Spreadsheet: 3a3dff1b-862e-4a22-9479-eedde8644d3a
Sheet: Sheet1

EP/Ablation Dataset | Unnamed: 1 | Unnamed: 2 | Version: | 3.01 | Fields:  73
 |  |  | Date: | 2013-09-25 00:00:00
Index | Field description | Values | Type | Notes | List for Software Developers
 | DEMOGRAPHICS
1 | Dataset version | Static value "3.01" | Text (single value) | Static value "3.01" | 3.01
1.01 | Hospital identifier |  | Text (single value) |  | ACH. [NAME] ... ZZZ. St Elsewhere's
1.02 | Patient Case Record Number | Free text | Text (single value)
1.03 | NHS Number | 10 digit (no spaces) valid NHS Number | Text (single value)
1.04 | Patient Surname | Free text | Text (single value)
1.05 | Patient Forename | Free text | Text (single value)
1.06 | Patient Date of Birth | Valid date >1899 and <=Today | Date (ddmmyy)
1.07 | Patient Sex | Not known Male Female | Text (single value) |  | 0. Not known 1. Male 2. Female
1.09 | Patient Post Code | Valid post code | Text (single value)
1.1 | Patient Status | NHS Private (UK citizen) Overseas visitor (NHS or private) | Text (single value) |  | 1. NHS 2. Private 5. Overseas
 | BASELINE CLINICAL
2.01 | Underlying heart disease | Apparently normal heart Pre-excitation (delta wave) Ischaemic heart disease Valve disease Hypertensive heart disease [NAME] cardiomyopathy Dilated cardiomyopathy Arrhythmogenic RV cardiomyopathy Myocarditis Other cardiomyopathy(specify in comments) [NAME] QT syndrome [NAME] syndrome Channelopathy - other | Text (multivalue ; separated) |  | B3. Apparently normal heart E1. Pre-excitation (delta wave) C1. Ischaemic heart disease G3. Valve disease E2. Hypertensive heart disease [NAME] cardiomyopathy [NAME] Dilated cardiomyopathy G1C. Arrhythmogenic RV cardiomyopathy G1. Other cardiomyopathy G2. Myocarditis H4. [NAME] QT syndrome H3. [NAME] syndrome H5. Channelopathy - other Z1. Other
2.02 | Previous cardiac surgery or transcutaneous intervention | None CABG AF surgery MV surgery MV percutaneous intervention AV surgery AV percutaneous intervention TV surgery TV percutaneous intervention PV surgery PV percutaneous intervention ASD surgical repair/closure ASD percutaneous intervention VSD surgical repair/closure VSD percutaneous intervention Ventriculoplasty Other congenital repair (specify in comments) Other cardiac surgery (specify in comments) | Text (multivalue ; separated) |  | 0. None 5. CABG 2A. AF surgery 7A. Mitral Valve surgery 7B. Mitral Valve percutaneous intervention 7C. Aortic Valve surgery 7D. Aortic Valve percutaneous intervention 7E. Tricuspid Valve surgery 7F. Tricuspid Valve percutaneous intervention 7G. [NAME] surgery 7H. [NAME] percutaneous intervention 6A. ASD surgical repair/closure 6B. ASD percutaneous intervention 6C. VSD surgical repair/closure 6D. VSD percutaneous intervention 10. Ventriculoplasty 6E. Other congenital repair 98. Other cardiac surgery
2.03 | Structural Congenital Heart Disease | None ASD Tetralogy of Fallot [NAME]'s syndrome Fontan circulation Arterial Switch Other congenital (specify in comments) | Text (multivalue ; separated) |  | 0. None 1. ASD 2. Tetralogy of Fallot 3. [NAME]'s syndrome 4. Fontan circulation 5. [NAME]6. Other congenital
2.04 | Documented AF pre-procedure? | None AF - paroxysmal AF - persistent ≥7 days AF- longstanding persistent [NAME] 1 yr | Text (single value) | NB: AF can include pre-excited AF.    Persistent means longest ever episode sustained [NAME] 7 days;   Longstanding persistent means longest ever episode sustained ≥1yr | 0. None 1. AF - paroxysmal 2. AF - persistent ≥7 days 3. AF- longstanding persistent [NAME] 1 yr
