AVID Data Collection Forms
Index of Forms

 

Record Type & Form Name Number of Pages
Record 1 (Screen) 1 page
Record 2 (Registry) 2 pages
Record 3 (Baseline) 2 pages
Record 4 (Concurrent Drugs) 2 pages
Record 5 (ECG) 1 page
Record 6 (Randomization Worksheet) 2 pages
Record 7 (Lab Data) 2 pages
Record 8 (EPS) 1 page
Record 9 (Holter) 1 page
Record 10 (Initiation of Antiarrhythmic Drug) 2 pages
Record 11 (ICD Implantation) 3 pages
Record 12 (Hospitalization) 3 pages
Record 13 (Follow-up) 2 pages
Record 14 (ICD Evaluation) 2 pages
Record 15 (Adverse Symptoms) 3 pages
Record 16 (Change of Study Therapy) 3 pages
Record 17 (Notification of Death) 1 page
Record 16 (Death) 5 pages
Record 17 (Recurrent Arrhythmia) 2 pages
Record 18 (Lead and Generator Identification) 3 pages
Record 19 (ICD Implantation Complications) 2 pages
Record 20 (End of Randomization Status) 2 pages
Record 21 (Final Closeout) 1 page
Record 22 (Patient Quality of Life Baseline) 14 pages
Record 23 (Patient Quality of Life-3 Month) 12 pages
Record 24 (Patiemt Quality of Life-6 Month) 15 pages
Record 25 (Patient Quality of Life-Yearly) 15 pages
Record 26 (Patient Qualilty of Life-Half Yearly) 15 pages

 






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