ID

34879

Beschrijving

Study ID: 101888 Clinical Study ID: FFR101888 Study Title: A randomised, placebo-controlled, four way crossover study to evaluate the effect of double-blind 4000 mcg of orally inhaled GW685698X and of 6.25 mg cellobiose octa-acetate on electrocardiographic parameters, with single-blind 400 mg of oral moxifloxacin as a positive control, in 40 healthy male and female subjects. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 1 Study Recruitment Status: Completed Generic Name: fluticasone furoate Trade Name: Veramyst,Avamys,Allermist Study Indication: Rhinitis, Allergic, Perennial The study consists of a screening, 4 treatment periods (TP) and a follow-up visit. For each TP there is a Day-1 (D-1) and a Day1 (D1). This document contains the 12-Lead ECG Abnormality form. It has to be filled in for screening if there is a clinical significant ECG Abnormality. It also has to be filled in during study if such a significant occurs.

Trefwoorden

Versies (3)
  1. 31-01-19 31-01-19 -
  2. 01-02-19 01-02-19 -
  3. 04-02-19 04-02-19 - Sarah Riepenhausen
Houder van rechten

GlaxoSmithKline

Geüploaded op

1 februari 2019

DOI

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Creative Commons BY-NC 3.0
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Effect of inhaled Fluticasone furoate and cellobiose octa-acetate on electrocardiographic parameters in healthy subjects, Study-ID: 101888

Engels

12-Lead ECG Abnormalities

1 Formulieren  
Administrative data
Beschrijving

Administrative data

Alias
UMLS CUI-1
C1320722
Subject identifier
Beschrijving

Subject identifier

Datatype

text

Alias
UMLS CUI [1]
C2348585
Visit date
Beschrijving

day month year

Datatype

date

Alias
UMLS CUI [1]
C1320303
12 Lead ECG abnormalities
Beschrijving

12 Lead ECG abnormalities

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

day month year

Datatype

date

Alias
UMLS CUI [1]
C2826640
Time of ECG
Beschrijving

00:00-23:59

Datatype

time

Alias
UMLS CUI [1,1]
C0013798
UMLS CUI [1,2]
C0040223
Rhythm
Beschrijving

Rhythm

Alias
UMLS CUI-1
C0232201
Sinus bradycardia
Beschrijving

Sinus bradycardia

Datatype

boolean

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

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

Datatype

boolean

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

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

Datatype

boolean

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

Sinus bradycardia (heart rate <30 beats/min)

Datatype

boolean

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

Sinus pause

Datatype

boolean

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

Sinus tachycardia (heart rate> 100 beats/min)

Datatype

boolean

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

Ectopic supraventricular beats

Datatype

boolean

Alias
UMLS CUI [1]
C0033036
Ectopic supraventricular rhythm
Beschrijving

Ectopic supraventricular rhythm

Datatype

boolean

Alias
UMLS CUI [1]
C2348376
Wandering atrial pacemaker
Beschrijving

Wandering atrial pacemaker

Datatype

boolean

Alias
UMLS CUI [1]
C1321523
Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > 100 beats/min)
Beschrijving

Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > 100 beats/min)

Datatype

boolean

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

Supraventricular tachycardia (heart rate > 100 beat/min)

Datatype

boolean

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

Atrial flutter

Datatype

boolean

Alias
UMLS CUI [1]
C0004239
Atrial fibrillation
Beschrijving

Atrial fibrillation

Datatype

boolean

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

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

Datatype

boolean

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

Junctional rhythm

Datatype

boolean

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

Junctional tachycardia (heart rate > 100 beats/min)

Datatype

boolean

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

Ectopic ventricular beats

Datatype

boolean

Alias
UMLS CUI [1]
C0151636
Ventricular couplets
Beschrijving

Ventricular couplets

Datatype

boolean

Alias
UMLS CUI [1]
C0429001
Bigeminy
Beschrijving

Bigeminy

Datatype

boolean

Alias
UMLS CUI [1]
C0262662
Trigeminy
Beschrijving

Trigeminy

Datatype

boolean

Alias
UMLS CUI [1]
C0428999
Electrical alternans
Beschrijving

Electrical alternans

Datatype

boolean

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

R on T phenomenon

Datatype

boolean

Alias
UMLS CUI [1]
C0877658
Ventricular fibrillation
Beschrijving

Ventricular fibrillation

Datatype

boolean

Alias
UMLS CUI [1]
C0042510
ldioventricular rhythm (heart rate < 100 beats/min)
Beschrijving

ldioventricular rhythm (heart rate < 100 beats/min)

