ID

33330

Description

Study ID: 107434 Clinical Study ID: NAP107434 Study Title: A randomised, double-blind, double-dummy, placebo controlled, three-way cross-over study to investigate the effect of single oral doses of 100 mg GW273225 (4030W92) and 325 mg LAMICTAL on resting motor threshold in healthy subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Study Link: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: GW273225 Trade Name: lamictal Study Indication: Bipolar Disorder This form contains informations about any recorded ECG abnormalities during the study. It should be filled out everytime an ECG is performed.

Keywords

Versions (3)
  1. 12/5/18 12/5/18 -
  2. 12/25/18 12/25/18 -
  3. 9/27/21 9/27/21 -
Copyright Holder

GlaxoSmithKline

Uploaded on

December 5, 2018

DOI

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License

Creative Commons BY-NC 3.0
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Effect of Lamictal on Resting Motor Threshold

English

ECG Abnormalities Form

1 forms  
  1. StudyEvent: ODM
    1. ECG Abnormalities Form
Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject Screening number
Description

Subject Screening No.

Data type

integer

Alias
UMLS CUI [1,1]
C0220908
UMLS CUI [1,2]
C0600091
Subject no.
Description

Subject Number

Data type

integer

Alias
UMLS CUI [1]
C2348585
ECG Abnormalities
Description

ECG Abnormalities

Have any clinically significant ECG abnormalities been noted?
Description

ECG Abnormalities Clinically Significant

Data type

boolean

Alias
UMLS CUI [1,1]
C1832603
UMLS CUI [1,2]
C2985739
Protocol Time
Description

Protocol Time

Data type

text

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C2348563
Date of ECG
Description

Date of ECG

Data type

date

Alias
UMLS CUI [1]
C2826640
Actual Time
Description

Actual Time

Data type

time

Alias
UMLS CUI [1]
C0040223
Rhythm
Description

Rhythm

Alias
UMLS CUI-1
C0232201
Sinus bradycardia
Description

Sinus bradycardia

Data type

boolean

Alias
UMLS CUI [1]
C0085610
Sinus bradycardia (heart rate 40-50 beats/min)
Description

Sinus bradycardia (heart rate 40-50 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0085610
UMLS CUI [1,2]
C0018810
Sinus bradycardia (heart rate 30-39 beats/min)
Description

Sinus bradycardia (heart rate 30-39 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0085610
UMLS CUI [1,2]
C0018810
Sinus bradycardia (heart rate <30 beats/min)
Description

Sinus bradycardia (heart rate <30 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0085610
UMLS CUI [1,2]
C0018810
Sinus pause
Description

Sinus pause

Data type

boolean

Alias
UMLS CUI [1]
C1955864
Sinus tachycardia (heart rate> 100 beats/min)
Description

Sinus tachycardia (heart rate> 100 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0039239
UMLS CUI [1,2]
C0018810
Ectopic supraventricular beats
Description

Ectopic supraventricular beats

Data type

boolean

Alias
UMLS CUI [1]
C0033036
Ectopic supraventricular rhythm
Description

Ectopic supraventricular rhythm

Data type

boolean

Alias
UMLS CUI [1]
C2348376
Wandering atrial pacemaker
Description

Wandering atrial pacemaker

Data type

boolean

Alias
UMLS CUI [1]
C1321523
Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > I00 beats/min)
Description

Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > I00 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0221158
UMLS CUI [1,2]
C0018810
Supra ventricular tachycardia (heart rate> 100 beat/min)
Description

Supra ventricular tachycardia (heart rate> I 00 beat/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0039240
UMLS CUI [1,2]
C0018810
Atrial flutter
Description

Atrial flutter

Data type

boolean

Alias
UMLS CUI [1]
C0004239
Atrial fibrillation
Description

Atrial fibrillation

Data type

boolean

Alias
UMLS CUI [1]
C0004238
Junctional rhythm (heart rate <= 100 beat /min)
Description

Junctional rhythm (heart rate <= 100 beat /min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0232208
UMLS CUI [1,2]
C0018810
Junctional rhythm
Description

Junctional rhythm

Data type

boolean

Alias
UMLS CUI [1]
C0232208
Junctional tachycardia (heart rate> 100 beats/min)
Description

Junctional tachycardia (heart rate> I 00 beats/min)