2.05 | Other documented arrhythmias pre-procedure | None Atrial flutter - typical ECG appearance Atrial flutter - atypical ECG appearance Ectopic (focal) atrial tachycardia Supraventricular tachycardia Narrow complex tachycardia - diagnosis uncertain Wide complex tachycardia  - diagnosis uncertain Ventricular ectopy - outflow tract Ventricuarl ectopy - other site VT outflow tract VT scar/structural heart disease VT fascicular VT bundle branch reentry Other - specify in comments | Text (multivalue ; separated) | typical atrial flutter - i.e. sawtooth inferior leads; +ve V1  "NCT" can include suspected AT, AFL, SVT  "WCT" can include suspected atrial or supraventricular arrhythmia with preexcitation or aberrancy, and VT | 0. None 4A. Atrial flutter - typical ECG appearance 4B. Atrial flutter - atypical ECG appearance 3. Ectopic (focal) atrial tachycardia 6A. Supraventricular tachycardia 6B. Narrow complex tachycardia - diagnosis uncertain 10. Wide complex tachycardia  - diagnosis uncertain 9A. Ventricular ectopy - outflow tract 9B. Ventricuarl ectopy - other site 14A. VT outflow tract 14B. VT scar/structural heart disease 14C. VT fascicular 14D. VT bundle branch reentry 98. Other
2.06 | Ablation indication | Asymptomatic / None Prophylactic Palpitations Dizziness/presyncope Syncope Cardiac arrest Heart failure Fatigue other Other (specify in comments) | Text (multivalue ; separated) |  | 0. Asymptomatic / None 7. Prophylactic 8. Palpitations 10. Dizziness/presyncope 2. Syncope 2A. Cardiac arrest 11. Heart failure 12. Fatigue other 99. Other
2.07 | Previous ablation | Left atrial ablation for AF AVNRT (slow or fast pathway) Accessory pathway Complete AV nodal AFL - cavotricuspid isthmus Atrial tachycardia/flutter - other reentrant  Atrial tachycardia - focal Sinus tachycardia PVC/VT - outflow tract PVC/VT - other focal VT - scar/structural heart disease VT - fascicular VT - bundle branch reentry Other - specify in comments | Text (multivalue ; separated) |  | 15. Left atrial ablation for AF 20. AVNRT (slow or fast pathway) 12. Accessory pathway 17. Complete AV nodal 5A. AFL - cavotricuspid isthmus 4A. Atrial tachycardia/flutter - other reentrant  3. Atrial tachycardia - focal 1. Sinus tachycardia 14A. PVC/VT - outflow tract 14B. PVC/VT - other focal 14C. VT - scar/structural heart disease 14D. VT - fascicular 14E. VT - bundle branch reentry 19. Other
 | PROCEDURE
3.01 | Procedure Date/Time | Valid DateTime | dd/mm/yyyy hh:[NAME]
3.02 | Procedure Urgency | 1. Elective 2. Urgent 3. Emergency | Text (single value) |  | 1. Elective 2. Urgent 3. Emergency
3.03 | Scrubbed Operator 1 Name | Name | Text (single value)
3.04 | Scrubbed Operator 1 GMC | Primary operator GMC No. | Text (single value)
3.05 | Scrubbed Operator 1 Grade | • Consultant • Associate Specialist • SpR • Fellow/other trainee • Other medical grade (specify in comments) • Non-medical - nurse practitioner • Non-medical - physiologist • Other (specify in comments) | Text (single value) |  | 1. Consultant 2. Associate Specialist 3. SpR 4. Fellow/other trainee 5. Other medical grade (specify in comments) 6. Non-medical - nurse practitioner 7. Non-medical - physiologist 9. Other
3.06 | Scrubbed Operator 2 Name | Second operator name | Text (single value)
