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When? |
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Where? |
(IP) |
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(IP) |
(IP) |
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Questionnaire |
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SIR Data bank |
Medici rec/table 8 (I1EKG) |
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Medici rec/table 208 (I3EKG) |
Medici rec/table 308 (I4EKG) |
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Literature: Steinhagen-Thiessen & Borchelt (1996; 1999).
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Time 1 |
Time 3 |
Time 4 |
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1. |
ST ID |
Participant ID |
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2. |
Alter |
Age |
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3. |
Untersucher-ID |
Physician ID |
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4. |
Datum der Untersuchung (Tag) |
Date of examimation (day) |
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5. |
Datum der Untersuchung (Monat) 1 = Januar |
Date of examination (month) 1 = January |
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6. |
Datum der Untersuchung (Jahr) |
Date of examination (year) |
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7. |
Beginn Untersuchung (Std.) |
Beginning of examination (hour) |
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8. |
Beginn Untersuchung (Min.) |
Beginning of examination (min.) |
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9. |
Ende Untersuchung (Std.) |
End of examination (hour) |
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10. |
Ende Untersuchung (Min.) |
End of examination (min.) |
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11. |
Filter 0 = ohne |
Filter 0 = without |
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12. |
Eichung 1 = 1 cm |
Standardization 1 = 1 cm |
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13. |
Verzittert 0 = nein |
Trembling 0 = no |
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14. |
I Q Ampl. (cm) |
I Q amplitude (cm) |
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15. |
II Q Ampl. (cm) |
II Q amplitude (cm) |
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16. |
III Q Ampl. (cm) |
III Q amplitude (cm) |
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17. |
aVR Q Ampl. (cm) |
aVR Q amplitude (cm) |
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18. |
aVL Q Ampl. (cm) |
aVL Q amplitude (cm) |
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19. |
aVF Q Ampl. (cm) |
aVF Q amplitude (cm) |
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20. |
I R Ampl. (cm) |
I R amplitude (cm) |
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21. |
II R Ampl. (cm) |
II R amplitude (cm) |
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22. |
III R Ampl. (cm) |
III R amplitude (cm) |
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23. |
aVR R Ampl. (cm) |
aVR R amplitude (cm) |
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24. |
aVL R Ampl. (cm) |
aVL R amplitude (cm) |
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25. |
aVF R Ampl. (cm) |
aVF R amplitude (cm) |
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26. |
I S Ampl. (cm) |
I S amplitude (cm) |
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27. |
II S Ampl. (cm) |
II S amplitude (cm) |
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28. |
III S Ampl. (cm) |
III S amplitude (cm) |
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29. |
aVR S Ampl. (cm) |
aVR S amplitude (cm) |
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30. |
aVL S Ampl. (cm) |
aVL S amplitude (cm) |
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31. |
aVF S Ampl. (cm) |
aVF S amplitude (cm) |
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32. |
I ST-Lage (cm) |
I ST-Position (cm) |
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33. |
II ST-Lage (cm) |
II ST-Position (cm) |
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34. |
III ST-Lage (cm) |
III ST-Position (cm) |
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35. |
aVR ST-Lage (cm) |
aVR ST-Position (cm) |
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36. |
aVL ST-Lage (cm) |
aVL ST-Position (cm) |
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37. |
aVF ST-Lage (cm) |
aVF ST-Position (cm) |
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38. |
I T Ampl. (cm) |
I T amplitude (cm) |
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39. |
II T Ampl. (cm) |
II T amplitude (cm) |
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40. |
III T Ampl. (cm) |
III T amplitude (cm) |
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41. |
aVR T Ampl. (cm) |
aVR T amplitude (cm) |
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42. |
aVL T Ampl. (cm) |
aVL T amplitude (cm) |
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43. |
