ARIC Data Book. CHD Cohort Surveillance
|
|
- Ross Allen
- 5 years ago
- Views:
Transcription
1 Page 1 of 14 Coroner/Medical Examiner Form Data set name: C17CORA1 Instructions: The Coroner/Medical Examiner Form is completed for each eligible out-of-hospital death that was identified as a coroner or medical examiner case on the death certificate, and recorded as such on the Death Certificate Form. CORA01 Date Of Death Q1 564 Range 08/07/ /29/ Missing CORA02 Is the name of coroner's or medical examiner's office available? Q2 57 N No 437 Y Yes 71 Missing CORA03 Abstracting for (Cohort Or Surveillance) Q3 540 C Cohort 24 S Surveillance 1 Missing CORA04 Has an official coroner's or medical examiner's report or another source of information from the coroner's or medical examiner's office been located? Q4 128 N No [skip to Q25] 435 Y Yes 2 Missing CORA05 Autopsy Performed? Q5 366 N No 70 Y Yes 129 Missing
2 Page 2 of 14 CORA06A Recent myocardial infarction Q6a 379 N No 56 Y Yes CORA06B Coronary heart disease/ischemic/atherosclerotic heart disease (other than MI) Q6b 253 N No 182 Y Yes CORA06C Hypertensive Heart Disease Q6c 327 N No 108 Y Yes CORA06D Valvular Heart Disease Q6d 428 N No 7 Y Yes CORA06E Other Heart Disease Q6e 316 N No 119 Y Yes CORA06F Recent Cerebral Hemorrhage Q6f 1 Y 434 N No
3 Page 3 of 14 CORA06G Recent Cerebral Infarction Q6g 1 Y 433 N No CORA06H Recent Cerebral Embolus Q6h 1 Y 434 N No CORA06I Recent Subarachnoid Hemorrhage Q6i 433 N No 2 Y Yes CORA06J Recent Stroke, Other Or Unspecified Type Q6j 419 N No 15 Y Yes CORA07A Was any non cardiac, non stroke finding mentioned as contributing to death? Q7a 180 N No [skip to Q8] 255 Y Yes CORA07B Kidney Disease Q7b 238 N No 17 Y Yes 310 Missing
4 Page 4 of 14 CORA07C Chronic Respiratory Disease Q7c 234 N No 21 Y Yes 310 Missing CORA07D Psychiatric Disease Or Depression Q7d 251 N No 4 Y Yes 310 Missing CORA07E Alcohol Or Drug Addiction Q7e 241 N No 14 Y Yes 310 Missing CORA07F Epilepsy Q7f 250 N No 5 Y Yes 310 Missing CORA07G Liver Disease Q7g 252 N No 3 Y Yes 310 Missing CORA07H Other Q7h 26 N No 229 Y Yes 310 Missing
5 Page 5 of 14 CORA09 Patient had acute symptoms (cardiac or non cardiac) which led to an overt change in activity or to seeking medical care Q9 124 A Patient had acute symptoms (cardiac or non cardiac) which led to an overt change in activity or to seeking medical care 66 B Patient died suddenly and was known to have no acute symptoms [skip to Q11a] 197 C Patient was found dead with no documentation of symptoms [skip to Q11a] 36 D Patient had symptoms but they were chronic (without change) or did not lead to a change in activity or seeking medical care [skip to Q11a] 12 U Unknown [skip to Q11a] CORA10A Shortness of Breath Q10a 70 N No 28 U Unknown 27 Y Yes CORA10B Dizziness Q10b 90 N No 33 U Unknown 2 Y Yes CORA10C Palpitations Q10c 90 N No 32 U Unknown 3 Y Yes
6 Page 6 of 14 CORA10D Marked or increased fatigue, tiredness or weakness Q10d 89 N No 31 U Unknown 5 Y Yes CORA10E Headache Q10e 92 N No 32 U Unknown 1 Y Yes CORA10F Sweating Q10f 84 N No 31 U Unknown 10 Y Yes CORA10G Paralysis Q10g 93 N No 32 U Unknown CORA10H Loss Of Speech Q10h 92 N No 32 U Unknown 1 Y Yes
7 Page 7 of 14 CORA10I Attack of indigestion or nausea or vomiting Q10i 78 N No 28 U Unknown 19 Y Yes CORA10J Other Q10j 65 N No 23 U Unknown 37 Y Yes CORA11A Was there an acute episode(s) of pain or discomfort anywhere in the chest, left arm or shoulder or jaw either just before death or within 72 hours of death? Q11a 178 N No [skip to Q12] 216 U Unknown [skip to Q12] 41 Y Yes CORA11B Pain Specifically Involved Chest Q11b 1 N No 1 U Unknown 39 Y Yes 524 Missing CORA11C Did the patient take or was he/she given nitrates at the time of the acute episode? Q11c 25 N No 15 U Unknown 1 Y Yes 524 Missing
8 Page 8 of 14 CORA11D Was the discomfort or pain diagnosed as having a non-cardiac origin? Q11d 36 N No 3 U Unknown 2 Y Yes 524 Missing CORA12 Place Of Death Q A Home (or other private residence) 5 B Work 5 C In a public building 10 E On the street 12 F In an automobile 41 G In nursing home 78 H In emergency room 11 I In an ambulance 7 J In hospital 19 O Other 1 U Unknown CORA13A Anyone Witness Death? Q13a 238 N No [skip to Q15] 27 U Unknown [skip to Q15] 170 Y Yes CORA13B Have Name/Address Of Witness? Q13b 48 N No 88 Y Yes 429 Missing