Data type

boolean

Alias
UMLS CUI [1,1]
C0039235
UMLS CUI [1,2]
C0018810
Ectopic ventricular beats
Description

Ectopic ventricular beats

Data type

boolean

Alias
UMLS CUI [1]
C0151636
Ventricular couplets
Description

Ventricular couplets

Data type

boolean

Alias
UMLS CUI [1]
C0429001
Bigeminy
Description

Bigeminy

Data type

boolean

Alias
UMLS CUI [1]
C0262662
Trigeminy
Description

Trigeminy

Data type

boolean

Alias
UMLS CUI [1]
C0428999
Electrical alternans
Description

Electrical alternans

Data type

boolean

Alias
UMLS CUI [1]
C1142551
R on T phenomenon
Description

R on T phenomenon

Data type

boolean

Alias
UMLS CUI [1]
C0877658
Ventricular fibrillation
Description

Ventricular fibrillation

Data type

boolean

Alias
UMLS CUI [1]
C0042510
ldioventricular rhythm
Description

ldioventricular rhythm

Data type

boolean

Alias
UMLS CUI [1]
C0700363
Sustained ventricular tachycardia
Description

Sustained ventricular tachycardia

Data type

boolean

Alias
UMLS CUI [1]
C0750197
Non-sustained ventricular tachycardia
Description

Non-sustained ventricular tachycardia

Data type

boolean

Alias
UMLS CUI [1]
C0750194
Wide QRS Tachycardia (diagnosis unknown)
Description

Wide QRS Tachycardia (diagnosis unknown)

Data type

boolean

Alias
UMLS CUI [1,1]
C0344429
UMLS CUI [1,2]
C0439673
UMLS CUI [1,3]
C0011900
Ventricular tachycardia
Description

Ventricular tachycardia

Data type

boolean

Alias
UMLS CUI [1]
C0042514
Monomorphic ventricular tachycardia
Description

Monomorphic ventricular tachycardia

Data type

boolean

Alias
UMLS CUI [1]
C0344431
Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)
Description

Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)

Data type

boolean

Alias
UMLS CUI [1]
C0040479
Polymorphic (sustained and non-sustained) ventricular tachycardia
Description

Polymorphic (sustained and non-sustained) ventricular tachycardia

Data type

boolean

Alias
UMLS CUI [1]
C0344432
Artificial Pacemaker
Description

Artificial Pacemaker

Data type

boolean

Alias
UMLS CUI [1]
C0030163
Other abnormal rhythm
Description

Other abnormal rhythm

Data type

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0199556
UMLS CUI [1,3]
C0205161
If other abnormal rhythm, please specify
Description

Comment abnormal rhythm

Data type

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0199556
UMLS CUI [1,3]
C0205161
P-Wave and QRS Morphology
Description

P-Wave and QRS Morphology

Alias
UMLS CUI-1
C2216025
UMLS CUI-2
C0429098
Left atrial abnormality (P mitrale)
Description

Left atrial abnormality (P mitrale)

Data type

boolean

Alias
UMLS CUI [1,1]
C0344711
UMLS CUI [1,2]
C0232310
Right atrial abnormality (P pulmonale)
Description

Right atrial abnormality (P pulmonale)

Data type

boolean

Alias
UMLS CUI [1,1]
C0344696
UMLS CUI [1,2]
C0232308
Right ventricular hypertrophy
Description

Right ventricular hypertrophy

Data type

boolean

Alias
UMLS CUI [1]
C0162770
Intraatrial conduction delay
Description

Intraatrial conduction delay

Data type

boolean

Alias
UMLS CUI [1]
C2346510
Increased voltage consistent with left ventricular hypertrophy
Description

Increased voltage consistent with left ventricular hypertrophy

Data type

boolean

Alias
UMLS CUI [1,1]
C1112650
UMLS CUI [1,2]
C0149721
Other morphology
Description

Other morphology

Data type

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0332437
If other morphology, please specify
Description

Comment other morphology

Data type

text

Alias
UMLS CUI [1,1]
C0332437
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0947611
Conduction
Description

Conduction

Alias
UMLS CUI-1
C0264886
First degree AV block (PR interval> 200msec)
Description

First degree AV block (PR interval> 200msec)

Data type

boolean

Alias
UMLS CUI [1]
C0085614
Short PR interval
Description

Short PR interval

Data type

boolean

Alias
UMLS CUI [1]
C0520878
Second degree AV block (Mobitz type 1)
Description

Second degree AV block (Mobitz type 1)

