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The study is a multi-center, prospective, early feasibility study to measure individual patient clinical outcomes and effectiveness, evaluate the safety and function, provide guidance for future clinical study designs and development efforts of the Edwards FORMA Tricuspid Transcatheter Repair System.
The early feasibility study of the Edwards FORMA Tricuspid Transcatheter Repair System is a multi-center, prospective, early feasibility study to measure individual patient clinical outcomes and effectiveness, evaluate the safety and function, provide guidance for future clinical study designs and development efforts of the Edwards FORMA Tricuspid Transcatheter Repair System.
Data collected in this clinical study will include safety and function of the investigational system as well as up to 3 year clinical outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Edwards FORMA Tricuspid Transcatheter Repair System | Experimental | Edwards FORMA Tricuspid Transcatheter Repair System |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Edwards FORMA Tricuspid Transcatheter Repair System | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Major Adverse Event Rate : Count and Percentage of Patients Who Experienced at Least One MAE | Composite of major adverse events (MAE) defined as cardiovascular mortality, myocardial infarction, new need for renal replacement therapy, severe bleeding, re-intervention for study device related complications or on the previously implanted study device, and major access site and vascular complications requiring intervention at 30 days. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Device Success : Count and Percentage of Patients Who Experienced Device Success | Device is deployed as intended and the delivery system is successfully retrieved as intended at the time of the patient's exit from the cardiac catheterization laboratory. | Intraprocedural |
| Procedure Success: Count and Percentage of Patients Who Experienced Procedural Success |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | Los Angeles | California | 90048 | United States | ||
| Emory University Hospital |
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| ID | Title | Description |
|---|---|---|
| FG000 | Edwards FORMA Tricuspid Transcatheter Repair System | Edwards FORMA Tricuspid Transcatheter Repair System Edwards FORMA Tricuspid Transcatheter Repair System |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Edwards FORMA Tricuspid Transcatheter Repair System | Edwards FORMA Tricuspid Transcatheter Repair System Edwards FORMA Tricuspid Transcatheter Repair System |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Major Adverse Event Rate : Count and Percentage of Patients Who Experienced at Least One MAE | Composite of major adverse events (MAE) defined as cardiovascular mortality, myocardial infarction, new need for renal replacement therapy, severe bleeding, re-intervention for study device related complications or on the previously implanted study device, and major access site and vascular complications requiring intervention at 30 days. | The intention-to-treat (ITT) population includes all patients who signed informed consent, met eligibility criteria, and in whom the study procedure has been attempted (i.e. at least skin incision to introduce the FORMA System). | Posted | Count of Participants | Participants | 30 days |
|
3 years
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Edwards FORMA Tricuspid Transcatheter Repair System | Edwards FORMA Tricuspid Transcatheter Repair System Edwards FORMA Tricuspid Transcatheter Repair System |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ted Feldman, MD | Edwards Lifesciences | 949-250-2500 | Feldman_Info@edwards.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol: Rev K | Feb 8, 2018 | Dec 8, 2021 | Prot_000.pdf |
| Prot | Yes | No | No | Study Protocol: Rev M | Feb 4, 2019 | Dec 8, 2021 | Prot_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 1, 2019 | Dec 8, 2021 | SAP_002.pdf |
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| ID | Term |
|---|---|
| D014262 | Tricuspid Valve Insufficiency |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Device success with evidence of TR reduction as evidenced by a relative reduction in EROA of ≥ 30% from baseline to discharge and without the need for a surgical or percutaneous intervention prior to hospital discharge. |
| Discharge (2-8 days) |
| Clinical Success: Count and Percentage of Patients Who Experienced Clinical Success | Procedural success without MAEs at 30 days. (MAEs: cardiovascular mortality, myocardial infarction, new need for renal replacement therapy, severe bleeding, re-intervention and major access site and vascular complications) | 30 days |
| Atlanta |
| Georgia |
| 30322 |
| United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Morristown Medical Center | Morristown | New Jersey | 07960 | United States |