9 Page 9 of 14 CORA13C Relationship Of Witness To Decedent Q13c 11 C Daughter/Son 4 F Friend 94 O Other 7 R Other Relative 34 S Spouse 17 U Unknown 2 W Workmate 396 Missing CORA14 Time from onset of acute symptoms to death (or time since last known to be alive if no known acute symptoms) (Choose only one): Q14 45 A 5 minutes or less 72 B More than 5 minutes to 1 hour 27 C More than 1 hour to 24 hours 7 D More than 24 hours 19 U Unknown 395 Missing CORA15A Is there a history of a myocardial infarction prior to the onset of this event? Q15a 285 N No [skip to Q16] 99 U Unknown [skip to Q16] 50 Y Yes CORA15B Did an MI occur within four weeks prior to this event? Q15b 40 N No [skip to Q16] 8 U Unknown [skip to Q16] 1 Y Yes 516 Missing
10 Page 10 of 14 CORA15C Was the deceased hospitalized for the MI? Q15c 1 N No [skip to Q16] 564 Missing CORA15D Do You Know The Name Of The Hosp? Q15d 565 Missing CORA16 Is there any history of angina pectoris or coronary insufficiency? Q N No 132 U Unknown 45 Y Yes CORA17 Is there a history of any other chronic ischemic heart disease? Q N No 113 U Unknown 50 Y Yes CORA18 Is there a history of valvular disease or cardiomyopathy? Q N No 110 U Unknown 16 Y Yes CORA19 Is there a history of coronary bypass surgery prior to this event? Q N No 51 U Unknown 20 Y Yes
11 Page 11 of 14 CORA20 Is there a history of coronary angioplasty prior to this event? Q N No 119 U Unknown 3 Y Yes CORA21A Is there a history of stroke prior to this event? Q21a 319 N No [skip to Q22] 69 U Unknown [skip to Q22] 46 Y Yes CORA21B Did a stroke occur within four weeks prior to this event? Q21b 28 N No 17 U Unknown 1 Y Yes 519 Missing CORA22 Is there a history of hypertension (high blood pressure) prior to this event? Q22 92 N No 74 U Unknown 267 Y Yes 132 Missing CORA22A Is there a history of diabetes? Q22a 146 N No 36 U Yes 109 Y Unknown 274 Missing
12 Page 12 of 14 CORA22B Is there a history of smoking? Q22b 23 N No 255 U Yes 13 Y Unknown 274 Missing CORA23A Nitrates? Q23a 273 N No 122 U Unknown 39 Y Yes CORA23B Calcium channel blockers 23b 263 N No 128 U Unknown 43 Y Yes CORA23C Beta-blockers Q23c 239 N No 127 U Unknown 68 Y Yes CORA23D Digitalis Q23d 280 N No 123 U Unknown 31 Y Yes
13 Page 13 of 14 CORA23E ACE or angiotensin II inhibitors Q23e 168 N No 66 U Unknown 57 Y Yes 274 Missing CORA23F Aspirin Q23f 205 N No 66 U Unknown 20 Y Yes 274 Missing CORA24 Was this form completed by abstraction or by interview with the coroner? Q A Abstraction 129 I Interview CORA25 Abstractor's Code Number Q Present Text suppressed 2 Missing CORA26 Date Of Completion Q Range 07/17/ /28/ Missing CORA27 IFI Needed (deleted in version C) Q27 94 A 471 Missing
14 Page 14 of 14 CORA28 HRA Needed (deleted in version C) Q Missing CORA29 STR Needed (deleted in version C) Q Missing CORA30 AUT Needed (deleted in version C) Q30 63 D 502 Missing CORAFLAG =1 If CORA (Or Later Ver) Is Present ID ARIC Occurrence ID 565 Present Text suppressed
C O R EVENT ID: FORM CODE: VERSION: C DATE: 04/01/10
O. M. B. 0925-0281 Exp. 04/30/2013 ARIC Atherosclerosis Risk in Communities COROER / MEDICAL EXAMIER FORM C O R EVET ID: FORM CODE: VERSIO: C DATE: 04/01/10 LAST AME: IITIALS: Public reporting burden for
More informationInformant Interview Form Instructions (IFI) Version C 05/05/2014
Informant Interview Form Instructions (IFI) Version C 05/05/2014 I. GENERAL INSTRUCTIONS The purpose of the informant interview is to obtain information about possible CHD events in order to classify cause
More informationARIC Data Book. Cohort, Exam 3. Personal History Form: FORM CODE=PHX VERSION=A
Page 1 of 20 Personal History Form: FORM CODE=PHX VERSION=A Instructions: This form should be completed during the participant's visit. Whenever numerical responses are required, enter the number so that
More informationWHI Form Report of Cardiovascular Outcome Ver (For items 1-11, each question specifies mark one or mark all that apply.
WHI Form - Report of Cardiovascular Outcome Ver. 6. COMMENTS To be completed by Physician Adjudicator Date Completed: - - (M/D/Y) Adjudicator Code: OMB# 095-044 Exp: 4/06 -Affix label here- Clinical Center/ID:
More informationHEART AND SOUL STUDY OUTCOME EVENT - MORBIDITY REVIEW FORM
REVIEW DATE REVIEWER'S ID HEART AND SOUL STUDY OUTCOME EVENT - MORBIDITY REVIEW FORM : DISCHARGE DATE: RECORDS FROM: Hospitalization ER Please check all that may apply: Myocardial Infarction Pages 2, 3,
More informationCirculation and Cardiac Emergencies. Emergency Medical Response
Circulation and Cardiac Emergencies Lesson 19: The Circulatory System and Cardiac Emergencies You Are the Emergency Medical Responder You are called to the home of a 50-year-old man whose wife called 9-1-1
More informationCoronary Heart Disease. Raja Nursing Instructor RN, DCHN, Post RN. BSc.N
Coronary Heart Disease Raja Nursing Instructor RN, DCHN, Post RN. BSc.N 31/03/2016 Objectives Define coronary heart disease (CHD). Identify the causes and risk factors of CHD Discuss the pathophysiological
More informationThis information explains the advice about the care and treatment of people with stable angina that is set out in NICE clinical guideline 126.
Information for the public Published: 1 July 2011 nice.org.uk About this information NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases and the treatments
More informationNORC AmeriSpeak Omnibus Survey: 41% of Americans Do Not Intend to Get a Flu Shot this Season
Omnibus Survey: 41% of Americans Do Intend to Get a Flu Shot this Season Interview Dates: November 14-19, 2018 Nationally representative sample of 1,202 English-speaking adults age 18 and over, conducted
More informationCalifornia Cardiovascular Consultants Medical Associates
Patient information: Heart Attack What is a heart attack? A heart attack, also called myocardial infarction, or MI, is what happens when one of the arteries that supply blood to the heart gets blocked.
More informationSurvey Title: Employee Engagement Survey Report Type: Top 5 High Schools with High Turnover
Survey Title: 2017-2018 Employee Engagement Survey Report Type: Top 5 High Schools with High Turnover Q24(c). I am engaged in my work. Strongly Disagree + Disagree 2 1.71% 1 0.78% 1 0.64% 1 0.61% 3 2.33%
More informationARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM. General Instructions: ID NUMBER: FORM NAME: H F A DATE: 10/13/2017 VERSION: CONTACT YEAR NUMBER:
ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM General Instructions: The Heart Failure Hospital Record Abstraction Form is completed for all heart failure-eligible cohort hospitalizations. Refer to
More informationARIC Data Book. Cohort, Exam 3. Vitamin Survey Form: FORM CODE=VIT VERSION=A
Page 1 of 12 Vitamin Survey Form: FORM CODE=VIT VERSION=A Instructions: This form is completed in several stages by appropriately trained persons at the workstations identified for this purpose. Whenever
More informationResults of Ischemic Heart Disease
Ischemic Heart Disease: Angina and Myocardial Infarction Ischemic heart disease; syndromes causing an imbalance between myocardial oxygen demand and supply (inadequate myocardial blood flow) related to
More informationANNUAL FOLLOW-UP QUESTIONNAIRE FORM
O.M.B 0925-0281 Exp. 05312010 ARIC AUAL FOLLOW-UP QUESTIOAIRE FORM Atherosclerosis Risk in Communities ID UMBER: COTACT EAR: FORM CODE: A F U VERSIO: L DATE:060307 LAST AME: IITIALS: Public reporting burden
More informationDate: / / Hello, my name is [interviewer name], and I'm calling to speak with [participant name]. Is [participant name] available?
Multi-Ethnic Study of Atherosclerosis Follow-up Phone Call 16 Participant Id#: Acrostic: General Health Date: / / Day INTRODUCTION Hello, my name is [interviewer name], and I'm calling to speak with [participant
More informationARIC Data Book. Cohort, Exam 3. AFU Medical History Form. Data set name: AMHA02
Page 1 of 22 AFU Medical History Form Data set name: AMHA02 Instructions: This form asks about a variety of health issues. It should be completed during the appropriate annual follow-up call. Whenever
More informationHeart Attack and Stroke
Heart Attack and Stroke Heart Disease Most common cause of death for both men and women Some heart disease symptoms in women may be different from those in men What is a Heart Attack (Myocardial Infarction)?
More informationBaseline hospital survey
International Project on Cardiovascular Disease in Russia Acute myocardial infarction in Russian Federation: current practice and barriers to effective treatment on different levels of healthcare Baseline
More informationARIC Data Book. HF Cohort Surveillance
Page 1 of 58 Heart Failure Hospital Record Abstraction Form Data set name: C17HFAA1 Instructions: The Heart Failure Hospital Record Abstraction Form is completed for heart failure-eligible Community Surveillance
More informationARIC Data Book. HF Cohort Surveillance
Page 1 of 58 Heart Failure Hospital Record Abstraction Form Data set name: C16HFAA1 Instructions: The Heart Failure Hospital Record Abstraction Form is completed for heart failure-eligible Community Surveillance
More informationARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM
ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM ID NUMBER: FORM NAME: H F A DATE: 10/01/2015 VERSION: D CONTACT YEAR NUMBER: FORM SEQUENCE NUMBER: General Instructions: The Heart Failure Hospital Record
More informationDate: / / Hello, my name is [interviewer name], and I'm calling to speak with [participant name]. Is [participant name] available?
Multi-Ethnic Study of Atherosclerosis Follow-up Phone Call 17 Participant Id#: Acrostic: General Health Date: / / Day INTRODUCTION Hello, my name is [interviewer name], and I'm calling to speak with [participant
More informationTerminology in Health Care and Public Health Settings. Cardiovascular System. Cardiovascular System 8/3/2010. Version 1/Fall 2010
Terminology in Health Care and Public Health Settings Unit 5 1 Also referred to as the Circulatory system Functions Distribute blood to all areas of body Delivery of needed d substances to cells Removal
More informationTHE FRAMINGHAM STUDY Protocol for data set vr_soe_2009_m_0522 CRITERIA FOR EVENTS. 1. Cardiovascular Disease
THE FRAMINGHAM STUDY Protocol for data set vr_soe_2009_m_0522 CRITERIA FOR EVENTS 1. Cardiovascular Disease Cardiovascular disease is considered to have developed if there was a definite manifestation
More informationDiagnosis and Management of Acute Myocardial Infarction
Diagnosis and Management of Acute Myocardial Infarction Acute Myocardial Infarction (AMI) occurs as a result of prolonged myocardial ischemia Atherosclerosis leads to endothelial rupture or erosion that
More informationCardiovascular System
Component 3-Terminology in Healthcare and Public Health Settings Unit 5-Cardiovascular System This material was developed by The University of Alabama at Birmingham, funded by the Department of Health
More informationWHAT IS ATHEROSCLEROSIS?
ATHEROSCLEROSIS WHAT IS ATHEROSCLEROSIS? Atherosclerosis is a narrowing of the arteries that can significantly reduce the blood supply to vital organs such as the heart, brain and intestines. In atherosclerosis,
More informationCourse: Exercise and Aging for Special Populations
Copyright EFS Inc. All Rights Reserved. Course: Exercise and Aging for Special Populations Session 2: Cardiovascular and Metabolic Disease Considerations for Exercise Program Design Presentation Created
More information2.5 Circulatory Emergencies. Congestive Heart Failure. Cardiovascular Disease (CVD) Health Services: Unit 2 Circulatory System
2.5 Circulatory Emergencies In Canada, thousands of people die every year from heart disease and stroke; half of these deaths occur before the patient reaches the hospital. The three major factors contributing
More informationWASHINGTON UNIVERSITY SCHOOL OF MEDICINE. Cranial Health History Form
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE Cranial Health History Form Welcome to the Neurosurgery Department at Washington University. To help us treat you, please fill this form out completely. Your Name:
More informationChest Pain Accreditation ACS Education
Chest Pain Accreditation ACS Education Objectives Recognize the Typical and Atypical Signs and Symptoms of ACS Recognize Gender and Age Differences of ACS Recognize the Risk Factors of ACS Understand Early
More information(For items 1-12, each question specifies mark one or mark all that apply.)
Form 121 - Report of Cardiovascular Outcome Ver. 9.2 COMMENTS -Affix label here- Member ID: - - To be completed by Physician Adjudicator Date Completed: - - (M/D/Y) Adjudicator Code: - Central Case No.:
More informationID NUMBER: CONTACT YEAR: FORM CODE: C E L VERSION G, DATE: 09/28/2015
ARIC Atherosclerosis Risk in Communities COHORT EVET ELIGIBILIT FORM ID UMBER: COTACT EAR: FORM CODE: C E L VERSIO G, DATE: 09/28/2015 ISTRUCTIOS: This form should be completed for all Cohort deaths, hospitalizations,
More informationNew Patient Questionnaire
New Patient Questionnaire Welcome to Mass General/North Shore Cardiology. Please fill out the following questionnaire, answering each question to the best of your ability. The information will assist your
More information1/3/2008. Karen Burke Priscilla LeMone Elaine Mohn-Brown. Medical-Surgical Nursing Care, 2e Karen Burke, Priscilla LeMone, and Elaine Mohn-Brown
Medical-Surgical Nursing Care Second Edition Karen Burke Priscilla LeMone Elaine Mohn-Brown Chapter 26 Caring for Clients with Coronary Heart Disease and Dysrhythmias Coronary Heart Disease (CHD) Leading
More informationYOUR GUIDE TO. Understanding Your Angina Diagnosis and Treatment
YOUR GUIDE TO Understanding Your Angina Diagnosis and Treatment Our goal at the Mercy Health Heart Institute is to help you be well. Our experienced team includes cardiologists, cardiovascular surgeons,
More informationCase Report Left Main Stenosis. Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Graft Surgery (CABG)?
Cronicon OPEN ACCESS CARDIOLOGY Case Report Left Main Stenosis. Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Graft Surgery (CABG)? Valentin Hristov* Department of Cardiology, Specialized
More informationCLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Proforma
CLINICAL AUDIT 2017/2018 Procedural Sedation in Adults Clinical Audit Proforma Data should be submitted between 1 Aug 2017 31 Jan 2018. You can find the link to log into the data entry site at www.rcem.ac.uk/audits
More informationPossible Cardiovascular System Abnormality. Opening and closing of a coronary artery Inflammation of the outside lining of the heart
JAMES L. MARCUM Symptom Chest pain (2) Shortness of breath (dyspnea) Possible Cardiovascular System Abnormality Complete blockage of a coronary artery leading to the heart Partial blockage Opening and
More information3855 Burton Street SE Suite A, Grand Rapids, MI Phone Fax Patient Information. Address: City: State: Zip:
3855 Burton Street SE Suite A, Grand Rapids, MI 49546 Phone 616.323.3102 Fax 616.323.3061 Patient Information Patient Name: Preferred Language: Address: City: State: Zip: Home Phone: Cell Phone: Cell Carrier:
More informationAngina Pectoris. Edward JN Ishac, Ph.D. Smith Building, Room
Angina Pectoris Edward JN Ishac, Ph.D. Smith Building, Room 742 eishac@vcu.edu 828-2127 Department of Pharmacology and Toxicology Medical College of Virginia Campus of Virginia Commonwealth University
More informationObjectives. Identify early signs and symptoms of Acute Coronary Syndrome Initiate proper protocol for ACS patient 10/2013 2
10/2013 1 Objectives Identify early signs and symptoms of Acute Coronary Syndrome Initiate proper protocol for ACS patient 10/2013 2 Purpose of this Education Module: Chest Pain Center Accreditation involves
More informationCardiovascular and Respiratory Disorders
Cardiovascular and Respiratory Disorders Blood Pressure Normal blood pressure is 120/80 mmhg (millimeters of mercury) Hypertension is when the resting blood pressure is too high Systolic BP is 140 mmhg
More informationAtrial Fibrillation. Damage to your heart caused by a heart attack or rheumatic heart disease
Atrial Fibrillation GENERAL INFORMATION: What is atrial fibrillation? Atrial fibrillation is a condition that causes the atria (top chambers of the heart) to shake or quiver. Normally, there is 1 contraction
More informationHeart Disorders. Cardiovascular Disorders (Part B-1) Module 5 -Chapter 8. Overview Heart Disorders Vascular Disorders
Cardiovascular Disorders (Part B-1) Module 5 -Chapter 8 Overview Heart Disorders Vascular Disorders Susie Turner, MD 1/7/13 Heart Disorders Coronary Artery Disease Cardiac Arrhythmias Congestive Heart
More informationAmarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
More informationCandesartan Antihypertensive Survival Evaluation in Japan (CASE-J) Trial of Cardiovascular Events in High-Risk Hypertensive Patients
1/5 This site became the new ClinicalTrials.gov on June 19th. Learn more. We will be updating this site in phases. This allows us to move faster and to deliver better services. Show less IMPORTANT: Listing
More informationCardiovascular Disorders Lecture 3 Coronar Artery Diseases
Cardiovascular Disorders Lecture 3 Coronar Artery Diseases By Prof. El Sayed Abdel Fattah Eid Lecturer of Internal Medicine Delta University Coronary Heart Diseases It is the leading cause of death in
More informationIschaemic Heart Disease
Ischaemic Heart Disease Katherine Rothwell Case 1 65 yr old female PMHx : Eczema, is a smoker 20/day Comes to see you complaining of central chest pain Present past few months. Comes on when gardening
More informationCARDIAC REHABILITATION PROGRAMME:- MEDICATION
CARDIAC REHABILITATION PROGRAMME:- MEDICATION AIM OF THIS SESSION Understand the reasons for taking your medications, Discuss the common side effects associated with these medications - knowing when to
More informationANNUAL FOLLOW-UP FORM
Public reporting burden for this collection of information is estimated to average 6-15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
More informationMonthly Safety Meeting. 25 September 2014 Please sign roster
Monthly Safety Meeting 25 September 2014 Please sign roster Before we begin Please sign the safety meeting roster Used to log safety currency in eservices Safety currency necessary for participation in
More informationMEDICAL HISTORY (To be filled in by patient)
MEDICAL HISTORY Reason for Visit or Chief Complaint: Referred By: Present Illness: (To be filled in by Physician) I. Have you had any reactions, allergies or bad effects from any of the following: Serum
More informationThe Muscatine Study Heart Health Survey
The Muscatine Study Heart Health Survey PARTICIPANT ID LABEL (include study ID, name, DOB, gender) Today s Date: - - (MM-DD-YYYY) Thank you for agreeing to participate in the International Childhood Cardiovascular
More informationClinicalTrials.gov Identifier: NCT Sponsor/company: Sanofi-Aventis. Date: 08/02/ 2008
These results are supplied for informational purposes only. Prescribing decisions should be made based on the approved package insert in the country of prescription Sponsor/company: Sanofi-Aventis ClinicalTrials.gov
More informationCardiff Cardiac Ablation PROM (C-CAP2)
Arrhythmia Questionnaire After your Operation We would be grateful if you could give us some feedback on how you have been feeling since your procedure to treat your palpitations / fast or irregular heartbeats.
More informationComputing composite scores of patients report of health professional behaviour Summary, Methods and Results Last updated 8 March 2011
Computing composite scores of patients report of health professional behaviour Summary, Methods and Results Last updated 8 March 2011 Summary: The patient questionnaire includes items which assess patients
More informationGet Healthy Stay Healthy
Hypertension Management WHAT IS HYPERTENSION (HIGH BLOOD PRESSURE)? Blood pressure is a measure of how hard the blood pushes against the walls of your arteries as it moves through your body. It is normal
More informationManagement of Stable Ischemic Heart Disease. Vinay Madan MD February 10, 2018
Management of Stable Ischemic Heart Disease Vinay Madan MD February 10, 2018 1 Disclosure No financial disclosure. 2 Overview of SIHD Diagnosis Outline of talk Functional vs. Anatomic assessment Management
More informationChest Pain. Dr. Amitesh Aggarwal. Department of Medicine
Chest Pain Dr. Amitesh Aggarwal Department of Medicine BACKGROUND Approx 5% of all ED visits 15 % - AMI 25-30 % - Unstable angina 50-55 % - Other conditions Atypical presentations common 2% of patients
More informationCORONARY ARTERY DISEASE OVERVIEW
CORONARY ARTERY DISEASE OVERVIEW Your heart is a strong muscular pump that is responsible for moving about 3,000 gallons of blood through your body every day. Like other muscles, your heart requires a
More informationHypertension. Risk Factors
Hypertension September 2016, ½ hour The National Institute of Health (NIH) estimates that about two-thirds of people in the United States over the age of 65 have high blood pressure, also known as hypertension.
More informationOutline. Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call
Street Medicine Outline Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call Terminology Physiology: The biological study of the functions of living organisms and their parts Pathology: the
More informationWomen and Vascular Disease
Women and Vascular Disease KEVIN F. REBECK PA-C VASCULAR TRANSPLANT SURGERY 1 The Scope of the Problem One woman dies every minute from cardiovascular disease in the U.S.! The Scope of the Problem CVD
More informationFINAL TOPLINE. Diabetes Group. Qualities That Matter: Public Perceptions of Quality in Diabetes Care, Joint Replacement and Maternity Care
FINAL TOPLINE Group Qualities That Matter: Public Perceptions of Quality in Care, Joint Replacement and Maternity Care National Survey of adults recently diagnosed with type 2 diabetes about their perceptions
More informationMedical History. Instructions. My telephone number is: 1 Tools Medical History
Medical History Instructions To do the best possible job with your pain, your doctor needs details about your history, including current and past medical problems, medications, health habits, and family
More informationCoronary Artery Disease
Coronary Artery Disease This information is at http://www.nhlbi.nih.gov/health/dci/diseases/cad/cad_all.html and is provided by the NHLBI, one of the Institutes of the National Institutes of Health. To
More informationThese Are The Warning Signs Of A Heart Attack
These Are The Warning Signs Of A Heart Attack www.healthyway.com/content/these-are-the-warning-signs-of-a-heart-attack/ March 3, 5877521 According to the Centers for Disease Control and Prevention (CDC),
More informationIschaemic heart disease. IInd Chair and Clinic of Cardiology
Ischaemic heart disease IInd Chair and Clinic of Cardiology Definition Syndrome due to chronic insufficient oxygen supply to myocardial cells Nomenclature: ischaemic heart disease (IHD), coronary artery
More informationANGINA PECTORIS. angina pectoris is a symptom of myocardial ischemia in the absence of infarction
Pharmacology Ezra Levy, Pharm.D. ANGINA PECTORIS A. Definition angina pectoris is a symptom of myocardial ischemia in the absence of infarction angina usually implies severe chest pain or discomfort during
More informationTRANSPARENCY COMMITTEE OPINION. 4 November 2009
The legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION 4 November 2009 RANEXA 375 mg extended release tablet Pack of 60 (CIP: 394 370-7) RANEXA 500 mg extended release tablet
More informationNew Patient Questionnaire
New Patient Questionnaire Name: Primary Care Physician: Date of Birth: / / Home Phone: ( ) Cell Phone: ( ) Why are you seeing a cardiologist? (please answer in detail) Have you ever seen a cardiologist
More informationPATIENT INFORMATION LEAFLET AMLOC RANGE
SCHEDULING STATUS: S3 PROPRIETARY NAME AND DOSAGE FORM: AMLOC 5 mg tablets AMLOC 10 mg tablet Read all of this leaflet carefully before you start taking AMLOC. Keep this leaflet. You may need to read it
More informationPrescription for Progress Study conducted by the Siena College Research Institute April 10 - May 4, Stakeholders - MOE +/- 4.
How serious a public health problem in the State of New York is each of the following: [Q1A-Q1I ROTATED] Q1A. Alcohol abuse Very serious 61% 63% 53% 63% 36% 71% 52% Somewhat serious 35% 35% 38% 33% 52%
More information/ / / / / / Hospital Abstraction: Stroke/TIA. Participant ID: Hospital Code: Multi-Ethnic Study of Atherosclerosis
Multi-Ethnic Study of Atherosclerosis Participant ID: Hospital Code: Hospital Abstraction: Stroke/TIA History and Hospital Record 1. Was the participant hospitalized as an immediate consequence of this
More informationPatient Intake Form. I prefer to receive calls at (circle) Home/Work/Cell I am (circle) Under Age18/Single/Married/Divorced/Widowed/Separated
Patient Information Full Name: First MI Last Patient Intake Form Date: Address: City: State: Zip: Age: Birth Date: Female: Male: Social Security Number: Email Address: Home Phone: Work Phone: Cell/Other:
More informationHeart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United
Heart disease remains the leading cause of morbidity and mortality in industrialized nations. It accounts for nearly 40% of all deaths in the United States, totaling about 750,000 individuals annually
More informationmedical questionnaire Date: Day Month Year
medical questionnaire Date: Please answer these questions as completely as you can. We realize that this form is long, but the information in this form will be extremely valuable to us in providing you
More informationSherri Homan, RN, PhD Public Health Epidemiologist March 2009 Update
Sherri Homan, RN, PhD Public Health Epidemiologist March 2009 Update Report Authors Wayne Schramm Kris Kummerfeld Contributors Anita Berwanger Linda Powell Karen Connell Lisa Britt Andy Hunter Joseph Stockbauer
More informationHEART DISEASE HEART CONDITIONS, RISKS AND PROTECTION
Spotlight on Health 2017 HEART DISEASE HEART CONDITIONS, RISKS AND PROTECTION Heart disease is the leading cause of death for both men and women worldwide, accounting for over 17 million deaths per year.
More informationPar cipant ID #: Hello, my name is [interviewer name], and I m calling to speak with [par cipant name]. Is [par cipant name] available?
Par cipant ID #: MESA Follow up Phone Call 20: General Health Date: Acros c: / / Month Day Year INTRODUCTION Hello, my name is [interviewer name], and I m calling to speak with [par cipant name]. Is [par
More informationDICOM Correction Item
Correction Number CP-759 DICOM Correction Item Log Summary: Type of Modification Modification Rationale for Correction Name of Standard PS 3.16 The templates for Cardiovascular Patient History, originally
More informationGuide to Cardiology Care at Scripps
Guide to Cardiology Care at Scripps Cardiology is the word in health care associated with heart, but the body s vascular system is also an important part of heart care. Your body has more than 60,000 miles
More informationMISCONCEPTION OF HEART ATTACK PAIN WITH HEART BURN - HOW COMMON IS IT? Sehrish Khan, Rizwan Aziz Memon, Muhammad Farhan Khan, Mudassir Iqbal Dar
Pak Heart J ORIGINAL ARTICLE MISCONCEPTION OF HEART ATTACK PAIN WITH HEART BURN - HOW COMMON IS IT? 1 2 3 4 Sehrish Khan, Rizwan Aziz Memon, Muhammad Farhan Khan, Mudassir Iqbal Dar 1 Dow Medical College,
More informationOutcomes: By the end of this session the student will be able to:
Outcomes: By the end of this session the student will be able to: Discuss the cardiovascular system Identify the normal changes that occur with ageing Explain the nurses role in the care of residents with
More informationCardiovascular Diseases and Diabetes
Cardiovascular Diseases and Diabetes LEARNING OBJECTIVES Ø Identify the components of the cardiovascular system and the various types of cardiovascular disease Ø Discuss ways of promoting cardiovascular
More information2013 Hypertension Measure Group Patient Visit Form
Please complete the form below for 20 or more unique patients meeting patient sample criteria for the measure group for the current reporting year. A majority (11 or more) patients must be Medicare Part
More informationProper Completion of a Death Certificate"
Proper Completion of a Death Certificate" Pennsylvania Department of Health Bureau of Health Statistics and Research Division of Statistical Registries Division of Vital Records Why should you care? 1.
More informationΠαύλος Στουγιάννος. Καρδιολόγος ΓΝΑ «Η ΕΛΠΙΣ»
Επεμβατική Καρδιολογία. STEMI. Σύγχρονη θεώρηση Παύλος Στουγιάννος Καρδιολόγος ΓΝΑ «Η ΕΛΠΙΣ» Criteria for acute myocardial infarction Thygesen K, et al. Third universal definition of myocardial infarction.
More informationBeta-blockers: Now what? Annemarie Thompson, MD Assistant Professor of Anesthesia and Medicine Vanderbilt University Medical Center
Beta-blockers: Now what? Annemarie Thompson, MD Assistant Professor of Anesthesia and Medicine Vanderbilt University Medical Center Beta-blockers: What s known 30 Years 30 Careers Physician clarity regarding
More informationAcute Myocardial Infarction. Willis E. Godin D.O., FACC
Acute Myocardial Infarction Willis E. Godin D.O., FACC Acute Myocardial Infarction Definition: Decreased delivery of oxygen and nutrients to the myocardium Myocardial tissue necrosis causing irreparable
More informationCardiovascular Concerns in Intermediate Care
Cardiovascular Concerns in Intermediate Care GINA ST. JEAN RN, MSN, CCRN-CSC CLINICAL NURSE EDUCATOR HEART AND & CRITICAL AND INTERMEDIATE CARE Objectives: Identify how to do a thorough assessment of the
More informationStudy of clinical presentations of acute myocardial infarction in Indian Population
Original article: Study of clinical presentations of acute myocardial infarction in Indian Population *Dr Aakash R Badgujar, **Dr Vijay K Joglekar *Department of Medicine, GMC, Mumbai **Head of Department,
More informationQuote Request. Advisor Information. Client Information. Medical History. Driving History. Advisor Company Date. Phone Fax.
Advisor Information Advisor Company Date E-Mail Phone Fax Client Information Client Name Date of Birth Occupation Plan and amount of insurance requested: Has the case been submitted to other companies
More informationDUKECATHR Dataset Dictionary
DUKECATHR Dataset Dictionary Version of DUKECATH dataset for educational use that has been modified to be unsuitable for clinical research or publication (Created Date and Time: 28OCT16 14:35) Table of
More informationLnformation Coverage Guidance
Lnformation Coverage Guidance Coverage Indications, Limitations, and/or Medical Necessity Abstract: B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. It
More informationCardiovascular Disease in Women over 50. Jessie Fazel, Kristin Jeschke, and Teresa Taylor. University of Kansas School of Nursing
Cardiovascular Disease in Women over 50 Jessie Fazel, Kristin Jeschke, and Teresa Taylor University of Kansas School of Nursing 48 Cardiovascular Disease in Women over 50 Cardiovascular disease is the
More informationCARDIAC CT ANGIOGRAM APPOINTMENT FORM AND INSTRUCTIONS
CARDIAC CT ANGIOGRAM APPOINTMENT FORM AND INSTRUCTIONS Your Cardiac CT Angiogram appointment is:, : am pm (date) (time) (circle one) Please expect to be at your appointment for 1 HOUR. Please call 610-431-5120
More information