aVF T Ampl. (cm) |
aVF T amplitude (cm) |
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44. |
I P Morph. 0 = unauffällig |
I P Morph. 0 = unremarkable |
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45. |
II P Morph. 0 = unauffällig |
II P Morph. 0 = unremarkable |
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46. |
III P Morph. 0 = unauffällig |
III P Morph. 0 = unremarkable |
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47. |
aVR P Morph. 0 = unauffällig |
aVR P Morph. 0 = unremarkable |
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48. |
aVL P Morph. 0 = unauffällig |
aVL P Morph. 0 = unremarkable |
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49. |
aVF P Morph. 0 = unauffällig |
aVF P Morph. 0 = unremarkable |
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50. |
I QRS Morph. 0 = unauffällig |
I QRS Morph. 0 = unremarkable |
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51. |
II QRS Morph. 0 = unauffällig |
II QRS Morph. 0 = unremarkable |
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52. |
III QRS Morph. 0 = unauffällig |
III QRS Morph. 0 = unremarkable |
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53. |
aVR QRS Morph. 0 = unauffällig |
aVR QRS Morph. 0 = unremarkable |
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54. |
aVL QRS Morph. 0 = unauffällig |
aVL QRS Morph. 0 = unremarkable |
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55. |
aVF QRS Morph. 0 = unauffällig |
aVF QRS Morph. 0 = unremarkable |
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56. |
I ST Morph. 0 = unauffällig |
I ST Morph. 0 = unremarkable |
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57. |
II ST Morph. 0 = unauffällig |
II ST Morph. 0 = unremarkable |
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58. |
III ST Morph. 0 = unauffällig |
III ST Morph. 0 = unremarkable |
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59. |
aVR ST Morph. 0 = unauffällig |
aVR ST Morph. 0 = unremarkable |
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60. |
aVL ST Morph. 0 = unauffällig |
aVL ST Morph. 0 = unremarkable |
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61. |
aVF ST Morph. 0 = unauffällig |
aVF ST Morph. 0 = unremarkable |
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62. |
I TU Morph. 0 = unauffällig |
I TU Morph. 0 = unremarkable |
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63. |
II TU Morph. 0 = unauffällig |
II TU Morph. 0 = unremarkable |
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64. |
III TU Morph. 0 = unauffällig |
III TU Morph. 0 = unremarkable |
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65. |
aVR TU Morph. 0 = unauffällig |
aVR TU Morph. 0 = unremarkable |
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66. |
aVL TU Morph. 0 = unauffällig |
aVL TU Morph. 0 = unremarkable |
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67. |
aVF TU Morph. 0 = unauffällig |
aVF TU Morph. 0 = unremarkable |
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68. |
Eichung 1 = 1 cm |
Standardization 1 = 1 cm |
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69. |
Verzittert 0 = nein |
Trembling 0 = no |
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70. |
V1 Q Ampl. (cm) |
V1 Q Ampl. (cm) |
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71. |
V2 Q Ampl. (cm) |
V2 Q Ampl. (cm) |
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72. |
V3 Q Ampl. (cm) |
V3 Q Ampl. (cm) |
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73. |
V4 Q Ampl. (cm) |
V4 Q Ampl. (cm) |
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74. |
V5 Q Ampl. (cm) |
V5 Q Ampl. (cm) |
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75. |
V6 Q Ampl. (cm) |
V6 Q Ampl. (cm) |
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76. |
V1 R Ampl. (cm) |
V1 R Ampl. (cm) |
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77. |
V2 R Ampl. (cm) |
V2 R Ampl. (cm) |
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78. |
V3 R Ampl. (cm) |
V3 R Ampl. (cm) |
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79. |
V4 R Ampl. (cm) |
V4 R Ampl. (cm) |
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80. |
V5 R Ampl. (cm) |
V5 R Ampl. (cm) |
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81. |
V6 R Ampl. (cm) |
V6 R Ampl. (cm) |
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82. |
V1 S Ampl. (cm) |
V1 S Ampl. (cm) |
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83. |
V2 S Ampl. (cm) |
V2 S Ampl. (cm) |
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84. |
V3 S Ampl. (cm) |
V3 S Ampl. (cm) |
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85. |
V4 S Ampl. (cm) |
V4 S Ampl. (cm) |
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86. |
V5 S Ampl. (cm) |
V5 S Ampl. (cm) |
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87. |
V6 S Ampl. (cm) |
V6 S Ampl. (cm) |
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88. |
V1 ST-Lage (cm) |
