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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