Body Height
Item
Height
float
C0031809 (UMLS CUI [1])
Body Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
Abdominal girth
Item
Abdominal girth (Waist Circumference)
float
C0232501 (UMLS CUI [1])
Systolic Blood Pressure
Item
Blood pressure systolic after 5 minutes sitting/supine
float
C0871470 (UMLS CUI [1])
Diastolic Blood Pressure
Item
Blood pressure diastolic after 5 minutes sitting/supine
float
C0428883 (UMLS CUI [1])
Item
Blood pressure position
integer
C1828063 (UMLS CUI [1])
Code List
Blood pressure position
Heart rate
Item
Heart rate
float
C0018810 (UMLS CUI [1])
Negative
Item
Negative
boolean
C0032976 (UMLS CUI [1,1])
C0205160 (UMLS CUI [1,2])
Positive
Item
Positive (patient is NOT eligible for trial)
boolean
C0032976 (UMLS CUI [1,1])
C1446409 (UMLS CUI [1,2])
Not applicable
Item
Not applicable (patient is male, or female who is post-menopausal or surgically sterilised)
boolean
C0032976 (UMLS CUI [1,1])
C1272460 (UMLS CUI [1,2])
ECG perfomance
Item
Has an ECG been performed?
boolean
C1623258 (UMLS CUI [1,1])
C0456984 (UMLS CUI [1,2])
If Yes
Item
If Yes, record patient number, visit number, and date of tracing on the ECG printout and fax to the Trial Data Centre.
text
C1830427 (UMLS CUI [1])
C1549755 (UMLS CUI [2])
C0013798 (UMLS CUI [3,1])
C0011008 (UMLS CUI [3,2])
Pathological Q waves
Item
Are there any pathological Q waves?
boolean
C1305738 (UMLS CUI [1,1])
C1521733 (UMLS CUI [1,2])
Item
if Yes, in which leads (indicate all that apply)
integer
C0179504 (UMLS CUI [1])
Code List
if Yes, in which leads (indicate all that apply)
ECG shows LVH
Item
Does the ECG show left ventricular hypertrophy (LVH)?
boolean
C0149721 (UMLS CUI [1])
Modified Cornell Criteria
Item
If Yes, was this confirmed by the Modified Cornell Criteria (see facing page)?
boolean
C0521093 (UMLS CUI [1,1])
C0025102 (UMLS CUI [1,2])
Item
Level of consciousness
integer
C2234452 (UMLS CUI [1])
Code List
Level of consciousness
CL Item
Stuporous (requires repeated stimuli) (2)
CL Item
Comatose (Reflex responses only) (3)
Item
LOC questions (Month, age)
integer
C2234453 (UMLS CUI [1])
Code List
LOC questions (Month, age)
Item
LOC commands (Open, close eyes, make fist, let go)
integer
C2234454 (UMLS CUI [1])
Code List
LOC commands (Open, close eyes, make fist, let go)
CL Item
Obeys one correctly (1)
Item
Best gaze (Eyes open patient follows examiner´s finger or face)
integer
C2234455 (UMLS CUI [1])
Code List
Best gaze (Eyes open patient follows examiner´s finger or face)
CL Item
Partial gaze palsy (1)
CL Item
Forced deviation (2)
Item
Visual (Introduce visual stimulus/threat to patient´s visual field quadrants)
integer
C2234456 (UMLS CUI [1])
Code List
Visual (Introduce visual stimulus/threat to patient´s visual field quadrants)
CL Item
Partial hemianopia (1)
CL Item
Complete hemianopia (2)
CL Item
Bilateral hemianopia (3)
Item
Facial Palsy (Show teeth, raise eyebrows and squeeze eyes shut)
integer
C2234457 (UMLS CUI [1])
Code List
Facial Palsy (Show teeth, raise eyebrows and squeeze eyes shut)
CL Item
Minor asymmetry (1)
CL Item
Partial (lower face paralysis) (2)
Item
Motor Arm-Left (Elevate extremity 90° and score drift/movement)
integer
C3862776 (UMLS CUI [1])
Code List
Motor Arm-Left (Elevate extremity 90° and score drift/movement)
CL Item
Some effort against gravity (2)
CL Item
No effort against gravity (3)
CL Item
Amputation, joint fusion (5)
Item
Motor Arm-Right (Elevate extremity 90° and score drift/movement)
integer
C3862775 (UMLS CUI [1])
Code List
Motor Arm-Right (Elevate extremity 90° and score drift/movement)
CL Item
Some effort against gravity (2)
CL Item
No effort against gravity (3)
CL Item
Amputation, joint fusion (5)
Item
Motor Leg-Left (Elevate extremity 30° and score drift/movement)
integer
C3862774 (UMLS CUI [1])
Code List
Motor Leg-Left (Elevate extremity 30° and score drift/movement)
CL Item
Some effort against gravity (2)
CL Item
No effort against gravity (3)
CL Item
Amputation, joint fusion (5)
Item
Motor Leg-Right (Elevate extremity 30° and score drift/movement)
integer
C3862773 (UMLS CUI [1])
Code List
Motor Leg-Right (Elevate extremity 30° and score drift/movement)
CL Item
Some effort against gravity (2)
CL Item
No effort against gravity (3)
CL Item
Amputation, joint fusion (5)
Item
Limb ataxia (Finger-nose, heel down shin)
integer
C2234460 (UMLS CUI [1])
Code List
Limb ataxia (Finger-nose, heel down shin)
CL Item
Present in upper or lower (1)
CL Item
Present in both (2)
Item
Sensory (Pin prick to face, arm, trunk, and leg compare side to side)
integer
C2234461 (UMLS CUI [1])
Code List
Sensory (Pin prick to face, arm, trunk, and leg compare side to side)
Item
Best language (Name items, describe a picture and read sentences)
integer
C2234462 (UMLS CUI [1])
Code List
Best language (Name items, describe a picture and read sentences)
CL Item
Mild-moderate aphasia (1)
CL Item
Severe aphasia (2)
Item
Dysarthria (Evaluate speech clarity by patient repeating listed words)
integer
C2234463 (UMLS CUI [1])
Code List
Dysarthria (Evaluate speech clarity by patient repeating listed words)
CL Item
Normal articulation (0)
CL Item
Mild-moderate slurring (1)
CL Item
Severe, nearly intelligible or worse (2)
Item
Extinction and Inattention (Use information from prior to testing to identify neglect or double stimuli testing)
integer
C2234464 (UMLS CUI [1])
Code List
Extinction and Inattention (Use information from prior to testing to identify neglect or double stimuli testing)
CL Item
Partial neglect (1)
CL Item
Profound neglect (2)
Item
For the qualifying ischemic stroke, please fill in the current Modified Rankin Scale below. (Indicate only one)
integer
C2984908 (UMLS CUI [1])
Code List
For the qualifying ischemic stroke, please fill in the current Modified Rankin Scale below. (Indicate only one)