Coronary Revascularization
Percutaneous coronary intervention
Coronary artery bypass graft procedure
Specify other coronary revascularization procedure
AE Details
AE / SAE Number
integer
Did the subject have this coronary revascularization procedure during a hospitalization for an acute myocardial infraction or angina or chest pain?
text
Was this an elective/non-emergency procedure?
boolean
Did the subject have this procedure as a result of another Adverse Event or Serious Adverse Event?
boolean
If Yes, please record AE/SAE number
integer
please submit a copy of the cardiac enzyme/marker report, if available
text
Enzyme Value Data
Did a cerebrovascular accident (CVA) occur after the procedure?
integer
Did the subject die as a direct consequence of the procedure?
text
CK-MB
Was the value examination done?
boolean
the lab result value that most immediately precede the procedure
text
Date sample taken
date
Time
time
Post-Procedure peak value
text
Date sample taken
date
Time
time
Upper Limit of Normal
text
Enzyme Unit
text
Troponin I
Was the value examination done?
boolean
the lab result value that most immediately precede the procedure
text
Date sample taken
date
Time
time
Post-Procedure peak value
text
Date sample taken
date
Time
time
Upper Limit of Normal
text
Enzyme Unit
text
Troponin T
Was the value examination done?
boolean
the lab result value that most immediately precede the procedure
text
Date sample taken
date
Time
time
Post-Procedure peak value
text
Date sample taken
date
Time
time
Upper Limit of Normal
text
Enzyme Unit
text