Data type

boolean

Alias
UMLS CUI [1]
C0264907
Second degree AV block (Mobitz type 2)
Description

Second degree AV block (Mobitz type 2)

Data type

boolean

Alias
UMLS CUI [1]
C0155700
2: 1 AV block
Description

2: 1 AV block

Data type

boolean

Alias
UMLS CUI [1]
C2346542
Third degree AV block
Description

Third degree AV block

Data type

boolean

Alias
UMLS CUI [1]
C0151517
Left axis deviation (QRS axis more negative than -30 degrees)
Description

Left axis deviation (QRS axis more negative than -30 degrees)

Data type

boolean

Alias
UMLS CUI [1]
C0232297
Right axis deviation (QRS axis more positive than+ 110 degrees)
Description

Right axis deviation (QRS axis more positive than+ 110 degrees)

Data type

boolean

Alias
UMLS CUI [1]
C0232296
Incomplete right bundle branch block
Description

Incomplete right bundle branch block

Data type

boolean

Alias
UMLS CUI [1]
C0262525
Incomplete left bundle branch block
Description

Incomplete left bundle branch block

Data type

boolean

Alias
UMLS CUI [1]
C0281878
Right bundle branch block
Description

Right bundle branch block

Data type

boolean

Alias
UMLS CUI [1]
C0085615
Left anterior hemiblock (synonymous to left anterior fascicular block)
Description

Left anterior hemiblock (synonymous to left anterior fascicular block)

Data type

boolean

Alias
UMLS CUI [1]
C0264912
Left posterior hemiblock (synonymous to left posterior fascicular block)
Description

Left posterior hemiblock (synonymous to left posterior fascicular block)

Data type

boolean

Alias
UMLS CUI [1]
C0264913
Left bundle branch block
Description

Left bundle branch block

Data type

boolean

Alias
UMLS CUI [1]
C0023211
Bifascicular block
Description

Bifascicular block

Data type

boolean

Alias
UMLS CUI [1]
C0264914
Non-specific intraventricular conduction delay (QRS >= 120 msec)
Description

Non-specific intraventricular conduction delay (QRS >= 120 msec)

Data type

boolean

Alias
UMLS CUI [1]
C3697597
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
Description

Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)

Data type

boolean

Alias
UMLS CUI [1,1]
C1963785
UMLS CUI [1,2]
C0043202
UMLS CUI [1,3]
C0024054
Prolonged QT interval
Description

Prolonged QT interval

Data type

boolean

Alias
UMLS CUI [1]
C0151878
QT/QTc prolongation >=500msec
Description

QT/QTc prolongation >=500msec

Data type

boolean

Alias
UMLS CUI [1]
C0855333
AV dissociation
Description

AV dissociation

Data type

boolean

Alias
UMLS CUI [1]
C0004331
Other conduction
Description

Other conduction

Data type

boolean

Alias
UMLS CUI [1,1]
C0232217
UMLS CUI [1,2]
C0205394
If other conduction, please specify
Description

Comment other conduction

Data type

text

Alias
UMLS CUI [1,1]
C0340494
UMLS CUI [1,2]
C0947611
Myocardial Infarction
Description

Myocardial Infarction

Alias
UMLS CUI-1
C0027051
Myocardial infarction, old
Description

Myocardial infarction, old

Data type

boolean

Alias
UMLS CUI [1]
C0155668
Myocardial infarction, anterior
Description

Myocardial infarction, anterior

Data type

boolean

Alias
UMLS CUI [1]
C0340293
Myocardial infarction, lateral
Description

Myocardial infarction, lateral

Data type

boolean

Alias
UMLS CUI [1]
C0340312
Myocardial infarction, posterior
Description

Myocardial infarction, posterior

Data type

boolean

Alias
UMLS CUI [1]
C0340319
Myocardial infarction, inferior
Description

Myocardial infarction, inferior

Data type

boolean

Alias
UMLS CUI [1]
C0340305
Myocardial infarction, septal
Description

Myocardial infarction, septal

Data type

boolean

Alias
UMLS CUI [1]
C0746727
Myocardial infarction, Non Q-wave
Description

Myocardial infarction, Non Q-wave

Data type

boolean

Alias
UMLS CUI [1]
C0542269
Other myocardial infarction
Description

Other myocardial infarction

Data type

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0027051
If other myocardial infarction, please specify
Description