3.07 | Scrubbed Operator 2 GMC | Second operator GMC No. | Text (single value)
3.08 | Scrubbed Operator [NAME] | • Consultant • Associate Specialist • SpR • Fellow/other trainee • Other medical grade (specify in comments) • Non-medical - nurse practitioner • Non-medical - physiologist • Other (specify in comments) | Text (single value) |  | 1. Consultant 2. Associate Specialist 3. SpR 4. Fellow/other trainee 5. Other medical grade (specify in comments) 6. Non-medical - nurse practitioner 7. Non-medical - physiologist 9. Other
3.09 | Consultant responsible name | Consultant responsible name | Text (single value)
3.1 | Consultant responsible GMC | Consultant responsible GMC No. | Text (single value)
3.11 | Consultant responsible Grade | 1. Consultant 2. Associate specialist | Text (single value) |  | 1. Consultant 2. Associate specialist
3.12 | Ablation procedure(s) | Atrial fibrillation (complete AF ablation section) Complete AV nodal AVNRT (slow or fast pathway) Accessory pathway - left free wall Accessory pathway - right free wall Accessory pathway - posteroseptal (inferoparaseptal) Accessory pathways- mid- or anteroseptal Atrial flutter - cavotricuspid isthmus Reentral atrial tachycardia right sided (not CTI) Reentrant atrial tachycardia left sided Atrial ectopy/focal atrial tachycardia PVCs - outflow tract PVCs - other site VT - outflow tract VT - focal other site VT - scar related VT - fascicular VT - bundle branch reentry Other - specify in comments | Text (multivalue ; separated) | If [NAME], AF section to be completed VT - fascicular = idiopathic LVVT/verapamil sensitive VT | 15. Atrial fibrillation 17. Complete AV nodal 20. AVNRT (slow or fast pathway) 12A. Accessory pathway - left free wall 12B. Accessory pathway - right free wall 12C. Accessory pathway - posteroseptal (inferoparaseptal) 12D. Accessory pathways- mid or anteroseptal 5A. Atrial flutter - cavotricuspid isthmus 4A. Reentral atrial tachycardia right sided (not CTI) 4B. Reentrant atrial tachycardia left sided 3A. Atrial ectopy/focal atrial tachycardia 13A. PVCs - outflow tract 13B. PVCs - other site 14A. VT - outflow tract 14B. VT - focal other site 14C. VT - scar related 14D. VT - fascicular 14E. VT - bundle branch reentry 19. Other
3.13 | Mapping/anatomic techniques | Conventional electrodes CARTO NavX Non-contact mapping Multipolar contact catheter [NAME] echo Other 3D electroanatomic Other image fusion - CT/MRI Other | Text (multivalue ; separated) |  | 1. Conventional electrodes 3. CARTO 5. NavX 6. Non-contact mapping 7. Multipolar contact catheter 8. Intracardiac echo 97. Other 3D electroanatomic 98. Other image fusion - CT/MRI 99. Other
3.14 | Steering techniques | Conventional Robotic Magnetic (e.g. [NAME]) Surgical (handheld) Other (specify in comments) | Text (multivalue ; separated) |  | 1. Conventional 2. Robotic 3. Magnetic 4. Surgical - handheld 5. Other
3.15 | Anticoagulation during procedure | None Heparin Uninterrupted warfarin/Vit K antagonist [NAME] new oral anticoagulant Other (specify in comments) | Text (multivalue ; separated) |  | 0. None 1. Heparin 2. Uninterrupted warfarin/Vit K antagonist 3. Uninterrupted new oral anticoagulant 9. Other
3.16 | Total fluoroscopy time | minutes | numeric
3.17 | Dose Area Product | mGy.cm2 | numeric
3.18 | Procedure duration (skin-skin) | minutes | numeric |  | minutes/seconds or minutes/decimal?
