| | 300 | || Have you ever suffered from high blood pressure? || y, n, pnta, dk || y || |
| | 301 | || When did you first suffer from high blood pressure? || numeric box, pnta, dk || y || |
| | 302 | || Have you received treatment for your high blood pressure? || y, n, pnta, dk || y || |
| | 303 | || Have you ever suffered from diabetes? || y, n, pnta, dk || y || |
| | 304 | || Which type of diabetes? || radio button list || y || |
| | 305 | || When did you first suffer from diabetes? || numeric box, pnta, dk || y || |
| | 306 | || Have you received treatment for your diabetes? || y, n, pnta, dk || y || |
| | 307 | || What treatment are you receiving for your diabetes? || radio button list || y || |
| | 308 | || Have you ever suffered from high cholesterol? || y, n, pnta, dk || y || |
| | 309 | || When did you first suffer from high cholesterol? || numeric box, pnta, dk || y || |
| | 310 | || Have you received treatment for your high cholesterol? || y, n, pnta, dk || y || |
| | 311 | || Have you ever suffered a heart attack or myocardial infarction (M.I.)? || y, n, pnta, dk || y || |
| | 312 | || How many heart attacks or MIs have you had? || numeric box, pnta, dk || y || |
| | 313 | || Year of occurrence of each MI (one per instance) || numeric box, pnta, dk || y || |
| | 314 | || Have you received treatment for your MI? || y, n, pnta, dk || y || |
| | 315 | || Have you ever had a stroke or a cerebrovascular accident (CVA)? || y, n, pnta, dk || y || |
| | 316 | || How many CVAs have you suffered? || numeric box, pnta, dk || y || |
| | 317 | || Year of occurrence of each CVA (one per instance) || numeric box, pnta, dk || y || |
| | 318 | || Have you received treatment for your CVA? || y, n, pnta, dk || y || |
| | 319 | || Have you ever suffered from transient ischaemic attack (TIA)? || y, n, pnta, dk || y || |
| | 320 | || How many TIAs have you suffered? || numeric box, pnta, dk || y || |
| | 321 | || Year of occurrence of each TIA (one per instance) || numeric box, pnta, dk || y || |
| | 322 | || Have you received treatment for your TIA? || y, n, pnta, dk || y || |
| | 323 | || Have you ever suffered from angina? || y, n, pnta, dk || y || |
| | 324 | || When did you first suffer from angina? || numeric box, pnta, dk || y || |
| | 325 | || Have you received treatment for your angina? || y, n, pnta, dk || y || |
| | 326 | || Have you ever suffered from peripheral vascular disease (PVD)? || y, n, pnta, dk || y || |
| | 327 | || When did you first suffer from peripheral vascular disease (PVD)? || numeric box, pnta, dk || y || |
| | 328 | || Have you received treatment for your PVD? || y, n, pnta, dk || y || |
| | 329 | || Have you ever suffered from valvular heart disease? || y, n, pnta, dk || y || |
| | 330 | || Which type of Valvular Heart Disease have you had? || radio button list || y || |
| | 331 | || When did you first suffer from valvular heart disease? || numeric box, pnta, dk || y || |
| | 332 | || Have you received treatment for your valvular heart disease? || y, n, pnta, dk || y || |
| | 333 | || Have you ever suffered from an aortic aneurysm? || y, n, pnta, dk || y || |
| | 334 | || When did you first suffer from aortic aneurysm? || numeric box, pnta, dk || y || |
| | 335 | || Have you received treatment for your aortic aneurysm? || y, n, pnta, dk || y || |
| | 336 | || Have you ever suffered from chronic renal failure? || y, n, pnta, dk || y || |
| | 337 | || When did you first suffer from chronic renal failure? || numeric box, pnta, dk || y || |
| | 338 | || Have you received treatment for your chronic renal failure? || y, n, pnta, dk || y || |
| | 339 | || Have you ever suffered from chronic obstructive airway disease (COAD) or chronic obstructive pulmonary disease (COPD)? || y, n, pnta, dk || y || |
| | 340 | || When did you first suffer from COAD or COPD? || numeric box, pnta, dk || y || |
| | 341 | || Have you received treatment for your COAD or COPD? || y, n, pnta, dk || y || |
| | 342 | || Have you ever suffered from liver disease? || y, n, pnta, dk || y || |
| | 343 | || When did you first suffer from liver disease? || numeric box, pnta, dk || y || |
| | 344 | || Have you received treatment for your liver disease? || y, n, pnta, dk || y || |
