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. 2014 Dec 31;7:53–64. doi: 10.2147/CLEP.S73728

Table S1.

Variables included in the registration forms for the Western Denmark Cardiac Computed Tomography Registry

Registration forms
Referral form Medical history form Procedure form
CPR number Family history of premature CAD Type of CT scanner
Sex Current lipid-lowering therapy Cardiac CT indication (angina/equivalent, hear failure, visualization of valves and/or aorta disease, visualization of stents, evaluation of cardiac structures, or others)
County Current medical treatment for hypertension Angina type (if any): typical angina, atypical angina, unspecific chest pain, or dyspnea
Area code Smoking status Priority (acute, subacute, or elective)
Referral date Diabetes Date of procedure
Previous PCI Kilo-electron volt
Previous cardiac surgery Radiation dose (DLP)
Previous myocardial infarction Iodine dose (mg)
Height (cm) Contrast volume (mL)
Weight (kg) Contrast manufacturer
Creatinine level (μmol/L) Beta-blocker (if any): name and administration
Systolic and diastolic blood pressures (mmHg) Heart rhythm (sinus rhythm, atrial fibrillation, supraventricular/ventricular premature beats/others)
Left ventricular ejection fraction (%) Heart rate (bpm)
Cardiac devices Ventriculography ejection fraction (%)
Current medical treatments Cardiac CT quality (good, moderate, or nonevaluable)
Complications (descriptive)
Vessel dominance (balanced, right, or left)
CACS (Agatston score) result
Consequence of CACS results (termination or proceeding to contrast-enhanced cardiac CT)
Coronary CTA result (only CACS was performed, none CAD [0% luminal stenosis], nonobstructive CAD [1%–49% luminal stenosis], obstructive CAD [≥50% luminal stenosis] categorized as: 1-vessel obstructive CAD, 2-vessel obstructive CAD, 3-vessel/left main obstructive CAD)
Consequence of coronary CTA results (none, medical treatment, referral to invasive coronary angiography, referral to myocardial perfusion imaging, referral to other noninvasive diagnostic testing, or other)
Extracardiac findings (descriptive)

Abbreviations: CACS, coronary artery calcium scoring; CAD, coronary artery disease; CT, computed tomography; CTA, computed tomography angiography; CPR, Civil Personal Register; DLP, dose length product; PCI, percutaneous coronary intervention.