Datatype

boolean

Alias
UMLS CUI [1]
C0700363
Sustained ventricular tachycardia
Beschrijving

Sustained ventricular tachycardia

Datatype

boolean

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

Non-sustained ventricular tachycardia

Datatype

boolean

Alias
UMLS CUI [1]
C0750194
Ventricular tachycardia
Beschrijving

Ventricular tachycardia

Datatype

boolean

Alias
UMLS CUI [1]
C0042514
Monomorphic ventricular tachycardia
Beschrijving

Monomorphic ventricular tachycardia

Datatype

boolean

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

Torsades de Pointes (Polymorphic ventricular tachycardia with prolonged QT)

Datatype

boolean

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

Polymorphic (sustained and non-sustained) ventricular tachycardia

Datatype

boolean

Alias
UMLS CUI [1]
C0344432
Artificial Pacemaker
Beschrijving

Artificial Pacemaker

Datatype

boolean

Alias
UMLS CUI [1]
C0030163
Other abnormal rhythm
Beschrijving

Other abnormal rhythm

Datatype

boolean

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

Comment abnormal rhythm

Datatype

text

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

P-Wave and QRS Morphology

Alias
UMLS CUI-1
C2216025
Left atrial abnormality (P mitrale)
Beschrijving

Left atrial abnormality (P mitrale)

Datatype

boolean

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

Right atrial abnormality (P pulmonale)

Datatype

boolean

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

Right ventricular hypertrophy

Datatype

boolean

Alias
UMLS CUI [1]
C0162770
Intraatrial conduction delay
Beschrijving

Intraatrial conduction delay

Datatype

boolean

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

Increased voltage consistent with left ventricular hypertrophy

Datatype

boolean

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

Other morphology

Datatype

boolean

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

Comment other morphology

Datatype

text

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

Conduction

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

First degree AV block (PR interval> 200msec)

Datatype

boolean

Alias
UMLS CUI [1]
C0085614
Second degree AV block (Mobitz type 1)
Beschrijving

Second degree AV block (Mobitz type 1)

Datatype

boolean

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

Second degree AV block (Mobitz type 2)

Datatype

boolean

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

2: 1 AV block

Datatype

boolean

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

Third degree AV block

Datatype

boolean

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

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

Datatype

boolean

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

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

Datatype

boolean

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

Incomplete right bundle branch block

Datatype

boolean

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

Incomplete left bundle branch block

Datatype

boolean

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

Right bundle branch block

Datatype

boolean

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

Left anterior hemiblock (synonymous to left anterior fascicular block)

Datatype

boolean

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

Left posterior hemiblock (synonymous to left posterior fascicular block)

Datatype

boolean

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

Left bundle branch block

Datatype

boolean

Alias
UMLS CUI [1]
C0023211
Bifascicular block
Beschrijving

Bifascicular block

Datatype

boolean

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

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

Datatype

boolean

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

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

Datatype

boolean

Alias
UMLS CUI [1]
C1963785
UMLS CUI [2]
C0043202
UMLS CUI [3]
C0024054
QT/QTc prolongation >=500msec
Beschrijving

QT/QTc prolongation >=500msec

Datatype

boolean

Alias
UMLS CUI [1]
C0855333
AV dissociation
Beschrijving

AV dissociation

Datatype

boolean

Alias
UMLS CUI [1]
C0004331
Other conduction
Beschrijving

Other conduction

Datatype

boolean

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

Comment other conduction

Datatype

text

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

Myocardial Infarction

Alias
UMLS CUI-1
C0027051
Myocardial infarction, old
Beschrijving

Myocardial infarction, old

Datatype

boolean

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

Myocardial infarction, anterior

Datatype

boolean

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

Myocardial infarction, lateral

Datatype

boolean

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

Myocardial infarction, posterior

Datatype

boolean

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

Myocardial infarction, inferior

Datatype

boolean

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

Myocardial infarction, septal

Datatype

boolean

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

Myocardial infarction, Non Q-wave

Datatype

boolean

Alias
UMLS CUI [1]
C0542269
Other myocardial infarction
Beschrijving

Other myocardial infarction

Datatype

boolean

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

Comment other myocardial infarction

Datatype

text

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

Depolarisation/Repolarisation (QRS-T)

