ID

15944

Beschrijving

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

Trefwoorden

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20 juni 2016

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Creative Commons BY-NC 3.0
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ECG CARLA Follow-up

Engels

ECG CARLA Follow-up

1 Formulieren  
  1. StudyEvent: ODM
    1. ECG CARLA Follow-up
General information
Beschrijving

General information

Subject ID
Beschrijving

Subject ID

Datatype

text

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

Date of birth (subject)

Datatype

date

Alias
UMLS CUI [1]
C0421451
Examiner ID
Beschrijving

Examiner ID

Datatype

text

Date of investigation
Beschrijving

Date of investigation

Datatype

date

Beginning of ECG investigation
Beschrijving

Time of beginning of ECG investigation

Datatype

time

Interview / Short medical history
Beschrijving

Interview / Short medical history

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

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

Datatype

text

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

1 a) Time of last ECG investigation

Datatype

text

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

1 b) Has your ECG always been normal?

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

6. Did you ever have a cardiac catherization?
Beschrijving

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

Datatype

text

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

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

Datatype

text

8. Did you ever have heart surgery?
Beschrijving

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

Datatype

text

9. Do you have a pacemaker?
Beschrijving

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

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

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

Datatype

text

Specifications
Beschrijving

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

Datatype

text

ECG: Thorax angle
Beschrijving

ECG: Thorax angle

Has thorax angle been used?
Beschrijving

Thorax angle

Datatype

text

ECG: Electrodes
Beschrijving

ECG: Electrodes

Position of ECG electrodes
Beschrijving

Position of ECG electrodes

Datatype

text

In case of shifted position, please specify reason
Beschrijving

Error code 1: Reason for shifted position

Datatype

integer

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

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

Datatype

text

Which electrode was shifted?
Beschrijving

Which electrode was shifted?

Datatype

text

Where was the electrode shifted to?
Beschrijving

Where was the electrode shifted to?

Datatype

text

ECG: Recording
Beschrijving

ECG: Recording

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

Storage of ECG data

Datatype

text

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

Error code 3: Reason for missing ECG

Datatype

integer

2. 5 minutes 12 channel ECG without metronome
Beschrijving

2. 5 minutes 12 channel ECG without metronome

Datatype

text

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

Error code 2: Reason for deficient ECG

Datatype

integer

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

Error code 3: Reason for missing ECG

Datatype

integer

3. 20 minutes 12 channel resting ECG
Beschrijving

3. 20 minutes 12 channel resting ECG

Datatype

text

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

Error code 2: Reason for deficient ECG

Datatype

integer

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

Error code 3: Reason for missing ECG

Datatype

integer

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

Reasons for deficient ECG

Datatype

text

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

Reasons for missing ECG data

Datatype

text

With metronome-controlled breathing
Beschrijving

ECG with metronome-controlled breathing

Datatype

text

ECG: Description of incidents
Beschrijving

ECG: Description of incidents

ECG Number
Beschrijving

ECG Number

Datatype

text

Beginning of incident (time)
Beschrijving

Beginning of incident

Datatype

time

End of incident (time)
Beschrijving

End of incident

Datatype

time

Error code
Beschrijving

Error code

Datatype

integer

If necessary, give detailed description
Beschrijving

If necessary, give detailed description

Datatype

text

Final information
Beschrijving

Final information

Comments/Special incidents
Beschrijving

Comments/Special incidents

Datatype

text

End of ECG investigation
Beschrijving

End of ECG investigation

Datatype

time

Data entry
Beschrijving

Data entry

1st data entry: DNo.
Beschrijving

1st data entry: DNo.

Datatype

text

1st data entry: Date
Beschrijving

1st data entry: Date

Datatype

date

2nd data entry: DNo.
Beschrijving

2nd data entry: DNo.

Datatype

text

2nd data entry: Date
Beschrijving

2nd data entry: Date

Datatype

date

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Similar models

ECG CARLA Follow-up

1 Formulieren
  1. StudyEvent: ODM
    1. ECG CARLA Follow-up
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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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