG (4)
CL Item
Other (Specify below) (5)
Item
3. 20 minutes 12 channel resting ECG
text
20 minutes 12 channel resting ECG
Code List
3. 20 minutes 12 channel resting ECG
CL Item
Computer O.K. (Computer O.K.)
CL Item
With deficiencies (With deficiencies)
CL Item
Missing (Missing)
Item
3. If resting ECG is deficient, please indicate reason
integer
Deficient ECG
Code List
3. If resting ECG is deficient, please indicate reason
CL Item
Premature termination (1)
CL Item
Subject coughing/talking (2)
CL Item
Subject moving (3)
CL Item
Subject sitting up (4)
CL Item
Other (Specify below) (5)
Item
3. If resting ECG data is missing, please indicate reason
integer
Reason for missing ECG data
Code List
3. If resting ECG data is missing, please indicate reason
CL Item
Malfunction ECG recorder (1)
CL Item
Laptop defect (2)
CL Item
Vacuum pump defect (3)
CL Item
Subject refuses ECG (4)
CL Item
Other (Specify below) (5)
Reasons for deficient ECG
Item
If other reasons apply for any deficient ECG, please specify
text
Reasons for missing ECG data
Item
If other reasons apply for any missing data, please specify
text
Item
With metronome-controlled breathing
text
ECG with metronome-controlled breathing
Code List
With metronome-controlled breathing
CL Item
Yes (Yes)
CL Item
No (No)
CL Item
Partly/Not permanently (Partly/Not permanently)
Item Group
ECG: Description of incidents
ECG Number
Item
ECG Number
text
Beginning of incident
Item
Beginning of incident (time)
time
End of incident
Item
End of incident (time)
time
Error code
Item
Error code
integer
If necessary, give detailed description
Item
If necessary, give detailed description
text
Item Group
Final information
Comments/Special incidents
Item
Comments/Special incidents
text
End of ECG investigation
Item
End of ECG investigation
time
Item Group
1st data entry: DNo.
Item
1st data entry: DNo.
text
1st data entry: Date
Item
1st data entry: Date
date
2nd data entry: DNo.
Item
2nd data entry: DNo.
text
2nd data entry: Date
Item
2nd data entry: Date
date
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