Comment other myocardial infarction

Data type

text

Alias
UMLS CUI [1,1]
C0027051
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0947611
Depolarisation/Repolarisation (QRS-T)
Description

Depolarisation/Repolarisation (QRS-T)

Alias
UMLS CUI-1
C0948857
UMLS CUI-2
C1331539
Non-specific ST-T changes
Description

Non-specific ST-T changes

Data type

boolean

Alias
UMLS CUI [1]
C1112720
J point elevation
Description

J point elevation

Data type

boolean

Alias
UMLS CUI [1]
C2346597
ST elevation
Description

ST elevation

Data type

boolean

Alias
UMLS CUI [1]
C0520886
ST-elevation - pericarditis
Description

ST-elevation - pericarditis

Data type

boolean

Alias
UMLS CUI [1]
C2348119
ST depression
Description

ST depression

Data type

boolean

Alias
UMLS CUI [1]
C0520887
ST segment abnormality, not specified
Description

ST segment abnormality, not specified

Data type

boolean

Alias
UMLS CUI [1,1]
C2348120
UMLS CUI [1,2]
C0205370
U waves abnormal
Description

U waves abnormal

Data type

boolean

Alias
UMLS CUI [1]
C0438169
T wave inversion
Description

T wave inversion

Data type

boolean

Alias
UMLS CUI [1]
C0520888
T wave peaked
Description

T wave peaked

Data type

boolean

Alias
UMLS CUI [1]
C0239242
T waves flat
Description

T waves flat

Data type

boolean

Alias
UMLS CUI [1]
C2215959
T waves biphasic
Description

T waves biphasic

Data type

boolean

Alias
UMLS CUI [1]
C2348639
Notched T-waves
Description

Notched T-waves

Data type

boolean

Alias
UMLS CUI [1]
C2347367
Low QRS voltage
Description

Low QRS voltage

Data type

boolean

Alias
UMLS CUI [1]
C2349945
T-wave flattening/inversion
Description

T-wave flattening/inversion

Data type

boolean

Alias
UMLS CUI [1,1]
C0520888
UMLS CUI [1,2]
C0429059
T-wave abnormality, not specified
Description

T-wave abnormality, not specified

Data type

boolean

Alias
UMLS CUI [1,1]
C0438167
UMLS CUI [1,2]
C0205370
Other depolarisation/repolarisation
Description

Other depolarisation/repolarisation

Data type

boolean

Alias
UMLS CUI [1,1]
C0948857
UMLS CUI [1,2]
C0205394
If other depolarisation/repolarisation, please specify
Description

Comment other depolarisation/repolarisation

Data type

text

Alias
UMLS CUI [1,1]
C0948857
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0947611
Other Abnormalities
Description

Other Abnormalities

Alias
UMLS CUI-1
C0522055
UMLS CUI-2
C0205394
Other Abnormalities
Description

Other Abnormalities

Data type

boolean

Alias
UMLS CUI [1,1]
C0522055
UMLS CUI [1,2]
C0205394
Comment Other Abnormalities
Description

Comment Other Abnormalities

Data type

text

Alias
UMLS CUI [1,1]
C0522055
UMLS CUI [1,2]
C3845569
Conclusion
Description

Conclusion

Alias
UMLS CUI-1
C1707478
Staff initials
Description

Staff initials

Data type

text

Alias
UMLS CUI [1,1]
C2986440
UMLS CUI [1,2]
C1552089
Date
Description

Date

Data type

date

Alias
UMLS CUI [1]
C0011008
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Similar models

