ID

33916

Descrizione

Study ID: 107032 Clinical Study ID: GLP107032 Study Title: An open-label study to evaluate the pharmacokinetics of an oral contraceptive containing Norethindrone and Ethinyl Estradiol when co-administered with GSK716155 in healthy adult female subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT01077505 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: albiglutide Trade Name: Tanzeum,Eperzan Study Indication: Diabetes Mellitus, Type 2

Keywords

  1. 07/01/19 07/01/19 -
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GSK group of companies

Caricato su

7 gennaio 2019

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Licenza

Creative Commons BY-NC 3.0

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Pharmacokinetics of an oral contraceptive co-administered with Albiglutide in women - 107032

Adjudication Events - Acute Myocardial Infraction/Hospitalized Angina or Chest Pain

Administrative data
Descrizione

Administrative data

Site
Descrizione

Site

Tipo di dati

text

Subject
Descrizione

Subject

Tipo di dati

text

Visit Name
Descrizione

Visit Name

Tipo di dati

text

Status
Descrizione

Status

Tipo di dati

text

Document Number
Descrizione

Document Number

Tipo di dati

text

Acute Myocardial Infraction/Hospitalized Angina or Chest Pain
Descrizione

Acute Myocardial Infraction/Hospitalized Angina or Chest Pain

AE / SAE Number
Descrizione

AE / SAE Number

Tipo di dati

integer

Date of event
Descrizione

Date of event

Tipo di dati

date

Estimated time of event
Descrizione

Estimated time of event

Tipo di dati

time

Was the subject hospitalized because of this event?
Descrizione

Was the subject hospitalized because of this event?

Tipo di dati

boolean

Date of hospitalization
Descrizione

Date of Hospitalization

Tipo di dati

date

Time of Hospitalization
Descrizione

Time of Hospitalization

Tipo di dati

time

If Yes, was this event the primary reason for hospitalization?
Descrizione

If Yes, was this event the primary reason for hospitalization?

Tipo di dati

boolean

If No, please specify primary reason for hospitalization:
Descrizione

If No, please specify primary reason for hospitalization:

Tipo di dati

text

AE/SAE Number
Descrizione

AE/SAE Number

Tipo di dati

integer

Did the event occur during an ongoing hospitalization?
Descrizione

Did the event occur during an ongoing hospitalization?

Tipo di dati

boolean

If Yes, please specify primary reason for hospitalization
Descrizione

If Yes, please specify primary reason for hospitalization

Tipo di dati

text

AE/SAE Number
Descrizione

AE/SAE Number

Tipo di dati

integer

Did the subject die because of this event?
Descrizione

if Yes, please complete the Death form

Tipo di dati

boolean

Do you consider that this event occurred as a direct consequence of any procedure/operation?
Descrizione

Do you consider that this event occurred as a direct consequence of any procedure/operation?

Tipo di dati

boolean

If Yes, please record AE/SAE Number
Descrizione

If Yes, please record AE/SAE Number

Tipo di dati

integer

Date of procedure/operation
Descrizione

Date of procedure/operation

Tipo di dati

date

Specify the procedure/operation
Descrizione

Specify the procedure/operation

Tipo di dati

text

Did this even occur after a coronary revascularization procedure?
Descrizione

If Yes, please complete a Coronary Revascularization form

Tipo di dati

boolean

Clinical Presentation
Descrizione

Clinical Presentation

Exercise related cardiac ischaemic-type chest pain/discomfort of new onset and duration of at least 10 minutes.
Descrizione

Exercise related cardiac ischaemic-type chest pain/discomfort of new onset and duration of at least 10 minutes.

Tipo di dati

boolean

Exercise related cardiac ischaemic-type chest pain/discomfort increasing in frequency and/or severity and duration of at least 10 minutes.
Descrizione

Exercise related cardiac ischaemic-type chest pain/discomfort increasing in frequency and/or severity and duration of at least 10 minutes.

Tipo di dati

boolean

Decreasing threshold for onset of exercise related cardiac ishaemic-type chest pain/discomfort.
Descrizione

Decreasing threshold for onset of exercise related cardiac ishaemic-type chest pain/discomfort.

Tipo di dati

boolean

Cardiac ischaemic-type chest pain/discomfort at rest
Descrizione

Cardiac ischaemic-type chest pain/discomfort at rest

Tipo di dati

boolean

Severe, prolonged cardiac ischaemic-type chest pain or discomfort.
Descrizione

Severe, prolonged cardiac ischaemic-type chest pain or discomfort.