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

Non-specific ST-T changes

Datatype

boolean

Alias
UMLS CUI [1]
C1112720
J point elevation
Beschrijving

J point elevation

Datatype

boolean

Alias
UMLS CUI [1]
C2346597
ST elevation
Beschrijving

ST elevation

Datatype

boolean

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

ST-elevation - pericarditis

Datatype

boolean

Alias
UMLS CUI [1]
C2348119
ST depression
Beschrijving

ST depression

Datatype

boolean

Alias
UMLS CUI [1]
C0520887
U waves abnormal
Beschrijving

U waves abnormal

Datatype

boolean

Alias
UMLS CUI [1]
C0438169
T wave inversion
Beschrijving

T wave inversion

Datatype

boolean

Alias
UMLS CUI [1]
C0520888
T wave peaked
Beschrijving

T wave peaked

Datatype

boolean

Alias
UMLS CUI [1]
C0239242
T waves flat
Beschrijving

T waves flat

Datatype

boolean

Alias
UMLS CUI [1]
C2215959
T waves biphasic
Beschrijving

T waves biphasic

Datatype

boolean

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

Notched T-waves

Datatype

boolean

Alias
UMLS CUI [1]
C2347367
Low QRS voltage
Beschrijving

Low QRS voltage

Datatype

boolean

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

T-wave flattening/inversion

Datatype

boolean

Alias
UMLS CUI [1]
C0520888
UMLS CUI [2]
C0429059
Other depolarisation/repolarisation
Beschrijving

Other depolarisation/repolarisation

Datatype

boolean

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

Comment other depolarisation/repolarisation

Datatype

text

Alias
UMLS CUI [1,1]
C0948857
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0947611
Other abnormalities
Beschrijving

Other abnormalities

Alias
UMLS CUI-1
C0522055
UMLS CUI-2
C0205394
Other abnormalities
Beschrijving

Other abnormalities

Datatype

boolean

Alias
UMLS CUI [1,1]
C0522055
UMLS CUI [1,2]
C0205394
If other abnormalities, please specify
Beschrijving

Comment other abnormalities

Datatype

text

Alias
UMLS CUI [1,1]
C0522055
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0947611
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Similar models

12-Lead ECG Abnormalities

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject identifier
Item
Subject identifier
text
C2348585 (UMLS CUI [1])
Visit date
Item
Visit date
date
C1320303 (UMLS CUI [1])
Item Group
12 Lead ECG abnormalities
C0430456 (UMLS CUI-1)
C1704258 (UMLS CUI-2)
Date of ECG
Item
Date of ECG
date
C2826640 (UMLS CUI [1])
Time of ECG
Item
Time of ECG
time
C0013798 (UMLS CUI [1,1])
C0040223 (UMLS CUI [1,2])
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 > 100 beats/min)
Item
Multifocal atrial tachycardia (wandering atrial pacemaker with heart rate > 100 beats/min)
boolean
C0221158 (UMLS CUI [1,1])
C0018810 (UMLS CUI [1,2])
Supraventricular tachycardia (heart rate > 100 beat/min)
Item
Supraventricular 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 > 100 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 (heart rate < 100 beats/min)
Item
ldioventricular rhythm (heart rate < 100 beats/min)
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])
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)
Left atrial abnormality (P mitrale)
Item
Left atrial abnormality (P mitrale)
boolean
C0344711 (UMLS CUI [1])
C0232310 (UMLS CUI [2])
Right atrial abnormality (P pulmonale)
Item
Right atrial abnormality (P pulmonale)
boolean
C0344696 (UMLS CUI [1])
C0232308 (UMLS CUI [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])
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])
C0043202 (UMLS CUI [2])
C0024054 (UMLS CUI [3])
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])
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])
C0429059 (UMLS CUI [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
If other abnormalities, please specify
text
C0522055 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0947611 (UMLS CUI [1,3])
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