ECG Abnormalities Form

1 forms
  1. StudyEvent: ODM
    1. ECG Abnormalities Form
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject Screening No.
Item
Subject Screening number
integer
C0220908 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Subject no.
integer
C2348585 (UMLS CUI [1])
Item Group
ECG Abnormalities
ECG Abnormalities Clinically Significant
Item
Have any clinically significant ECG abnormalities been noted?
boolean
C1832603 (UMLS CUI [1,1])
C2985739 (UMLS CUI [1,2])
Protocol Time
Item
Protocol Time
text
C0040223 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Date of ECG
Item
Date of ECG
date
C2826640 (UMLS CUI [1])
Actual Time
Item
Actual Time
time
C0040223 (UMLS CUI [1])
Item Group
Rhythm
C0232201 (UMLS CUI-1)
Sinus bradycardia
Item
Sinus bradycardia
boolean
C0085610 (UMLS CUI [1])
Sinus bradycardia (heart rate 40-50 beats/min)
Item
Sinus bradycardia (heart rate 40-50 beats/min)
boolean
C0085610 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Sinus bradycardia (heart rate 30-39 beats/min)
Item
Sinus bradycardia (heart rate 30-39 beats/min)
boolean
C0085610 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Sinus bradycardia (heart rate <30 beats/min)
Item
Sinus bradycardia (heart rate <30 beats/min)
boolean
C0085610 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Sinus pause
Item
Sinus pause
boolean
C1955864 (UMLS CUI [1])
Sinus tachycardia (heart rate> 100 beats/min)
Item
Sinus tachycardia (heart rate> 100 beats/min)
boolean
C0039239 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Ectopic supraventricular beats
Item
Ectopic supraventricular beats
boolean
C0033036 (UMLS CUI [1])
Ectopic supraventricular rhythm
Item
Ectopic supraventricular rhythm
boolean
C2348376 (UMLS CUI [1])
Wandering atrial pacemaker
Item
Wandering atrial pacemaker
boolean
C1321523 (UMLS CUI [1])
Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > I00 beats/min)
Item
Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > I00 beats/min)
boolean
C0221158 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Supra ventricular tachycardia (heart rate> I 00 beat/min)
Item
Supra ventricular tachycardia (heart rate> 100 beat/min)
boolean
C0039240 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Atrial flutter
Item
Atrial flutter
boolean
C0004239 (UMLS CUI [1])
Atrial fibrillation
Item
Atrial fibrillation
boolean
C0004238 (UMLS CUI [1])
Junctional rhythm (heart rate <= 100 beat /min)
Item
Junctional rhythm (heart rate <= 100 beat /min)
boolean
C0232208 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Junctional rhythm
Item
Junctional rhythm
boolean
C0232208 (UMLS CUI [1])
Junctional tachycardia (heart rate> I 00 beats/min)
Item
Junctional tachycardia (heart rate> 100 beats/min)
boolean
C0039235 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Ectopic ventricular beats
Item
Ectopic ventricular beats
boolean
C0151636 (UMLS CUI [1])
Ventricular couplets
Item
Ventricular couplets
boolean
C0429001 (UMLS CUI [1])
Bigeminy
Item
Bigeminy
boolean
C0262662 (UMLS CUI [1])
Trigeminy
Item
Trigeminy
boolean
C0428999 (UMLS CUI [1])
Electrical alternans
Item
Electrical alternans
boolean
C1142551 (UMLS CUI [1])
R on T phenomenon
Item
R on T phenomenon
boolean
C0877658 (UMLS CUI [1])
Ventricular fibrillation
Item
Ventricular fibrillation
boolean
C0042510 (UMLS CUI [1])
ldioventricular rhythm
Item
ldioventricular rhythm
boolean
C0700363 (UMLS CUI [1])
Sustained ventricular tachycardia
Item
Sustained ventricular tachycardia
boolean
C0750197 (UMLS CUI [1])
Non-sustained ventricular tachycardia
Item
Non-sustained ventricular tachycardia
boolean
C0750194 (UMLS CUI [1])
Wide QRS Tachycardia (diagnosis unknown)
Item
Wide QRS Tachycardia (diagnosis unknown)
boolean
C0344429 (UMLS CUI [1,1])
C0439673 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
Ventricular tachycardia
Item