Tipo di dati

boolean

Other chest pain
Descrizione

e.g., non-cardiac-type chest pain or discomfort

Tipo di dati

text

Other possible manifestation of myocardial ischaemia.
Descrizione

e.g., arm, throat or jaw pain/discomfort

Tipo di dati

text

Electrocardiographic Details
Descrizione

Electrocardiographic Details

Were ECGs recorded in view of this event?
Descrizione

Were ECGs recorded in view of this event?

Tipo di dati

boolean

a. Are ECGs relating to this event (i.e during and/or after event) available?
Descrizione

a. Are ECGs relating to this event (i.e during and/or after event) available?

Tipo di dati

text

Dates of ECG
Descrizione

record all dates here

Tipo di dati

integer

Times of ECG
Descrizione

record all times here

Tipo di dati

time

b. Did the subject develop new ECG changes?
Descrizione

if Yes, please ensure that you have provided copies of any ECG tracings that show these new changes.

Tipo di dati

boolean

New pathologic Q waves (or new R waves in V1 and V2) in 2 or more contiguous leads
Descrizione

New pathologic Q waves (or new R waves in V1 and V2) in 2 or more contiguous leads

Tipo di dati

boolean

If Yes, mark all that apply
Descrizione

If Yes, mark all that apply

Tipo di dati

text

If Other, specify
Descrizione

If Other, specify

Tipo di dati

text

New ST segment elevation in 2 or more contiguous leads
Descrizione

New ST segment elevation in 2 or more contiguous leads

Tipo di dati

boolean

If Yes, mark all that apply
Descrizione

If Yes, mark all that apply

Tipo di dati

text

Other, specify
Descrizione

Other, specify

Tipo di dati

text

New ST segment depression
Descrizione

New ST segment depression

Tipo di dati

boolean

If Yes, mark all that apply
Descrizione

If Yes, mark all that apply

Tipo di dati

text

Other, specify
Descrizione

Other, specify

Tipo di dati

text

New T wave changes
Descrizione

New T wave changes

Tipo di dati

text

Other, specify
Descrizione

Other, specify

Tipo di dati

text

New left bundle branch block
Descrizione

New left bundle branch block

Tipo di dati

boolean

Other new ECG changes
Descrizione

Other new ECG changes

Tipo di dati

boolean

Other, specify
Descrizione

Other, specify

Tipo di dati

text

Cardiac Enzymes/Markers
Descrizione

Cardiac Enzymes/Markers

Were cardiac enzymes/markers measured in view of this event?
Descrizione

PLease submit a copy of the cardiac enzymes/markers report, if available

Tipo di dati

boolean

CK-MB
Descrizione

CK-MB

Were the values taken?
Descrizione

Were the values taken?

Tipo di dati

boolean

Peak Value
Descrizione

Peak Value

Tipo di dati

text

Date sample taken
Descrizione

Date sample taken

Tipo di dati

date

Time
Descrizione

Time

Tipo di dati

time

Upper Limit of Normal
Descrizione

Upper Limit of Normal

Tipo di dati

text

Enzyme Unit
Descrizione

Enzyme Unit

Tipo di dati

text

Troponin I
Descrizione

Troponin I

Were the values taken?
Descrizione

Were the values taken?

Tipo di dati

boolean

Peak Value
Descrizione

Peak Value

Tipo di dati

text

Date sample taken
Descrizione

Date sample taken

Tipo di dati

date

Time
Descrizione

Time

Tipo di dati

time

Upper Limit of Normal
Descrizione

Upper Limit of Normal

Tipo di dati

text

Enzyme Unit
Descrizione

Enzyme Unit

Tipo di dati

text

Troponin T
Descrizione

Troponin T

Were the values taken?
Descrizione

Were the values taken?

