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CDASH ECG – Scenario 2 (local processing) - ECG – Scenario 2 (local processing)

- 6/20/18 - 1 form, 3 itemgroups, 16 items, 2 languages
Itemgroups: General information, ECG Information (Local processing), ECG Results
modified from http://www.cdisc.org

medical examination SHIP-START-3 ECG

- 7/3/21 - 1 form, 1 itemgroup, 21 items, 3 languages
Itemgroup: ECG
ECG form of SHIP Study (Study of Health in Pomerania), conducted by the University Medicine of Greifswald. SHIP unique domain name SHIP.SHIP3.MEX.PHYSEXAM.ECGRECOR. ODM derived from https://www.fvcm.med.uni-greifswald.de/dd_service/data_use_explore.php. Further information: http://www2.medizin.uni-greifswald.de/cm/fv/ship.html. Publication granted by Prof. Völzke. Reference: Völzke H, et al. Cohort profile: the study of health in Pomerania. Int J Epidemiol. 2011;40(2):294-307. PMID: 20167617 The English and Portuguese versions of this form are under development.

DZHK Data Catalogue - ECG

- 10/9/19 - 1 form, 3 itemgroups, 51 items, 2 languages
Itemgroups: General ECG information, ECG, Long-term ECG
With permission from the DZHK administrative office. http://dzhk.de The DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung e.V.; German Center for Cardiovascular Research) is a joint cooperation of twenty-eight institutions in seven locations throughout Germany to develop a common research strategy. They developed a data catalogue with metadata and data as well as information about available biological materials from all their studies. For more information on the data catalogue and access to actual data and biosamples please visit https://dzhk.de/en/resources/data-manual/ . This version contains the metadata part only. The form ECG (electrocardiogram) is used to document important parameters from ECG and long-term ECG measurements. The documentation is to be performed according to the DZHK's SOPs, which can be accessed at https://dzhk.de/en/resources/sops/ (or https://dzhk.de/ressourcen/sops/ for the German language versions). The SOP for this form is "Resting 12-Lead Surface Electrocardiogram (ECG)" (version 1.0, valid as of 01/09/2014) for the English language version, and "12-Kanal Oberflächen Elektrokardiographie in Ruhe (EKG)" (version 1.0, valid as of 01/09/2014) for the German version.

A Cross-Over Study of Alcohol Effect on the Pharmacokinetics of Carvedilol - 106904 - Logs and Repeats: 12-lead ECG Abnormalities

- 1/11/19 - 1 form, 3 itemgroups, 16 items, 1 language
Itemgroups: Administrative data, 12-lead ECG Abnormalities, Record clinically significant abnormalities below. Check all that apply:
Study ID: 106904 Clinical Study ID: CRV106904 Study Title: A Randomized, Open-Label, Single-Dose, Four-Period Cross-Over Study to Determine the Effects of Alcohol on the Pharmacokinetics of Carvedilol CR 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: carvedilol Trade Name: Coreg CR,Coreg Study Indication: Hypertension

CDASH ECG – Scenario 3 - ECG – Scenario 3 (central information processing)

- 6/20/18 - 1 form, 3 itemgroups, 17 items, 1 language
Itemgroups: General information, ECG Information (Central processing), ECG Results
modified from http://www.cdisc.org

CDASH ECG - Scenario 1 - ECG – Scenario 1

- 6/20/18 - 1 form, 2 itemgroups, 5 items, 1 language
Itemgroups: General information, ECG
modified from http://www.cdisc.org

Diagnostic ECG

- 1/16/15 - 1 form, 1 itemgroup, 17 items, 1 language
Itemgroup: ECG
The patient's ECG. Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=ACFB66E7-BCB1-6D16-E040-BB89AD4363C3

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