3.19 | Ablation attempted? | Yes No - not indicated or intended (EPS/VT stim only) No - pathway safe No - tachycardia not inducible No - proximity to AV node No - transseptal difficulty No - patient intolerance No - other problem (specify in comments) | Text (single value) |  | 1. Yes 0A. No - not indicated or intended (EPS/VT stim only) 0B. No - pathway safe 0C. No - tachycardia not inducible 0D. No - proximity to AV node 0E. No - transseptal difficulty 0F. No - patient intolerance 0Z. No - other reason
3.2 | Total time of all energy applications | minutes and seconds | Time (mm:ss) |  | Time format field
3.21 | Ablation energy source | RF nonirrigated - tip <8mm RF nonirrigated - tip 8mm+ RF irrigated RF linear/phased array nonirrigated RF linear/phased array irrigated Cryo - focal Cryo - balloon Ultrasound Laser DC shock Other - specify in comment | Text (multivalue ; separated) |  | 1A. RF nonirrigated - tip <8mm 1B. RF nonirrigated - tip 8mm+ 1C. RF irrigated 1D. RF linear/phased array nonirrigated 1E. RF linear/phased array irrigated 2A. Cryo - focal 2B. Cryo - balloon 3. Ultrasound 6. Laser 4. DC shock 9. Other
3.22 | Contact sensing | No Mechanical/Force sensing Other (e,g, impedance-based) | Text (single value) |  | 0. No 1. Mechanical/Force sensing 2. Other
3.229999999999995 | Transseptal approach | No Via PFO/ASD only One catheter/sheath Two or more (including single puncture) | Text (single value) |  | 0. No 1. Via PFO/ASD only 2. One catheter/sheath 3. Two or more (including single puncture)
3.239999999999995 | [NAME] approach | No Yes - Seldinger approach Yes - surgical approach (any) | Text (single value) |  | 0. No 1. Yes - Seldinger approach 2. Yes - surgical approach (any)
3.249999999999995 | Sedation / GA | None Sedation IV General anaesthesia | Text (single value) |  | 0. None 2. Sedation IV 4. General anaesthesia
3.259999999999994 | Success? | Failed Partial Complete Unknown/indeterminate | Text (single value) | Partial can be e.g. Significant reduction in ectopy, unidirectional AP block with no tachy, not all pathways blocked; unknown can be used e.g. If [NAME] delivered for very infrequent ectopics | 0. Failed 1. Partial 2. Complete 9. Unknown/indeterminate
3.269999999999994 | Shock delivered | No For AT/AF external For AT/AF via implanted device For AT/AF by catheter(s) For VT/VF external For VT/VF by implanted device | Text (single value) |  | 0. No 1. For AT/AF external 2. For AT/AF via implanted device 3. For AT/AF by catheter(s) 4. For VT/VF external 5. For VT/VF by implanted device
3.279999999999994 | Acute ablation complications | None First degree AV block Unintended AV block requiring permanent pacing Access site haematoma Vascular other (fistula/pseudoaneurysm) Pericardial effusion not drained Effusion/tamponade drained Respiratory arrest [NAME] embolus VT/VF shocked Haemodynamic collapse/prolonged resuscitation - other (e.g. severe anaphylaxis/air embous) Pneumothorax (drained) TIA Stroke/Cerebral embolus Peripheral embolus Coronary artery complication Phrenic nerve palsy Other - specify in comments | Text (multivalue ; separated) | complications occurring during the procedure/admission;stroke includes reversible ischaemic neurological defect (RIND) | 0. None 1. First degree AV block 11. Unintended AV block requiring permanent pacing 3. Access site haematoma 14. Vascular other (fistula/pseudoaneurysm) 4A. Pericardial effusion not drained 4B. Effusion/tamponade drained 5. Respiratory arrest 7. [NAME] embolus 6A. VT/VF shocked 12. Haemodynamic collapse/prolonged resuscitation - other 2. Pneumothorax (drained) 8. Stroke/Cerebral embolus 8B. Transient Ischaemic Attack 9. Peripheral embolus 10. Coronary artery complication 15. Phrenic nerve palsy 99. Other
3.289999999999994 | Procedure report | free text | Text (single value)
3.299999999999994 | Comments | free text | Text (single value) | If "OTHER" is selected in any field, please supply further details here.