Tipo di dati

text

Peak Value
Descrizione

Peak Value

Tipo di dati

text

Date sample taken
Descrizione

Date sample taken

Tipo di dati

date

Time
Descrizione

Time

Tipo di dati

time

Upper Limit of Normal
Descrizione

Upper Limit of Normal

Tipo di dati

text

Enzyme Unit
Descrizione

Enzyme Unit

Tipo di dati

text

Treatment Given for Acute MI/Hospitalized Angina/Chest Pain Event
Descrizione

Treatment Given for Acute MI/Hospitalized Angina/Chest Pain Event

What treatment was prescribed?
Descrizione

check all that apply

Tipo di dati

text

If Primary or rescue percutaneous coronary intervention was prescribed, record the AE/SAE number:
Descrizione

If Primary or rescue percutaneous coronary intervention was prescribed, record the AE/SAE number:

Tipo di dati

integer

If Percutaneous coronary intervention for unstable angina was prescribed, record the AE/SAE number:
Descrizione

If Percutaneous coronary intervention for unstable angina was prescribed, record the AE/SAE number:

Tipo di dati

integer

For Other percutaneous coronary intervention record AE/SAE number
Descrizione

For Other percutaneous coronary intervention record AE/SAE number

Tipo di dati

integer

Date
Descrizione

Date

Tipo di dati

date

For Coronary bypass surgery record AE/SAE number
Descrizione

For Coronary bypass surgery record AE/SAE number

Tipo di dati

integer

For Other revascularisation procedure/operation/mechanical intervention specify the treatment type:
Descrizione

For Other revascularisation procedure/operation/mechanical intervention specify the treatment type:

Tipo di dati

text

AE/SAE number
Descrizione

AE/SAE number

Tipo di dati

integer

Specify any additional therapies:
Descrizione

Specify any additional therapies:

Tipo di dati

text

Other Investigations Undertaken in View of this Event
Descrizione

Other Investigations Undertaken in View of this Event

1. Was coronary angiography performed in view of this event?
Descrizione

1. Was coronary angiography performed in view of this event?

Tipo di dati

boolean

Date of coronary angiography performed
Descrizione

Date of coronary angiography performed

Tipo di dati

date

Was invasive coronary angiography (i.e involving cardiac catheterization) performed?
Descrizione

Was invasive coronary angiography (i.e involving cardiac catheterization) performed?

Tipo di dati

boolean

Date of invasive coronary angiography performed
Descrizione

Date of invasive coronary angiography performed

Tipo di dati

date

Was this reported to demonstrate angiographycally significant coronary artery disease thought to be responsible for the subject's presentation?
Descrizione

Was this reported to demonstrate angiographycally significant coronary artery disease thought to be responsible for the subject's presentation?

Tipo di dati

boolean

Was a stent previously placed prior to this hospitalization?
Descrizione

Was a stent previously placed prior to this hospitalization?

Tipo di dati

boolean

Was there evidence of stent thrombosis?
Descrizione

Was there evidence of stent thrombosis?

Tipo di dati

boolean

CT coronary angiography
Descrizione

CT coronary angiography

Tipo di dati

boolean

If Yes, date of angiography performed
Descrizione

Please submit a copy of the report, if available

Tipo di dati

date

Was this reported to demonstrate angiographically significant coronary artery disease thought to be responsible for the subject's presentation?
Descrizione

Was this reported to demonstrate angiographically significant coronary artery disease thought to be responsible for the subject's presentation?

Tipo di dati

boolean

2. Was echocardiography performed in view of this event?
Descrizione

2. Was echocardiography performed in view of this event?

Tipo di dati

boolean

Date of echocardiography
Descrizione

Date of echocardiography

Tipo di dati

date

Did this show evidence of a new regional wall motion abnormality?
Descrizione

Did this show evidence of a new regional wall motion abnormality?

Tipo di dati

boolean

If Yes, mark all that apply
Descrizione

If Yes, mark all that apply

Tipo di dati

text

If Other, specify
Descrizione

If Other, specify

Tipo di dati

text

3. Was an exercise ECG test undertaken?
Descrizione

3. Was an exercise ECG test undertaken?

Tipo di dati

boolean

Date of ECG test
Descrizione

please submit a copy of the echocardiogram report, if available

Tipo di dati

date

Was the test positive for reversible myocardial ischaemia?
Descrizione

Was the test positive for reversible myocardial ischaemia?

Tipo di dati

boolean

4. Was a stress myocardial perfusion scan undertaken?
Descrizione

4. Was a stress myocardial perfusion scan undertaken?

Tipo di dati

boolean

If Yes, record the date
Descrizione

please submit a copy of the stress myocardial perfusion scan report, if available

Tipo di dati

date

Test type
Descrizione

Test type

Tipo di dati

text

Was this test positive for reversible myocardial ischaemia?
Descrizione

Was this test positive for reversible myocardial ischaemia?

Tipo di dati

boolean

5. Was any other investigation to test for the presence of reversible myocardial ischaemia undertaken (e.g. stress echocardiogram)?
Descrizione

5. Was any other investigation to test for the presence of reversible myocardial ischaemia undertaken (e.g. stress echocardiogram)?