V1 ST-position (cm) |
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89. |
V2 ST-Lage (cm) |
V2 ST-position (cm) |
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90. |
V3 ST-Lage (cm) |
V3 ST-position (cm) |
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91. |
V4 ST-Lage (cm) |
V4 ST-position (cm) |
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92. |
V5 ST-Lage (cm) |
V5 ST-position (cm) |
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93. |
V6 ST-Lage (cm) |
V6 ST-position (cm) |
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94. |
V1 T Ampl. (cm) |
V1 T Ampl. (cm) |
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95. |
V2 T Ampl. (cm) |
V2 T Ampl. (cm) |
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96. |
V3 T Ampl. (cm) |
V3 T Ampl. (cm) |
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97. |
V4 T Ampl. (cm) |
V4 T Ampl. (cm) |
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98. |
V5 T Ampl. (cm) |
V5 T Ampl. (cm) |
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99. |
V6 T Ampl. (cm) |
V6 T Ampl. (cm) |
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100. |
V1 P Morph. 0 = unauffällig |
V1 P Morph. 0 = unremarkable |
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101. |
V2 P Morph. 0 = unauffällig |
V2 P Morph. 0 = unremarkable |
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102. |
V3 P Morph. 0 = unauffällig |
V3 P Morph. 0 = unremarkable |
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103. |
V4 P Morph. 0 = unauffällig |
V4 P Morph. 0 = unremarkable |
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104. |
V5 P Morph. 0 = unauffällig |
V5 P Morph. 0 = unremarkable |
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105. |
V6 P Morph. 0 = unauffällig |
V6 P Morph. 0 = unremarkable |
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106. |
V1 QRS Morph. 0 = unauffällig |
V1 QRS Morph. 0 = unremarkable |
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107. |
V2 QRS Morph. 0 = unauffällig |
V2 QRS Morph. 0 = unremarkable |
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108. |
V3 QRS Morph. 0 = unauffällig |
V3 QRS Morph. 0 = unremarkable |
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109. |
V4 QRS Morph. 0 = unauffällig |
V4 QRS Morph. 0 = unremarkable |
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110. |
V5 QRS Morph. 0 = unauffällig |
V5 QRS Morph. 0 = unremarkable |
I1EK2943 |
+ |
+ |
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111. |
V6 QRS Morph. 0 = unauffällig |
V6 QRS Morph. 0 = unremarkable |
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112. |
V1 ST Morph. 0 = unauffällig |
V1 ST Morph. 0 = unremarkable |
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113. |
V2 ST Morph. 0 = unauffällig |
V2 ST Morph. 0 = unremarkable |
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114. |
V3 ST Morph. 0 = unauffällig |
V3 ST Morph. 0 = unremarkable |
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115. |
V4 ST Morph. 0 = unauffällig |
V4 ST Morph. 0 = unremarkable |
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116. |
V5 ST Morph. 0 = unauffällig |
V5 ST Morph. 0 = unremarkable |
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117. |
V6 ST Morph. 0 = unauffällig |
V6 ST Morph. 0 = unremarkable |
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118. |
V1 TU Morph. 0 = unauffällig |
V1 TU Morph. 0 = unremarkable |
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119. |
V2 TU Morph. 0 = unauffällig |
V2 TU Morph. 0 = unremarkable |
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120. |
V3 TU Morph. 0 = unauffällig |
V3 TU Morph. 0 = unremarkable |
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121. |
V4 TU Morph. 0 = unauffällig |
V4 TU Morph. 0 = unremarkable |
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122. |
V5 TU Morph. 0 = unauffällig |
V5 TU Morph. 0 = unremarkable |
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123. |
V6 TU Morph. 0 = unauffällig |
V6 TU Morph. 0 = unremarkable |
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124. |
V1 OUP (s) |
V1 transition zone (s) |
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125. |
V2 OUP (s) |
V2 transition zone (s) |
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126. |
V5 OUP (s) |
V5 transition zone (s) |
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127. |
V6 OUP (s) |
V6 transition zone (s) |
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128. |
Freq. Min. Extr. Abl. (1/min) |
freq. minimum limb leads (1/min) |
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129. |
Freq. Max. Extr. Abl. (1/min) |
freq. maximum limb leads (1/min) |
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130. |
Freq. Min. Brustw. Abl. (1/min) |
freq. minimum. chest leads (1/min) |
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131. |
Freq. Max. Brustw. Abl. (1/min) |
freq. maximum chest leads (1/min) |
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132. |