 | ATRIAL FIBRILLATION ABLATION DETAILS |  |  | Only complete if the procedure was an AF ablation
4.01 | LA size | AP echo ([NAME]) | numeric | at least one of these two is mandatory
4.02 | LA Volume | cm3 | numeric
4.03 | [NAME] at start of procedure | Sinus rhythm AT/AF - paroxysmal (this episode estimated ≤ 7 days) AT/AF - persistent  (this episode estimated >7 days) AT/AF - longstanding persistent  (this episode >1yr) Other (specify in comments) | Text (single value) |  | 1. Sinus rhythm 2. AT/AF - paroxysmal (this episode estimated ≤ 7 days) 3. AT/AF - persistent  (this episode estimated >7 days) 4. AT/AF - longstanding persistent  (this episode >1yr) 9. Other
4.04 | Previous antiarrhythmic drugs | beta-blocker sotalol flecainide propafenone dronedarone amiodarone quinidine disopyramide verapamil diltiazem other (specify in comments) | Text (multivalue ; separated) |  | 1. beta-blocker 2. sotalol 3. flecainide 4. propafenone 5. dronedarone 6. amiodarone 7. quinidine 8. disopyramide 9. [NAME]. diltiazem 99. other
4.05 | Current anti-arrhythmic drugs | beta-blocker sotalol flecainide propafenone dronedarone amiodarone quinidine disopyramide verapamil diltiazem other (specify in comments) | Text (multivalue ; separated) | To include drugs not stopped >5 half lives before procedure, i.e. What is biologically active at the time of the procedure | 1. beta-blocker 2. sotalol 3. flecainide 4. propafenone 5. dronedarone 6. amiodarone 7. quinidine 8. disopyramide 9. [NAME]. diltiazem 99. other
4.06 | EHRA AF Classification | Class I . No symptoms Class II. Mild symptoms normal daily activity not affected Class III.  Severe symptoms normal daily activity affected Class IV. Disabling symptoms normal daily activity discontinued Unknown | Text (single value) |  | 1. No symptoms 2. Mild symptoms normal daily activity not affected 3. Severe symptoms normal daily activity affected 4. Disabling symptoms normal daily activity discontinued 9. Unknown
4.07 | Functional status (NYHA) | 1. No limitation of physical activity 2. Slight limitation of ordinary physical activity 3. Marked limitation of ordinary physical activity 4. Symptoms at rest or minimal activity 9. Unknown | Text (single value) |  | 1. No limitation of physical activity 2. Slight limitation of ordinary physical activity 3. Marked limitation of ordinary physical activity 4. Symptoms at rest or minimal activity 9. Unknown
4.08 | LSPV isolated? | No Yes | Text (single value) | whether or not targetted on this occasion | 0. No 1. Yes
4.09 | LIPV isolated? | No Yes | Text (single value) | whether or not targetted on this occasion | 0. No 1. Yes
4.1 | RSPV isolated? | No Yes | Text (single value) | whether or not targetted on this occasion | 0. No 1. Yes
4.11 | RIPV isolated? | No Yes | Text (single value) | whether or not targetted on this occasion | 0. No 1. Yes
4.12 | Roof | No Yes - proven block Yes - no proven block | Text (single value) |  | 0. No 1. Yes - proven block 2. Yes - no proven block
4.13 | Mitral isthmus | No Yes - proven block Yes - no proven block | Text (single value) |  | 0. No 1. Yes - proven block 2. Yes - no proven block
4.14 | TV-IVC isthmus | No Yes - proven block Yes - no proven block | Text (single value) |  | 0. No 1. Yes - proven block 2. Yes - no proven block
4.15 | CS endocardial | No Yes | Text (single value) | including part of mitral isthmus | 0. No 1. Yes
4.16 | CS epicardial | No Yes | Text (single value) |  | 0. No 1. Yes
4.17 | Other line(s) | No Yes | Text (single value) |  | 0. No 1. Yes
4.18 | CFAEs | No Yes | Text (single value) |  | 0. No 1. Yes
4.19 | Ablated to SR | No Yes | Text (single value) |  | 0. No 1. Yes
 | OUTCOME IN HOSPITAL