Tipo di dati

boolean

Specify type of test
Descrizione

Specify type of test

Tipo di dati

text

Date of test
Descrizione

Please submit a copy of the other investigation report, if available

Tipo di dati

date

Was the test positive for reversible myocardial ischaemia?
Descrizione

Was the test positive for reversible myocardial ischaemia?

Tipo di dati

boolean

Final Clinical Diagnosis
Descrizione

Final Clinical Diagnosis

Was the final clinical diagnosis in relation to this event?
Descrizione

Was the final clinical diagnosis in relation to this event?

Tipo di dati

integer

In case of acute myocardial infraction, choose the type of myocardial infraction
Descrizione

mark one only

Tipo di dati

text

In case of other chest pain, specify
Descrizione

In case of other chest pain, specify

Tipo di dati

text

In case of other clinical diagnosis, specify
Descrizione

In case of other clinical diagnosis, specify

Tipo di dati

text

Narrative
Descrizione

Narrative

Briefly describe the event
Descrizione

include clinical presentation, treatment (including procedures or operations), results of investigations (e.g., ECGs and whether cardiac enzymes/biomarkers were elevated), and outcome, including autopsy if appropriate. Please provide sufficient information to allow the Endpoint Committee to accurately classify this event. A copy of the hospital discharge summary should be submitted.

Tipo di dati

text

Similar models

Adjudication Events - Acute Myocardial Infraction/Hospitalized Angina or Chest Pain