| | 345 | || Have you ever suffered from asthma? || y, n, pnta, dk || y || |
| | 346 | || When did you first suffer from asthma? || numeric box, pnta, dk || y || |
| | 347 | || Have you received treatment for your asthma? || y, n, pnta, dk || y || |
| | 348 | || Have you ever suffered from Atrial Fibrillation (AF)? || y, n, pnta, dk || y || |
| | 349 | || When did you first suffer from AF? || numeric box, pnta, dk || y || |
| | 350 | || Have you received treatment for your AF? || y, n, pnta, dk || y || |
| | 351 | || Have you ever suffered from any other heart rhythm disturbance? || y, n, pnta, dk || y || |
| | 352 | || When did you first suffer from other heart rhythm disturbance? || numeric box, pnta, dk || y || |
| | 353 | || Have you received treatment for your other heart rhythm disturbance? || y, n, pnta, dk || y || |
| | 354 | || Past History of Interventions || tickbox list with radio buttons for none & unknown || y || |
| | 355 | || How many times have you undergone CABG? || numeric box || y || |
| | 356 | || Enter the year for each CABG (one per occurrance) || numeric box and unknown radio button || y || |
| | 357 | || How many times have you undergone Valve Surgery? || numeric box || y || |
| | 358 | || Enter the year for each Valve_Surgery (one per occurrance) || numeric box and unknown radio button || y || |
| | 359 | || In which year was your TAVI performed? || numeric box and unknown radio button || y || |
| | 360 | || How many times have you undergone a Primary PCI? || numeric box || y || |
| | 361 | || Enter the year for each Primary PCI (one per occurrance) || numeric box and unknown radio button || y || |
| | 362 | || How many times have you undergone a PCI other than a Primary PCI? || numeric box || y || |
| | 363 | || When did you have the other PCI procedures? (one per occurrance) || numeric box and unknown radio button || y || |
| | 364 | || How many times have you had pacemaker surgery? || numeric box || y || |
| | 365 | || Enter the year for each pacemaker. (one per occurrance) || numeric box and unknown radio button || y || |
| | 366 | || How many times have you had an ICD implanted? || numeric box || y || |
| | 367 | || Enter the year for each ICD. (one per occurrance) || numeric box and unknown radio button || y || |
| | 368 | || How many times have you had DC cardioversion? || numeric box || y || |
| | 369 | || Enter the year for each DC cardioversion. (one per occurrance) || numeric box and unknown radio button || y || |
| | 370 | || How many times have you had an LVAD fitted? || numeric box || y || |
| | 371 | || Enter the year for each LVAD. (one per occurrance) || numeric box and unknown radio button || y || |
| | 372 | || How many times have you had thrombolysis? || numeric box || y || |
| | 373 | || Enter the year for each thrombolysis treatment. (one per occurrance) || numeric box and unknown radio button || y || |
| | 374 | || How many times have you had an ablation? || numeric box || y || |
| | 375 | || Enter the year for each ablation. (one per occurrance) || numeric box and unknown radio button || y || |
| | 376 | || How many times have you had an Aortic Balloon Pump fitted? || numeric box || y || |
| | 377 | || Enter the year for each Aortic Balloon Pump. (one per occurrance) || numeric box and unknown radio button || y || |
| | 378 | || How many times have you had a bare metal stent fitted? || numeric box || y || |
| | 379 | || Enter the year for each bare metal stent. (one per occurrance) || numeric box and unknown radio button || y || |
| | 380 | || How many times have you had a drug-eluting stent fitted? || numeric box || y || |
| | 381 | || How many times have you had a drug-eluting stent fitted. (one per occurrance) || numeric box and unknown radio button || y || |
| | 382 | || How many times have you had ? || numeric box || y || |
| | 383 | || Enter the year for each CPAP. (one per occurrance) || numeric box and unknown radio button || y || |
| | 384 | || How many times have you had a heart transplant ? || numeric box || y || |
| | 385 | || Enter the year for each heart transplant. (one per occurrance) || numeric box and unknown radio button || y || |
| | 386 | |
| | 387 | |