ID

30529

Beschrijving

Study part: 12- Lead ECG Abnormalities (ECG Abn). A phase 1 single-masked, randomized (with respect to placebo), placebo-controlled, parallel-group, dose-rising study to evaluate the safety, tolerability and pharmacokinetics of repeat oral doses of GW786034 in elderly healthy volunteers. Trade Name: Votrient. Clinical Study ID: MD1103367.

Trefwoorden

Versies (1)
  1. 11-06-18 11-06-18 -
Houder van rechten

GlaxoSmithKline

Geüploaded op

11 juni 2018

DOI

Voor een aanvraag inloggen.

Licentie

Creative Commons BY-NC 3.0
Model Commentaren :

Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.

Terug naar het model Commentaren
Itemgroep Commentaren voor :

Item Commentaren voor :

U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.

12- Lead ECG Abnormalities (ECG Abn) Pazopanib Macular Degeneration MD1103367

Engels

12- Lead ECG Abnormalities (ECG Abn)

1 Formulieren  
12-LEAD ECG ABNORMALITIES
Beschrijving

12-LEAD ECG ABNORMALITIES

Alias
UMLS CUI-1
C0430456
UMLS CUI-2
C1704258
1. Date and Time of ECG
Beschrijving

Date and Time ECG

Datatype

datetime

Alias
UMLS CUI [1]
C2826846
2. Record clinically significant abnormalities- A. Rhythm
Beschrijving

12 Lead ECG abnormalities Rhythm

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0199556
Other abnormal rhythm, enter comment
Beschrijving

other rhythm abnormal

Datatype

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0199556
UMLS CUI [1,3]
C0205161
2. Record clinically significant abnormalities- B. P-Wave Morphology
Beschrijving

12 Lead ECG abnormalities Morphology

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0332437
Other morphology, enter comment
Beschrijving

Other morphology

Datatype

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0522055
UMLS CUI [1,3]
C0332437
2. Record clinically significant abnormalities- C. Conduction
Beschrijving

12 Lead ECG abnormalities Cardiac conduction

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0232217
Other conduction, enter comment
Beschrijving

Other conduction

Datatype

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0232217
UMLS CUI [1,3]
C0522055
2. Record clinically significant abnormalities- D. Myocardial Infarction
Beschrijving

12 Lead ECG abnormalities Myocardial Infarction

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0027051
Other myocardial infarction, enter comment
Beschrijving

Other myocardial infarction

Datatype

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0027051
2. Record clinically significant abnormalities- E. Depolarisation/Repolarisation (QRS-T)
Beschrijving

12 Lead ECG abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
Other depolarisation/repolarisation, enter comment
Beschrijving

Other repolarisation

Datatype

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0948857
2. Record clinically significant abnormalities- Other abnormalities, enter comment
Beschrijving

E99

Datatype

text

Alias
UMLS CUI [1,1]
C0430456
UMLS CUI [1,2]
C1704258
UMLS CUI [1,3]
C0205394
Terug naar het begin van de pagina

Similar models

12- Lead ECG Abnormalities (ECG Abn)