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative data
Site
Item
Site
text
Subject
Item
Subject
text
Item
Visit Name
text
Code List
Visit Name
CL Item
Adjudication (1)
Status
Item
Status
text
Document Number
Item
Document Number
text
Item Group
Acute Myocardial Infraction/Hospitalized Angina or Chest Pain
AE / SAE Number
Item
AE / SAE Number
integer
Date of event
Item
Date of event
date
Estimated time of event
Item
Estimated time of event
time
Was the subject hospitalized because of this event?
Item
Was the subject hospitalized because of this event?
boolean
Date of Hospitalization
Item
Date of hospitalization
date
Time of Hospitalization
Item
Time of Hospitalization
time
If Yes, was this event the primary reason for hospitalization?
Item
If Yes, was this event the primary reason for hospitalization?
boolean
If No, please specify primary reason for hospitalization:
Item
If No, please specify primary reason for hospitalization:
text
AE/SAE Number
Item
AE/SAE Number
integer
Did the event occur during an ongoing hospitalization?
Item
Did the event occur during an ongoing hospitalization?
boolean
If Yes, please specify primary reason for hospitalization
Item
If Yes, please specify primary reason for hospitalization
text
AE/SAE Number
Item
AE/SAE Number
integer
Did the subject die because of this event?
Item
Did the subject die because of this event?
boolean
Do you consider that this event occurred as a direct consequence of any procedure/operation?
Item
Do you consider that this event occurred as a direct consequence of any procedure/operation?
boolean
If Yes, please record AE/SAE Number
Item
If Yes, please record AE/SAE Number
integer
Date of procedure/operation
Item
Date of procedure/operation
date
Specify the procedure/operation
Item
Specify the procedure/operation
text
Did this even occur after a coronary revascularization procedure?
Item
Did this even occur after a coronary revascularization procedure?
boolean
Item Group
Clinical Presentation
Exercise related cardiac ischaemic-type chest pain/discomfort of new onset and duration of at least 10 minutes.
Item
Exercise related cardiac ischaemic-type chest pain/discomfort of new onset and duration of at least 10 minutes.
boolean
Exercise related cardiac ischaemic-type chest pain/discomfort increasing in frequency and/or severity and duration of at least 10 minutes.
Item
Exercise related cardiac ischaemic-type chest pain/discomfort increasing in frequency and/or severity and duration of at least 10 minutes.
boolean
Decreasing threshold for onset of exercise related cardiac ishaemic-type chest pain/discomfort.
Item
Decreasing threshold for onset of exercise related cardiac ishaemic-type chest pain/discomfort.
boolean
Cardiac ischaemic-type chest pain/discomfort at rest
Item
Cardiac ischaemic-type chest pain/discomfort at rest
boolean
Severe, prolonged cardiac ischaemic-type chest pain or discomfort.
Item
Severe, prolonged cardiac ischaemic-type chest pain or discomfort.
boolean
Other chest pain
Item
Other chest pain
text
Other possible manifestation of myocardial ischaemia.
Item
Other possible manifestation of myocardial ischaemia.
text
Item Group
Electrocardiographic Details
Were ECGs recorded in view of this event?
Item
Were ECGs recorded in view of this event?
boolean
Item
a. Are ECGs relating to this event (i.e during and/or after event) available?
text
Code List
a. Are ECGs relating to this event (i.e during and/or after event) available?
CL Item
Yes (please submit copies of these ECGs and ensure that the date and time of recording is clearly marked on each tracing) (1)
CL Item
No (2)
Dates of ECG
Item
Dates of ECG
integer
Times of ECG
Item
Times of ECG
time
b. Did the subject develop new ECG changes?
Item
b. Did the subject develop new ECG changes?
boolean
New pathologic Q waves (or new R waves in V1 and V2) in 2 or more contiguous leads
Item
New pathologic Q waves (or new R waves in V1 and V2) in 2 or more contiguous leads
boolean
Item
If Yes, mark all that apply
text
Code List
If Yes, mark all that apply
CL Item
Anterior (1)
CL Item
Septal (2)
CL Item
Lateral (3)
CL Item
Inferior (4)
CL Item
Other (5)
If Other, specify
Item
If Other, specify
text
New ST segment elevation in 2 or more contiguous leads
Item
New ST segment elevation in 2 or more contiguous leads
boolean
Item
If Yes, mark all that apply
text
Code List
If Yes, mark all that apply
CL Item
Anterior (1)
CL Item
Septal (2)
CL Item
Lateral (3)
CL Item
Inferior (4)
CL Item
Other (5)
Other, specify
Item
Other, specify
text
New ST segment depression
Item
New ST segment depression
boolean
Item
If Yes, mark all that apply
text
Code List
If Yes, mark all that apply
CL Item
Anterior (1)
CL Item
Septal (2)
CL Item
Lateral (3)
CL Item
Inferior (4)
CL Item
Other (5)
Other, specify
Item
Other, specify
text
Item
New T wave changes
text
Code List
New T wave changes
CL Item
Anterior (1)
CL Item
Septal (2)
CL Item
Lateral (3)
CL Item
Inferior (4)
CL Item
Other (5)
Other, specify
Item
Other, specify
text
New left bundle branch block
Item
New left bundle branch block
boolean
Other new ECG changes
Item
Other new ECG changes
boolean
Other, specify
Item
Other, specify
text
Item Group
Cardiac Enzymes/Markers
Were cardiac enzymes/markers measured in view of this event?
Item
Were cardiac enzymes/markers measured in view of this event?
boolean
Item Group
CK-MB
Were the values taken?
Item
Were the values taken?
boolean
Peak Value
Item
Peak Value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text
Item Group
Troponin I
Were the values taken?
Item
Were the values taken?
boolean
Peak Value
Item
Peak Value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text
Item Group
Troponin T
Were the values taken?
Item
Were the values taken?
text
Peak Value
Item
Peak Value
text
Date sample taken
Item
Date sample taken
date
Time
Item
Time
time
Upper Limit of Normal
Item
Upper Limit of Normal
text
Enzyme Unit
Item
Enzyme Unit
text
Item Group