Ventricular tachycardia
boolean
C0042514 (UMLS CUI [1])
Monomorphic ventricular tachycardia
Item
Monomorphic ventricular tachycardia
boolean
C0344431 (UMLS CUI [1])
Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)
Item
Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)
boolean
C0040479 (UMLS CUI [1])
Polymorphic (sustained and non-sustained) ventricular tachycardia
Item
Polymorphic (sustained and non-sustained) ventricular tachycardia
boolean
C0344432 (UMLS CUI [1])
Artificial Pacemaker
Item
Artificial Pacemaker
boolean
C0030163 (UMLS CUI [1])
Other abnormal rhythm
Item
Other abnormal rhythm
boolean
C0205394 (UMLS CUI [1,1])
C0199556 (UMLS CUI [1,2])
C0205161 (UMLS CUI [1,3])
Comment abnormal rhythm
Item
If other abnormal rhythm, please specify
text
C0947611 (UMLS CUI [1,1])
C0199556 (UMLS CUI [1,2])
C0205161 (UMLS CUI [1,3])
Item Group
P-Wave and QRS Morphology
C2216025 (UMLS CUI-1)
C0429098 (UMLS CUI-2)
Left atrial abnormality (P mitrale)
Item
Left atrial abnormality (P mitrale)
boolean
C0344711 (UMLS CUI [1,1])
C0232310 (UMLS CUI [1,2])
Right atrial abnormality (P pulmonale)
Item
Right atrial abnormality (P pulmonale)
boolean
C0344696 (UMLS CUI [1,1])
C0232308 (UMLS CUI [1,2])
Right ventricular hypertrophy
Item
Right ventricular hypertrophy
boolean
C0162770 (UMLS CUI [1])
Intraatrial conduction delay
Item
Intraatrial conduction delay
boolean
C2346510 (UMLS CUI [1])
Increased voltage consistent with left ventricular hypertrophy
Item
Increased voltage consistent with left ventricular hypertrophy
boolean
C1112650 (UMLS CUI [1,1])
C0149721 (UMLS CUI [1,2])
Other morphology
Item
Other morphology
boolean
C0205394 (UMLS CUI [1,1])
C0332437 (UMLS CUI [1,2])
Comment other morphology
Item
If other morphology, please specify
text
C0332437 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Item Group
Conduction
C0264886 (UMLS CUI-1)
First degree AV block (PR interval> 200msec)
Item
First degree AV block (PR interval> 200msec)
boolean
C0085614 (UMLS CUI [1])
Short PR interval
Item
Short PR interval
boolean
C0520878 (UMLS CUI [1])
Second degree AV block (Mobitz type 1)
Item
Second degree AV block (Mobitz type 1)
boolean
C0264907 (UMLS CUI [1])
Second degree AV block (Mobitz type 2)
Item
Second degree AV block (Mobitz type 2)
boolean
C0155700 (UMLS CUI [1])
2: 1 AV block
Item
2: 1 AV block
boolean
C2346542 (UMLS CUI [1])
Third degree AV block
Item
Third degree AV block
boolean
C0151517 (UMLS CUI [1])
Left axis deviation (QRS axis more negative than -30 degrees)
Item
Left axis deviation (QRS axis more negative than -30 degrees)
boolean
C0232297 (UMLS CUI [1])
Right axis deviation (QRS axis more positive than+ 110 degrees)
Item
Right axis deviation (QRS axis more positive than+ 110 degrees)
boolean
C0232296 (UMLS CUI [1])
Incomplete right bundle branch block
Item
Incomplete right bundle branch block
boolean
C0262525 (UMLS CUI [1])
Incomplete left bundle branch block
Item
Incomplete left bundle branch block
boolean
C0281878 (UMLS CUI [1])
Right bundle branch block
Item
Right bundle branch block
boolean
C0085615 (UMLS CUI [1])
Left anterior hemiblock (synonymous to left anterior fascicular block)
Item
Left anterior hemiblock (synonymous to left anterior fascicular block)
boolean
C0264912 (UMLS CUI [1])
Left posterior hemiblock (synonymous to left posterior fascicular block)
Item
Left posterior hemiblock (synonymous to left posterior fascicular block)
boolean
C0264913 (UMLS CUI [1])
Left bundle branch block
Item
Left bundle branch block
boolean
C0023211 (UMLS CUI [1])
Bifascicular block
Item
Bifascicular block
boolean
C0264914 (UMLS CUI [1])
Non-specific intraventricular conduction delay (QRS >= 120 msec)
Item
Non-specific intraventricular conduction delay (QRS >= 120 msec)
boolean
C3697597 (UMLS CUI [1])
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
Item