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
12-LEAD ECG ABNORMALITIES
C0430456 (UMLS CUI-1)
C1704258 (UMLS CUI-2)
Date and Time ECG
Item
1. Date and Time of ECG
datetime
C2826846 (UMLS CUI [1])
Item
2. Record clinically significant abnormalities- A. Rhythm
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0199556 (UMLS CUI [1,3])
undefined item
Code List
2. Record clinically significant abnormalities- A. Rhythm
CL Item
Sinus bradycardia  (A1)
C0085610 (UMLS CUI-1)
(Comment:en)
CL Item
Sinus bradycardia (heart rate 40-50 beats/min)  (A21)
C0085610 (UMLS CUI-1)
(Comment:en)
CL Item
Sinus bradycardia (heart rate 30-39 beats/min) (A22)
C0085610 (UMLS CUI-1)
(Comment:en)
CL Item
Sinus bradycardia (heart rate <30 beats/min)  (A23)
C0085610 (UMLS CUI-1)
(Comment:en)
CL Item
Sinus pause  (A3)
C0541782 (UMLS CUI-1)
(Comment:en)
CL Item
Sinus tachycardia (heart rate> 100 beats/min)  (A2)
C0039239 (UMLS CUI-1)
(Comment:en)
CL Item
Ectopic supraventricular beats (A4)
C0033036 (UMLS CUI-1)
(Comment:en)
CL Item
Ectopic supraventricular rhythm (A20)
C2348376 (UMLS CUI-1)
(Comment:en)
CL Item
Wandering atrial pacemaker (A17)
C1321523 (UMLS CUI-1)
(Comment:en)
CL Item
Multifocal atrial tachycardia (wandering atrial pacemaker w/rate > I 00 beats/min)  (A26)
C0221158 (UMLS CUI-1)
(Comment:en)
CL Item
Supra ventricular tachycardia (heart rate> I 00 beat/min)  (A6)
C0039240 (UMLS CUI-1)
(Comment:en)
CL Item
Atrial flutter (A7)
C0004239 (UMLS CUI-1)
(Comment:en)
CL Item
Atrial fibrillation  (A8)
C0004238 (UMLS CUI-1)
(Comment:en)
CL Item
Junctional rhythm (heart rate<= 100 beat /min)  (A5)
C0232208 (UMLS CUI-1)
(Comment:en)
CL Item
Junctional rhythm  (A25)
C0232208 (UMLS CUI-1)
(Comment:en)
CL Item
Junctional tachycardia (heart rate> I 00 beats/min)  (A24)
C0039235 (UMLS CUI-1)
(Comment:en)
CL Item
Ectopic ventricular beats  (A9)
C0151636 (UMLS CUI-1)
(Comment:en)
CL Item
Ventricular couplets (A12)
C0429001 (UMLS CUI-1)
(Comment:en)
CL Item
Bigeminy  (A13)
C0262662 (UMLS CUI-1)
(Comment:en)
CL Item
Trigeminy  (A28)
C0428999 (UMLS CUI-1)
(Comment:en)
CL Item
Electrical alternans (A14)
C1142551 (UMLS CUI-1)
(Comment:en)
CL Item
R on T phenomenon  (A29)
C0877658 (UMLS CUI-1)
(Comment:en)
CL Item
Ventricular fibrillation  (A18)
C0042510 (UMLS CUI-1)
(Comment:en)
CL Item
ldioventricular rhythm  (A19)
C0700363 (UMLS CUI-1)
(Comment:en)
CL Item
Sustained ventricular tachycardia (A10)
C0750197 (UMLS CUI-1)
(Comment:en)
CL Item
Non-sustained ventricular tachycardia  (A11)
C0750194 (UMLS CUI-1)
(Comment:en)
CL Item
Ventricular tachycardia  (A27)
C0042514 (UMLS CUI-1)
(Comment:en)
CL Item
Monomorphic ventricular tachycardia  (A30)
C0344431 (UMLS CUI-1)
(Comment:en)
CL Item
Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)  (A15)
C0040479 (UMLS CUI-1)
(Comment:en)
CL Item
Polymorphic (sustained and non-sustained) ventricular tachycardia  (A31)
C0344432 (UMLS CUI-1)
(Comment:en)
CL Item
Artificial Pacemaker (A16)
C0030163 (UMLS CUI-1)
(Comment:en)
CL Item
Other abnormal rhvthm (A99)
C0205394 (UMLS CUI-1)
C0199556 (UMLS CUI-2)
C0205161 (UMLS CUI-3)
(Comment:en)
other rhythm abnormal
Item
Other abnormal rhythm, enter comment
text
C0205394 (UMLS CUI [1,1])
C0199556 (UMLS CUI [1,2])
C0205161 (UMLS CUI [1,3])
Item
2. Record clinically significant abnormalities- B. P-Wave Morphology
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0332437 (UMLS CUI [1,3])
undefined item
Code List
2. Record clinically significant abnormalities- B. P-Wave Morphology
CL Item
Left atrial abnormality (P mitrale) (B1)
C0344711 (UMLS CUI-1)
C0232310 (UMLS CUI-2)
(Comment:en)
CL Item
Right atrial abnormality (P pulmonale) (B2)
C0344696 (UMLS CUI-1)
C0232308 (UMLS CUI-2)
(Comment:en)
CL Item
Right ventricular hypertrophy (B3)
C0162770 (UMLS CUI-1)
(Comment:en)
CL Item
Intraatrial conduction delay (B5)
C2346510 (UMLS CUI-1)
(Comment:en)
CL Item
Increased voltage consistent with left ventricular hypertrophy (D14)
C1112650 (UMLS CUI-1)
(Comment:en)
CL Item
other morphology (B99)
C0205394 (UMLS CUI-1)
C0522055 (UMLS CUI-2)
C0332437 (UMLS CUI-3)
(Comment:en)
Other morphology
Item
Other morphology, enter comment
text
C0205394 (UMLS CUI [1,1])
C0522055 (UMLS CUI [1,2])
C0332437 (UMLS CUI [1,3])
Item
2. Record clinically significant abnormalities- C. Conduction
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0232217 (UMLS CUI [1,3])
undefined item
Code List
2. Record clinically significant abnormalities- C. Conduction
CL Item
First degree AV block (PR interval> 200msec)  (C1)
C0085614 (UMLS CUI-1)
(Comment:en)
CL Item
Second degree AV block (Mobitz type 1)  (C2)
C0264907 (UMLS CUI-1)
