Valvular heart disease (diagnosed)

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

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Valvular heart disease (age at diagnosis)

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

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Valvular heart disease (last 12 months)

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

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Valvular heart disease (treated last 12 months)

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

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Atrial fibrillation

Do you have atrial fibrillation?

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Atrial fibrillation (diagnosed)

Was it diagnosed by a doctor?

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Atrial fibrillation (age at diagnosis)

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

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Atrial fibrillation (treated)

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

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Atrial fibrillation: Symptoms

Do you experience discomfort during atrial fibrillation?

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Atrial fibrillation: Symptoms (tachycardia)

Which? Tachycardia

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Atrial fibrillation: Symptoms (extrasystole)

Which? Extrasystole

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Atrial fibrillation: Symptoms (weakness/tiredness)

Which? Weakness/tiredness

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Atrial fibrillation: Symptoms (shortness of breath)

Which? Shortness of breath

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Atrial fibrillation: Symptoms (chest pain)

Which? Chest pain

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Atrial fibrillation: Symptoms (anxiety)

Which? Anxiety

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Atrial fibrillation: Symptoms (dizziness)

Which? Dizziness

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Atrial fibrillation: Symptoms (other)

Which? Other

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Atrial fibrillation: Symptoms (other/free text)

Describe the other discomfort

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Chronic atrial fibrillation

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

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Atrial fibrillation (frequency)

How often do you have atrial fibrillation?

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Atrial fibrillation (duration)

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

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Cardiac arrhythmias

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

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Cardiac arrhythmias

Since when? (age)

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Type of cardiac arrhythmia, elaborated (free text)

Describe the type of cardiac arrhythmia (elaborated)

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Electric shock therapy because of cardiac arrhythmias

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

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Syncope

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

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Syncope: Physical/mental stress

Were you under physical or psychological stress at that time?

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Reanimation

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

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Pacemaker/implantable defibrillator

Are you carrier of a pacemaker or an implanted defibrillator?

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Cardiac arrhythmia notes elaborated (atrial fibrillation)

Cardiac arrhythmia notes elaborated (atrial fibrillation)

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Cardiac arrhythmia notes elaborated (symptoms)

Cardiac arrhythmia notes elaborated (symptoms)

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Cardiac arrhythmia notes elaborated (chronic)

Cardiac arrhythmia notes elaborated (chronic)

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Cardiac arrhythmia notes elaborated (arrhythmias)

Cardiac arrhythmia notes elaborated (arrhythmias)

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Cardiac arrhythmia notes elaborated (treatment)

Cardiac arrhythmia notes elaborated (treatment)

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Cardiac arrhythmia notes elaborated

Cardiac arrhythmia notes elaborated

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Cardiac arrhythmia version

Cardiac arrhythmia version

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