Treatment Given for Acute MI/Hospitalized Angina/Chest Pain Event
Item
What treatment was prescribed?
text
Code List
What treatment was prescribed?
CL Item
Thrombolytic therapy (e.g., tenecteplase, reteplase, alteplase, streptokinase) (1)
CL Item
Primary or rescue percutaneous coronary intervention (PCI) for suspected acute myocardial infraction (e.g., primary angioplasty or rescue angioplasty) (2)
CL Item
Percutaneous coronary intervention for unstable angina (3)
CL Item
Other percutaneous coronary intervention (4)
CL Item
Coronary bypass surgery (5)
CL Item
Other revascularisation procedure/operation/mechanical intervention  (6)
CL Item
Other therapy for this event (7)
If Primary or rescue percutaneous coronary intervention was prescribed, record the AE/SAE number:
Item
If Primary or rescue percutaneous coronary intervention was prescribed, record the AE/SAE number:
integer
If Percutaneous coronary intervention for unstable angina was prescribed, record the AE/SAE number:
Item
If Percutaneous coronary intervention for unstable angina was prescribed, record the AE/SAE number:
integer
For Other percutaneous coronary intervention record AE/SAE number
Item
For Other percutaneous coronary intervention record AE/SAE number
integer
Date
Item
Date
date
For Coronary bypass surgery record AE/SAE number
Item
For Coronary bypass surgery record AE/SAE number
integer
For Other revascularisation procedure/operation/mechanical intervention specify the treatment type:
Item
For Other revascularisation procedure/operation/mechanical intervention specify the treatment type:
text
AE/SAE number
Item
AE/SAE number
integer
Specify any additional therapies:
Item
Specify any additional therapies:
text
Item Group
Other Investigations Undertaken in View of this Event
1. Was coronary angiography performed in view of this event?
Item
1. Was coronary angiography performed in view of this event?
boolean
Date of coronary angiography performed
Item
Date of coronary angiography performed
date
Was invasive coronary angiography (i.e involving cardiac catheterization) performed?
Item
Was invasive coronary angiography (i.e involving cardiac catheterization) performed?
boolean
Date of invasive coronary angiography performed
Item
Date of invasive coronary angiography performed
date
Was this reported to demonstrate angiographycally significant coronary artery disease thought to be responsible for the subject's presentation?
Item
Was this reported to demonstrate angiographycally significant coronary artery disease thought to be responsible for the subject's presentation?
boolean
Was a stent previously placed prior to this hospitalization?
Item
Was a stent previously placed prior to this hospitalization?
boolean
Was there evidence of stent thrombosis?
Item
Was there evidence of stent thrombosis?
boolean
CT coronary angiography
Item
CT coronary angiography
boolean
If Yes, date of angiography performed
Item
If Yes, date of angiography performed
date
Was this reported to demonstrate angiographically significant coronary artery disease thought to be responsible for the subject's presentation?
Item
Was this reported to demonstrate angiographically significant coronary artery disease thought to be responsible for the subject's presentation?
boolean
2. Was echocardiography performed in view of this event?
Item
2. Was echocardiography performed in view of this event?
boolean
Date of echocardiography
Item
Date of echocardiography
date
Did this show evidence of a new regional wall motion abnormality?
Item
Did this show evidence of a new regional wall motion abnormality?
boolean
Item
If Yes, mark all that apply
text
Code List
If Yes, mark all that apply
CL Item
Anterior (1)
CL Item
Septal (2)
CL Item
Lateral (3)
CL Item
Inferior (4)
CL Item
Other (5)
If Other, specify
Item
If Other, specify
text
3. Was an exercise ECG test undertaken?
Item
3. Was an exercise ECG test undertaken?
boolean
Date of ECG test
Item
Date of ECG test
date
Was the test positive for reversible myocardial ischaemia?
Item
Was the test positive for reversible myocardial ischaemia?
boolean
4. Was a stress myocardial perfusion scan undertaken?
Item
4. Was a stress myocardial perfusion scan undertaken?
boolean
If Yes, record the date
Item
If Yes, record the date
date
Item
Test type
text
Code List
Test type
CL Item
Stress cardiac MRI (1)
CL Item
Stress nuclear perfusion imaging (2)
Was this test positive for reversible myocardial ischaemia?
Item
Was this test positive for reversible myocardial ischaemia?
boolean
5. Was any other investigation to test for the presence of reversible myocardial ischaemia undertaken (e.g. stress echocardiogram)?
Item
5. Was any other investigation to test for the presence of reversible myocardial ischaemia undertaken (e.g. stress echocardiogram)?
boolean
Specify type of test
Item
Specify type of test
text
Date of test
Item
Date of test
date
Was the test positive for reversible myocardial ischaemia?
Item
Was the test positive for reversible myocardial ischaemia?
boolean
Item Group
Final Clinical Diagnosis
Item
Was the final clinical diagnosis in relation to this event?
integer
Code List
Was the final clinical diagnosis in relation to this event?
CL Item
Acute myocardial infraction (1)
CL Item
Unstable angina (2)
CL Item
Other angina (3)
CL Item
Other chest pain (4)
CL Item
Other final clinical diagnosis (5)
Item
In case of acute myocardial infraction, choose the type of myocardial infraction
text
Code List
In case of acute myocardial infraction, choose the type of myocardial infraction
CL Item
ST segment elevation myocardial infraction (STEMI) (1)
CL Item
Non-ST segment elevation myocardial infraction (NSTEMI) (2)
CL Item
Acute myocardial infraction, type (i.e STEMI or NSTEMI) not specified (3)
In case of other chest pain, specify
Item
In case of other chest pain, specify
text
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In case of other clinical diagnosis, specify
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