5.01 | Vascular intervention during  same admission | No Yes | Text (single value) | including surgical repair, haematoma evacuation, injection for AV fistula/pseudoaneurysm | 0. No 1. Yes
5.02 | Death on same admission? | No Yes | Text (single value) |  | 0. No 1. Yes
 | FOLLOW-UP (ablations only)
6.01 | Months Since Procedure | months | numeric | Suggested at 3 months
6.02 | Complications Post Discharge | None Pacemaker/ICD implant due to procedural complication Late tamponade/effusion requiring drain TIA Stroke TIA Vascular access complication requiring intervention Pneumothorax Phrenic nerve damage/persistence of palsy Atrio-oesophageal fistula Death - related to procedure Death - related to arrhythmia Death - unrelated to arrhythmia or procedure Death - cause unknown Other - specify in comments | Text (multivalue ; separated) | NB can be multiple (esp atrio-oesophageal fistula with death); phrenic palsy that persists to followup to be mentioned here even if noted as procedural | 0. None 11. Pacemaker/ICD implant due to procedural complication 4B. Late tamponade/effusion requiring drain 8. Stroke 8B. Transient Ischaemic Attack 14. Vascular access complication requiring intervention 2. Pneumothorax 15. Phrenic nerve damage/persistence of palsy 16. Atrio-oesophageal fistula 19A. Death - related to procedure 19B. Death - related to arrhythmia 19C. Death - unrelated to arrhythmia or procedure 19D. Death - cause unknown 99. Other
6.03 | Outcomes: Frequency of Palpitations | Ceased Less frequent Unchanged More frequent Unknown - indeterminate | Text - single value | reasonable  need to clearly differentiate ectopics from tachy (many patients report the former as palpitations, even though they recognize that procedure was curative | 0. Ceased 1. Less frequent 2. Unchanged 3. More frequent 9. Unknown - indeterminate
6.04 | Outcomes: Duration of Palpitation | Ceased Shorter Unchanged Longer duration Unknown/indeterminate | Text - single value |  | 0. Ceased 1. Shorter 2. Unchanged 3. Longer duration 9. Unknown/indeterminate
6.05 | Anti-Arrhythmics at Follow up | beta-blocker sotalol flecainide propafenone dronedarone amiodarone quinidine disopyramide verapamil diltiazem other (specify in comments) | Text (multivalue ; separated) |  | 1. beta-blocker 2. sotalol 3. flecainide 4. propafenone 5. dronedarone 6. amiodarone 7. quinidine 8. disopyramide 9. [NAME]. diltiazem 99. other
 | FOLLOW-UP QoL/PROMs
7.01 | AFEQT global score pre procedure | FOR INFORMATION ONLY |  | Patient Reported Outcome Measures (essentially quality of life questionnaires) | Do not include in data extracts - will be collected centrally
7.02 | EQ5D pre procedure | DO NOT COLLECT THIS SECTION AT PRESENT |  | PROMS will probably be collected for pre- and 1 year post-AF ablation | Do not include in data extracts - will be collected centrally
7.03 | Other QoL pre procedure |  |  | This may be conducted by a third party on behalf of commissioners | Do not include in data extracts - will be collected centrally
7.04 | AFEQTglobal score 6 months post |  |  | PROMS may also be collected for other ablation procedures at some point | Do not include in data extracts - will be collected centrally
7.05 | EQ5D 6 months post |  |  |  | Do not include in data extracts - will be collected centrally
7.06 | Other QoL 6 months post |  |  |  | Do not include in data extracts - will be collected centrally
7.07 | AFEQT global score 1 year post |  |  |  | Do not include in data extracts - will be collected centrally
7.08 | EQ5D 1 year post |  |  |  | Do not include in data extracts - will be collected centrally
7.09 | Other QoL 1 year post |  |  |  | Do not include in data extracts - will be collected centrally