Heart failure (CHRIS baseline)

md_x0_0049

History of heart failure collected by interview-administered questionnaire during the visit at study center

No sub-modules.
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)

Heart failure notes elaborated (symptoms)

x0hfn1b
Heart failure notes elaborated (diseases)

Heart failure notes elaborated (diseases)

x0hfn2b
Heart failure notes elaborated (ecg)

Heart failure notes elaborated (ECG)

x0hfn3b
Heart failure notes elaborated (heart failure)

Heart failure notes elaborated (heart failure)

x0hfn4b
Heart failure notes elaborated

Heart failure notes elaborated

x0hfnoteb
Heart failure version

Heart failure version

x0hfver