Accessory pathway (Wolff-Parkinson White, Lown-Ganong-Levine)
boolean
C1963785 (UMLS CUI [1,1])
C0043202 (UMLS CUI [1,2])
C0024054 (UMLS CUI [1,3])
Prolonged QT interval
Item
Prolonged QT interval
boolean
C0151878 (UMLS CUI [1])
QT/QTc prolongation >=500msec
Item
QT/QTc prolongation >=500msec
boolean
C0855333 (UMLS CUI [1])
AV dissociation
Item
AV dissociation
boolean
C0004331 (UMLS CUI [1])
Other conduction
Item
Other conduction
boolean
C0232217 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Comment other conduction
Item
If other conduction, please specify
text
C0340494 (UMLS CUI [1,1])
C0947611 (UMLS CUI [1,2])
Item Group
Myocardial Infarction
C0027051 (UMLS CUI-1)
Myocardial infarction, old
Item
Myocardial infarction, old
boolean
C0155668 (UMLS CUI [1])
Myocardial infarction, anterior
Item
Myocardial infarction, anterior
boolean
C0340293 (UMLS CUI [1])
Myocardial infarction, lateral
Item
Myocardial infarction, lateral
boolean
C0340312 (UMLS CUI [1])
Myocardial infarction, posterior
Item
Myocardial infarction, posterior
boolean
C0340319 (UMLS CUI [1])
Myocardial infarction, inferior
Item
Myocardial infarction, inferior
boolean
C0340305 (UMLS CUI [1])
Myocardial infarction, septal
Item
Myocardial infarction, septal
boolean
C0746727 (UMLS CUI [1])
Myocardial infarction, Non Q-wave
Item
Myocardial infarction, Non Q-wave
boolean
C0542269 (UMLS CUI [1])
Other myocardial infarction
Item
Other myocardial infarction
boolean
C0205394 (UMLS CUI [1,1])
C0027051 (UMLS CUI [1,2])
Comment other myocardial infarction
Item
If other myocardial infarction, please specify
text
C0027051 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Item Group
Depolarisation/Repolarisation (QRS-T)
C0948857 (UMLS CUI-1)
C1331539 (UMLS CUI-2)
Non-specific ST-T changes
Item
Non-specific ST-T changes
boolean
C1112720 (UMLS CUI [1])
J point elevation
Item
J point elevation
boolean
C2346597 (UMLS CUI [1])
ST elevation
Item
ST elevation
boolean
C0520886 (UMLS CUI [1])
ST-elevation - pericarditis
Item
ST-elevation - pericarditis
boolean
C2348119 (UMLS CUI [1])
ST depression
Item
ST depression
boolean
C0520887 (UMLS CUI [1])
ST segment abnormality, not specified
Item
ST segment abnormality, not specified
boolean
C2348120 (UMLS CUI [1,1])
C0205370 (UMLS CUI [1,2])
U waves abnormal
Item
U waves abnormal
boolean
C0438169 (UMLS CUI [1])
T wave inversion
Item
T wave inversion
boolean
C0520888 (UMLS CUI [1])
T wave peaked
Item
T wave peaked
boolean
C0239242 (UMLS CUI [1])
T waves flat
Item
T waves flat
boolean
C2215959 (UMLS CUI [1])
T waves biphasic
Item
T waves biphasic
boolean
C2348639 (UMLS CUI [1])
Notched T-waves
Item
Notched T-waves
boolean
C2347367 (UMLS CUI [1])
Low QRS voltage
Item
Low QRS voltage
boolean
C2349945 (UMLS CUI [1])
T-wave flattening/inversion
Item
T-wave flattening/inversion
boolean
C0520888 (UMLS CUI [1,1])
C0429059 (UMLS CUI [1,2])
T-wave abnormality, not specified
Item
T-wave abnormality, not specified
boolean
C0438167 (UMLS CUI [1,1])
C0205370 (UMLS CUI [1,2])
Other depolarisation/repolarisation
Item
Other depolarisation/repolarisation
boolean
C0948857 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Comment other depolarisation/repolarisation
Item
If other depolarisation/repolarisation, please specify
text
C0948857 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
Item Group
Other Abnormalities
C0522055 (UMLS CUI-1)
C0205394 (UMLS CUI-2)
Other Abnormalities
Item
Other Abnormalities
boolean
C0522055 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Comment Other Abnormalities
Item
Comment Other Abnormalities
text
C0522055 (UMLS CUI [1,1])
C3845569 (UMLS CUI [1,2])
Item Group
Conclusion
C1707478 (UMLS CUI-1)
Staff initials
Item
Staff initials
text
C2986440 (UMLS CUI [1,1])
C1552089 (UMLS CUI [1,2])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
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