P Ampl. pos. max (cm) |
P. maximum pos. amplitude (cm) |
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133. |
P Ampl. pos. max Ableitung |
P. maximum pos. amplitude recording |
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134. |
P Ampl. neg. max (cm) |
P. maximum neg. amplitude (cm) |
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135. |
P Ampl. neg. max Ableitung |
P. maximum neg. amplitude recording |
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136. |
P max. Dauer (s) |
P. max. duration (s) |
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137. |
P max. Dauer Ableitung |
P. max. duration recording |
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138. |
PQ max. Dauer (s) |
PQ max. duration |
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139. |
PQ max. Dauer Ableitung |
PQ max. duration recording |
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140. |
PQ Besonderheiten |
PQ remarkable changes |
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141. |
QRS max. Dauer (s) |
QRS max. duration (s) |
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142. |
QRS max. Dauer Ableitung |
QRS max. duration recording |
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143. |
QT Extr. max. Dauer (s) |
QT limb leads max. duration (s) |
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144. |
QT Extr. max. Dauer Freq. |
QT limb leads max.duration freq. |
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145. |
QT Brustw. max. Dauer (s) |
QT chest leads max.duration (s) |
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146. |
QT Brustw. max. Dauer Freq. |
QT chest leads max.duration freq. |
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147. |
Befund: Rhythmus 1 = Sinusrhythmus |
Findings: rhythm 1 = sinus rhythm |
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148. |
Befund: Erreg. leit. supravent. 0 = unauffällig |
Findings: supraventricular conduction 0 = unremarkable |
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149. |
Befund: Erreg. leit. intravent. 0 = unauffällig |
Findings: intraventricular conduction 0 = unremarkable |
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150. |
Befund: Extrasystolen 0 = keine |
Findings: extrasystole 0 = none |
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151. |
Untersucher-ID (Beurteiler) |
physician ID (evaluator) |
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152. |
(C) Mittlere Frequenz |
(C) average frequency |
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153. |
(C) Mittl.norm.QT-Intervall |
(C) average-norm.QT-interval |
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154. |
(C) QT-Beurteilung 0 = normal |
(C) QT-evaluation 0 = normal |
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155. |
(C) RS-Quotient V1 |
(C) RS-quotient V1 |
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156. |
(C) RS-Quotient V5 |
(C) RS-quotient V5 |
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157. |
(C) RS-Quotient V6 |
(C) RS-quotient V6 |
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158. |
(C) Sokolov-Index (li.) |
(C) Sokolov-index (left) |
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159. |
(C) Sokolov-Index (re.) |
(C) Sokolov index (right) |
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160. |
(C) Lewis-Index |
(C) Lewis index |
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161. |
(C) Summe QRS-Ampl. in I |
(C) sum QRS-amplitude in I |
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162. |
(C) Summe QRS-Ampl. in aVF |
(C) sum QRS-amplitude in aVF |
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163. |
(C) Herzachse (Grad) |
electrical axis (degreess) |
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164. |
(C) Lagetyp 1 = überdrehter Linkstyp |
(C) type 1 = extreme axis deviation, left |
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165. |
(C) Vorhofhypertrophie 0 = kein Hinweis |
(C) atrial hypertrophy 0 = no indication |
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166. |
(C) Linkshypertrophie-Score 2 = sehr unsicher |
(C) score: left ventricular hypertrophy 2 = very uncertain |
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167. |
(C) Rechtshypertrophie-Score 2 = sehr unsicher |
(C) score: right ventricular hypertrophy 2 = very uncertain |
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168. |
(C) Intraventr. Erregungsleitung 0 = unauffällig |
(C) intraventrical conduction 0 = unremarkable |
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169. |
(C) Ischämiezeichen 0 = kein Hinweis |
(C) signs of ischemia 0 = no indications |
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170. |
(C) Hypertrophie-Urteil 0 = keine |
(C) evaluation of hypertrophy 0 = none |
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171. |
(C) Infarktzeichen 0 = keine Infarktzeichen |
(C) signs of infarction 0 = no signs of infarction |
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