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

 






Please send us your feedback, comments, and questions
by using the appropriate link on the page, Contact the NHLBI.

Note to users of screen readers and other assistive technologies: please report your problems here.