(Comment:en)
CL Item
Second degree AV block (Mobitz type 2)  (C3)
C0155700 (UMLS CUI-1)
(Comment:en)
CL Item
2: 1 AV block  (C16)
C2346542 (UMLS CUI-1)
(Comment:en)
CL Item
Third degree AV block  (C4)
C0151517 (UMLS CUI-1)
(Comment:en)
CL Item
Left axis deviation (QRS axis more negative than -30 degrees)  (C5)
C0232297 (UMLS CUI-1)
(Comment:en)
CL Item
Right axis deviation (QRS axis more positive than+ 110 degrees)  (C6)
C0232296 (UMLS CUI-1)
(Comment:en)
CL Item
Incomplete right bundle branch block  (C7)
C0262525 (UMLS CUI-1)
(Comment:en)
CL Item
Incomplete left bundle branch block  (C13)
C0281878 (UMLS CUI-1)
(Comment:en)
CL Item
Right bundle branch block (C8)
C0085615 (UMLS CUI-1)
(Comment:en)
CL Item
Left anterior hemiblock (synonymous to left anterior fascicular block)  (C14)
C0264912 (UMLS CUI-1)
(Comment:en)
CL Item
Left posterior hemiblock (synonymous to left posterior fascicular block)  (C15)
C0264913 (UMLS CUI-1)
(Comment:en)
CL Item
Left bundle branch block (C9)
C0023211 (UMLS CUI-1)
(Comment:en)
CL Item
Bifascicular block  (C17)
C0264914 (UMLS CUI-1)
(Comment:en)
CL Item
Non-specific intraventricular conduction delay (QRS >= 120 msec)  (C10)
C3697597 (UMLS CUI-1)
(Comment:en)
CL Item
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine) (C11)
C0264897 (UMLS CUI-1)
C0043202 (UMLS CUI-2)
(Comment:en)
CL Item
QT/QTc prolongation >=500msec (C12)
C0855333 (UMLS CUI-1)
(Comment:en)
CL Item
AV dissociation (C18)
C0004331 (UMLS CUI-1)
(Comment:en)
CL Item
Other conduction (C99)
C0205394 (UMLS CUI-1)
C0232217 (UMLS CUI-2)
C0522055 (UMLS CUI-3)
(Comment:en)
Other conduction
Item
Other conduction, enter comment
text
C0205394 (UMLS CUI [1,1])
C0232217 (UMLS CUI [1,2])
C0522055 (UMLS CUI [1,3])
Item
2. Record clinically significant abnormalities- D. Myocardial Infarction
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0027051 (UMLS CUI [1,3])
undefined item
Code List
2. Record clinically significant abnormalities- D. Myocardial Infarction
CL Item
Myocardial infarction, old  (D1)
C0155668 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, anterior  (D2)
C0340293 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, lateral  (D3)
C0340312 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, posterior  (D4)
C0340319 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, inferior  (D5)
C0340305 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, septal  (D6)
C0746727 (UMLS CUI-1)
(Comment:en)
CL Item
Myocardial infarction, Non Q-wave  (D20)
C0542269 (UMLS CUI-1)
(Comment:en)
CL Item
Other myocardial infarction (D98)
C0205394 (UMLS CUI-1)
C0027051 (UMLS CUI-2)
(Comment:en)
Other myocardial infarction
Item
Other myocardial infarction, enter comment
text
C0205394 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
Item
2. Record clinically significant abnormalities- E. Depolarisation/Repolarisation (QRS-T)
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
undefined item
Code List
2. Record clinically significant abnormalities- E. Depolarisation/Repolarisation (QRS-T)
CL Item
Non-specific ST-T changes  (D7)
C1112720 (UMLS CUI-1)
(Comment:en)
CL Item
J point elevation  (D19)
C2346597 (UMLS CUI-1)
(Comment:en)
CL Item
ST elevation  (D8)
C0520886 (UMLS CUI-1)
(Comment:en)
CL Item
ST-elevation - pericarditis  (D21)
C2348119 (UMLS CUI-1)
(Comment:en)
CL Item
ST depression  (D9)
C0520887 (UMLS CUI-1)
(Comment:en)
CL Item
U waves abnormal (D10)
C0438169 (UMLS CUI-1)
(Comment:en)
CL Item
T wave inversion  (D11)
C0520888 (UMLS CUI-1)
(Comment:en)
CL Item
T wave peaked  (D12)
C0239242 (UMLS CUI-1)
(Comment:en)
CL Item
T waves flat  (D15)
C2215959 (UMLS CUI-1)
(Comment:en)
CL Item
T waves biphasic  (D16)
C2348639 (UMLS CUI-1)
(Comment:en)
CL Item
Notched T-waves  (D18)
C2347367 (UMLS CUI-1)
(Comment:en)
CL Item
Low QRS voltage  (D13)
C2349945 (UMLS CUI-1)
(Comment:en)
CL Item
T-wave flattening/inversion  (D17)
C0520888 (UMLS CUI-1)
C0429059 (UMLS CUI-2)
(Comment:en)
CL Item
Other depolarisation/repolarisation (D99)
C0205394 (UMLS CUI-1)
C0948857 (UMLS CUI-2)
(Comment:en)
Other repolarisation
Item
Other depolarisation/repolarisation, enter comment
text
C0205394 (UMLS CUI [1,1])
C0948857 (UMLS CUI [1,2])
other 12 Lead ECG abnormalities
Item
2. Record clinically significant abnormalities- Other abnormalities, enter comment
text
C0430456 (UMLS CUI [1,1])
C1704258 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Terug naar het begin van de pagina 

Contact

Gebruik dit formulier voor feedback, vragen en verbeteringsvoorstellen.

Velden gemarkeerd met een * zijn verplicht.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial