CHRIS Portal - Cardiovascular system group.

Valvular heart disease (diagnosed)

Has a doctor ever told you that you have a valvular heart disease or another heart disease?

x0af01

Valvular heart disease (age at diagnosis)

In which year was the heart disease diagnosed for the first time? (age)

x0af01b

Valvular heart disease (last 12 months)

Have you had a heart disease within the last 12 months?

x0af01c

Valvular heart disease (treated last 12 months)

Were you treated for a heart disease within the last 12 months?

x0af01d

Atrial fibrillation

Do you have atrial fibrillation?

x0af02

Atrial fibrillation (diagnosed)

Was it diagnosed by a doctor?

x0af02a

Atrial fibrillation (age at diagnosis)

In which year was it diagnosed for the first time? (age)

x0af02c

Atrial fibrillation (treated)

Were you or are you still treated by a doctor for this?

x0af02d

Atrial fibrillation: Symptoms

Do you experience discomfort during atrial fibrillation?

x0af03

Atrial fibrillation: Symptoms (tachycardia)

Which? Tachycardia

x0af03a

Atrial fibrillation: Symptoms (extrasystole)

Which? Extrasystole

x0af03b

Atrial fibrillation: Symptoms (weakness/tiredness)

Which? Weakness/tiredness

x0af03c

Atrial fibrillation: Symptoms (shortness of breath)

Which? Shortness of breath

x0af03d

Atrial fibrillation: Symptoms (chest pain)

Which? Chest pain

x0af03e

Atrial fibrillation: Symptoms (anxiety)

Which? Anxiety

x0af03f

Atrial fibrillation: Symptoms (dizziness)

Which? Dizziness

x0af03g

Atrial fibrillation: Symptoms (other)

Which? Other

x0af03h

Atrial fibrillation: Symptoms (other/free text)

Describe the other discomfort

x0af03i

Chronic atrial fibrillation

Is the atrial fibrillation chronic i.e. continuously, without a break?

x0af04

Atrial fibrillation (frequency)

How often do you have atrial fibrillation?

x0af05

Atrial fibrillation (duration)

On average, how long does an attack of atrial fibrillation last?

x0af06

Cardiac arrhythmias

Had you extrasystole, irregular heartbeat, tachycardia or cardiac flutter?

x0af07

Cardiac arrhythmias

Since when? (age)

x0af07b

Type of cardiac arrhythmia, elaborated (free text)

Describe the type of cardiac arrhythmia (elaborated)

x0af07c2

Electric shock therapy because of cardiac arrhythmias

Have you undergone an electric shock therapy because of a cardiac arrhythmia?

x0af08

Syncope

Do you have experienced a loss of consciousness with a cardiac arrest?

x0af09

Syncope: Physical/mental stress

Were you under physical or psychological stress at that time?

x0af09a

Reanimation

Have you ever been resuscitated by a doctor, an ambulance man or another person?

x0af10

Pacemaker/implantable defibrillator

Are you carrier of a pacemaker or an implanted defibrillator?

x0af11

Cardiac arrhythmia notes elaborated (atrial fibrillation)

x0afn1b

Cardiac arrhythmia notes elaborated (symptoms)

x0afn2b

Cardiac arrhythmia notes elaborated (chronic)

x0afn3b

Cardiac arrhythmia notes elaborated (arrhythmias)

x0afn4b

Cardiac arrhythmia notes elaborated (treatment)

x0afn5b

Cardiac arrhythmia notes elaborated

x0afnoteb

Cardiac arrhythmia version

x0afver

Claudication/peripheral arterial disease (diagnosed)

Did a doctor ever say that you had claudication or peripheral arterial disease (poor blood flow to the legs or blocked or narrowed arteries to the legs)?

x0ci01

Claudication/peripheral arterial disease: Angiography

For the above condition have you ever had … Angiography (dye in the arteries of the legs)

x0ci02a

Claudication/peripheral arterial disease: Angioplasty

For the above condition have you ever had … Angioplasty (balloon catheter to open blockage)

x0ci02b

Claudication/peripheral arterial disease: Surgery to improve blood flow in the legs

For the above condition have you ever had … Surgery to improve blood flow in your legs (do not include surgery for varicose veins)

x0ci02c

Varicous veins in the legs (ever)

Have you ever had varicose veins in the legs (excluding during pregnancy)?

x0ci03

Phlebitis at superficial veins on the legs (ever)

Have you ever had phlebitis at superficial veins on the legs?

x0ci04

Pulmonary embolus/blood clots in the lungs (diagnosed)

Has a doctor ever told you that you had pulmonary embolus or blood clots in your lungs?

x0ci05

Deep venous thrombosis/blood clots in the legs (diagnosed)

Has a doctor ever told you that you had deep venous thrombosis or blood clots in your legs?

x0ci06

Deep venous thrombosis/blood clots in the legs (treated)

Have you ever been treated by a doctor or a nurse with shots at home or as an outpatient (usually followed by blood thinning medications such as Coumadin, Warfarin) for blood clots in the legs called deep vein thrombosis or DVT?

x0ci06a

Deep venous thrombosis/blood clots in the legs: Outpatient tests

Have you ever had outpatient test(s) performed for blood clots in the legs called deep vein thrombosis or DVT?

x0ci06b

Circulation notes elaborated (arteries)

x0cin1b

Circulation notes (veins)

x0cin2

Circulation notes

x0cinote

Circulation version

x0civer

Other diseases of the heart

Have you or had you in the past any other diseases of the heart we did not mention yet?

x0cv01

Other diseases of the heart elaborated (description/free text)

Describe the diseases of the heart as accurately as possible

x0cv01a2

Cardiovascular notes (other heart diseases)

Cardiovascular notes (other heart disease)

x0cvn1

Cardiovascular notes

x0cvnote

Cardiovascular version

x0cvver

Dyspnea/shortness of breath

Do you have shortness of breath during exercise e.g. when climbing stairs?

x0hf01

Dyspnea/shortness of breath (since)

Since when? (age)

x0hf01b

Pulmonary edema

Do you have 'water in the lung' (pulmonary edema)?

x0hf02

Pulmonary edema (since)

Since when? (age)

x0hf02b

Swollen legs/water in the legs

Do you often have swollen legs, because of 'water in the legs'?

x0hf03

Swollen legs/water in the legs (since)

Since when? (age)

x0hf03b

Myocarditis

Do you have myocarditis?

x0hf04

Myocarditis (since)

Since when? (age)

x0hf04b

Myocarditis elaborated (description/free text)

Describe the disease as accurately as possible (elaborated)

x0hf04c2

Myocardial disease

Do you have a myocardial disease? (e.g. hypertrophic cardiomyopathy)

x0hf05

Myocardial disease (since)

Since when? (age)

x0hf05b

Myocardial disease elaborated (description/free text)

Describe the disease as accurately as possible (elaborated)

x0hf05c2

Heart defect

Have you ever been told that you have a heart defect (as a child)?

x0hf06

Heart defect elaborated (description/free text)

Describe the problem as accurately as possible (elaborated)

x0hf06a2

ECG

Has a doctor ever performed an ECG on you (except surgical preparation or sport competitions)?

x0hf07

ECG (age)

Do you remember in which year the ECG showed conspicuous findings for the first time? (age)

x0hf07b

ECG: Conspicuous findings

Where there conspicuous findings?

x0hf07c

ECG: Conspicuous findings elaborated (free text)

Which? (elaborated)

x0hf07d2

Heart failure (diagnosed)

Has a doctor ever told you that you have a heart failure?

x0hf08

Heart failure (age at diagnosis)

In which year was it diagnosed for the first time? (age)

x0hf08b

Heart failure (last 12 months)

Have you had a heart failure within the last 12 months?

x0hf08c

Heart failure (treated last 12 months)

Were you treated for this within the last 12 months?

x0hf08d

Heart failure notes elaborated (symptoms)

x0hfn1b

Heart failure notes elaborated (diseases)

x0hfn2b

Heart failure notes elaborated (ecg)

Heart failure notes elaborated (ECG)

x0hfn3b

Heart failure notes elaborated (heart failure)

x0hfn4b

Heart failure notes elaborated

x0hfnoteb

Heart failure version

x0hfver

Chest pain

Have you ever had any pain or discomfort in your chest?

x0mi00

Chest pain: When walking uphill or hurry

Do you get it when you are in a hurry, walking uphill or otherwise exerting yourself physically?

x0mi01

Chest pain: When walking at an ordinary pace on the level

Do you get it when you walk at an ordinary pace on level ground?

x0mi02

Chest pain: Reaction - when walking uphill or hurry

What do you do, if you get it while you are walking?

x0mi03

Chest pain: Reaction - when walking uphill or hurry (stop within 10 minutes)

Does the pain/discomfort vanish within 10 minutes if you walk slower or stand still?

x0mi04

Chest pain: Localisation (sternum)

Will you show me, where it was? Sternum

x0mi05a

Chest pain: Localisation (left arterial chest)

Will you show me, where it was? Left arterial chest

x0mi05b

Chest pain: Localisation (neck/jaw)

Will you show me, where it was? Neck/jaw

x0mi05c

Chest pain: Localisation (left shoulder)

Will you show me, where it was? Left shoulder

x0mi05d

Chest pain: Localisation (other)

Will you show me, where it was? Other

x0mi05e

Chest pain: Localisation (other/free text)

If it was at another site, which?

x0mi05f

Chest pain: Radiate into the left arm

Does the pain or the discomfort radiate into the left arm?

x0mi06

Chest pain: Severe pain across the front of the chest (half an hour or more)

Have you ever had a severe pain across the front of your chest lasting for half an hour or more?

x0mi07

Coronary heart disease

To your knowledge, do you have a disease of the coronary vessels?

x0mi08

Coronary heart disease (diagnosed)

Was it diagnosed by a doctor?

x0mi08a

Coronary heart disease (year of diagnosis)

In which year was it diagnosed? (age)

x0mi08c

Coronary heart disease (treated)

Were you or are you still treated by a doctor for this?

x0mi08d

Myocardial infarction (diagnosed)

Have you ever been told by a doctor that you had a myocardial infarction (MI)?

x0mi09

Myocardial infarctions

In total, how many myocardial infarctions have you had?

x0mi10