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Eligibility Sympathetic Innervation NCT00567645

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
indication for crt
Description

Indication Cardiac Resynchronization Therapy

Data type

boolean

Alias
UMLS CUI [1,1]
C3146298
UMLS CUI [1,2]
C1167956
stable optimal medication
Description

Pharmaceutical Preparations Optimal Stable

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2698651
UMLS CUI [1,3]
C0205360
non ischemic cardiomyopathy
Description

Non-ischemic cardiomyopathy

Data type

boolean

Alias
UMLS CUI [1]
C0877438
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
age less then 18 years
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
previous crt
Description

Cardiac Resynchronization Therapy

Data type

boolean

Alias
UMLS CUI [1]
C1167956
clinically relevant valvular heart disease or coronary artery disease
Description

Heart valve disease | Coronary Artery Disease

Data type

boolean

Alias
UMLS CUI [1]
C0018824
UMLS CUI [2]
C1956346
acute or chronic infection
Description

Communicable Disease | Chronic infectious disease

Data type

boolean

Alias
UMLS CUI [1]
C0009450
UMLS CUI [2]
C0151317
untreated clinical hypo- or hyperthyroidism or < 3 months euthyroidism
Description

Hypothyroidism (if untreated) | Hyperthyroidism untreated | Euthyroidism Duration

Data type

boolean

Alias
UMLS CUI [1]
C2749407
UMLS CUI [2,1]
C0020550
UMLS CUI [2,2]
C0332155
UMLS CUI [3,1]
C1848783
UMLS CUI [3,2]
C0449238
uncontrolled hypertension, defined as a systolic blood pressure > 160 mm hg and/or a diastolic blood pressure > 95 mm hg
Description

Uncontrolled hypertension | Systolic Pressure | Diastolic blood pressure

Data type

boolean

Alias
UMLS CUI [1]
C1868885
UMLS CUI [2]
C0871470
UMLS CUI [3]
C0428883
a concurrent medical condition (i.e. alcohol or drug abuse or a severe progressive extra cardiac disease or m. parkinson) or is unlikely to comply with the protocol
Description

Comorbidity | Substance Use Disorders | Progressive Disease Severe | Exception Heart Diseases | Parkinson Disease | Protocol Compliance Unlikely

Data type

boolean

Alias
UMLS CUI [1]
C0009488
UMLS CUI [2]
C0038586
UMLS CUI [3,1]
C1335499
UMLS CUI [3,2]
C0205082
UMLS CUI [4,1]
C1705847
UMLS CUI [4,2]
C0018799
UMLS CUI [5]
C0030567
UMLS CUI [6,1]
C0525058
UMLS CUI [6,2]
C0750558
participation to a previous protocol involving radioactivity in the past year
Description

Study Subject Participation Status | Involvement with Radioactivity

Data type

boolean

Alias
UMLS CUI [1]
C2348568
UMLS CUI [2,1]
C1314939
UMLS CUI [2,2]
C0034553
pregnancy
Description

Pregnancy

Data type

boolean

Alias
UMLS CUI [1]
C0032961
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Similar models

Eligibility Sympathetic Innervation NCT00567645

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Indication Cardiac Resynchronization Therapy
Item
indication for crt
boolean
C3146298 (UMLS CUI [1,1])
C1167956 (UMLS CUI [1,2])
Pharmaceutical Preparations Optimal Stable
Item
stable optimal medication
boolean
C0013227 (UMLS CUI [1,1])
C2698651 (UMLS CUI [1,2])
C0205360 (UMLS CUI [1,3])
Non-ischemic cardiomyopathy
Item
non ischemic cardiomyopathy
boolean
C0877438 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
Age
Item
age less then 18 years
boolean
C0001779 (UMLS CUI [1])
Cardiac Resynchronization Therapy
Item
previous crt
boolean
C1167956 (UMLS CUI [1])
Heart valve disease | Coronary Artery Disease
Item
clinically relevant valvular heart disease or coronary artery disease
boolean
C0018824 (UMLS CUI [1])
C1956346 (UMLS CUI [2])
Communicable Disease | Chronic infectious disease
Item
acute or chronic infection
boolean
C0009450 (UMLS CUI [1])
C0151317 (UMLS CUI [2])
Hypothyroidism (if untreated) | Hyperthyroidism untreated | Euthyroidism Duration
Item
untreated clinical hypo- or hyperthyroidism or < 3 months euthyroidism
boolean
C2749407 (UMLS CUI [1])
C0020550 (UMLS CUI [2,1])
C0332155 (UMLS CUI [2,2])
C1848783 (UMLS CUI [3,1])
C0449238 (UMLS CUI [3,2])
Uncontrolled hypertension | Systolic Pressure | Diastolic blood pressure
Item
uncontrolled hypertension, defined as a systolic blood pressure > 160 mm hg and/or a diastolic blood pressure > 95 mm hg
boolean
C1868885 (UMLS CUI [1])
C0871470 (UMLS CUI [2])
C0428883 (UMLS CUI [3])
Comorbidity | Substance Use Disorders | Progressive Disease Severe | Exception Heart Diseases | Parkinson Disease | Protocol Compliance Unlikely
Item
a concurrent medical condition (i.e. alcohol or drug abuse or a severe progressive extra cardiac disease or m. parkinson) or is unlikely to comply with the protocol
boolean
C0009488 (UMLS CUI [1])
C0038586 (UMLS CUI [2])
C1335499 (UMLS CUI [3,1])
C0205082 (UMLS CUI [3,2])
C1705847 (UMLS CUI [4,1])
C0018799 (UMLS CUI [4,2])
C0030567 (UMLS CUI [5])
C0525058 (UMLS CUI [6,1])
C0750558 (UMLS CUI [6,2])
Study Subject Participation Status | Involvement with Radioactivity
Item
participation to a previous protocol involving radioactivity in the past year
boolean
C2348568 (UMLS CUI [1])
C1314939 (UMLS CUI [2,1])
C0034553 (UMLS CUI [2,2])
Pregnancy
Item
pregnancy
boolean
C0032961 (UMLS CUI [1])
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