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. 2013 Apr 4;14:47. doi: 10.1186/1471-2296-14-47

Table 1.

Data collected via case report form (CRF)

Data collected via case report form (CRF)
Demographic data
Age
 
 
Sex
 
 
Height
 
 
Weight
 
 
Smoking status
 
Chronic diseases
Diabetes mellitus type 2
± micro- or macro-vascular complications
 
Arterial hypertension
 
 
Atrial fibrillation
 
 
Heart failure
(including NYHA-stage)
 
Cardiovascular diseases
Myocardial infarction, aortocoronary bypass or stenting, angina pectoris and coronary stenosis* , peripheral arterial occlusive disease, peripheral arterial thromboembolism
 
Cerebrovascular diseases
Stroke, transitory ischemic attack, carotid endarterectomy or stenting
Medication
Oral antidiabetics
Metformin
 
Antihypertensive drugs
Inhibitors of the renin-angiotensin-aldosterone system (RAAS), diuretics (thiazides, furosemide) calcium channel blockers, beta-blockers
 
Platelet aggregation Inhibitors
Acetylsalicylic acid, clopidogrel, prasugrel
 
Anticoagulants
Vitamine-K-antagonists
 
Lipid lowering therapy
Statins
Medical data (via patient’s health records)
Blood pressure
Singular measurement, multiple self-measurements or 24-h record if available
 
HbA1c
 
 
Creatinine level
 
 
International normalized ratio
In case of oral anticoagulation
  Total serum cholesterol, LDL and HDL levels