| Columbia University Medical Center | New York | New York | 10032 | United States |
| Lost to Follow-up |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
| New York Heart Association Class (NYHA) | NYHA Classification - The stages of heart failure: Class I - No symptoms and no limitation in ordinary physical activity Class II - Mild symptoms and slight limitation during ordinary activity. Class III - Marked limitation in activity due to symptoms, even during less-than ordinary activity. Comfortable only at rest. Class IV - Severe limitations. Experiences symptoms even while at rest. | Count of Participants | Participants |
|
| The European System for Cardiac Operative Risk Evaluation: EuroScore II | The European System for Cardiac Operative Risk Evaluation (EuroSCORE II) is a risk model which allows the calculation of the risk of death after a heart operation. The higher the score, the higher the risk of an adverse outcome. EuroSCORE II risk levels are as follows: <8: Low Risk 8-10: Moderate Risk >10 High Risk | Mean | Standard Deviation | score |
|
|
|
| Secondary | Device Success : Count and Percentage of Patients Who Experienced Device Success | Device is deployed as intended and the delivery system is successfully retrieved as intended at the time of the patient's exit from the cardiac catheterization laboratory. | The intention-to-treat (ITT) population includes all patients who signed informed consent, met eligibility criteria, and in whom the study procedure has been attempted (i.e. at least skin incision to introduce the FORMA System). | Posted | Count of Participants | Participants | Intraprocedural |
|
|
|
| Secondary | Procedure Success: Count and Percentage of Patients Who Experienced Procedural Success | Device success with evidence of TR reduction as evidenced by a relative reduction in EROA of ≥ 30% from baseline to discharge and without the need for a surgical or percutaneous intervention prior to hospital discharge. | The as-treated population is a subset of ITT population and includes all patients in whom the study device is implanted and remains in position at the time of the patient's exit from the procedure room. | Posted | Count of Participants | Participants | Discharge (2-8 days) |
|
|
|
| Secondary | Clinical Success: Count and Percentage of Patients Who Experienced Clinical Success | Procedural success without MAEs at 30 days. (MAEs: cardiovascular mortality, myocardial infarction, new need for renal replacement therapy, severe bleeding, re-intervention and major access site and vascular complications) | The as-treated population is a subset of ITT population and includes all patients in whom the study device is implanted and remains in position at the time of the patient's exit from the procedure room. | Posted | Count of Participants | Participants | 30 days |
|
|
|
| 14 |
| 34 |
| 33 |
| 34 |
| 32 |
| 34 |
| Iron deficiency anemia | Blood and lymphatic system disorders | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
|
| Aortic Valve Stenosis | Cardiac disorders | Systematic Assessment |
|
| Ascites | Cardiac disorders | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | Systematic Assessment |
|
| Atrial flutter | Cardiac disorders | Systematic Assessment |
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| Bradycardia | Cardiac disorders | Systematic Assessment |
|
| Cardiac arrest | Cardiac disorders | Systematic Assessment |
|
| Cardiac failure | Cardiac disorders | Systematic Assessment |
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| Cardiac failure acute | Cardiac disorders | Systematic Assessment |
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| Cardiac failure congestive | Cardiac disorders | Systematic Assessment |
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| Cardiac tamponade | Cardiac disorders | Systematic Assessment |
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| Cardiogenic shock | Cardiac disorders | Systematic Assessment |
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| Dyspnoea | Cardiac disorders | Systematic Assessment |
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| Left ventricular failure | Cardiac disorders | Systematic Assessment |
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| Myocardial ischaemia | Cardiac disorders | Systematic Assessment |
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| Pericardial effusion | Cardiac disorders | Systematic Assessment |
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| Pericarditis | Cardiac disorders | Systematic Assessment |
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| Right ventricular dysfunction | Cardiac disorders | Systematic Assessment |
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| Right ventricular failure | Cardiac disorders | Systematic Assessment |
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| Tricuspid valve incompetence | Cardiac disorders | Systematic Assessment |
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| Ventricular tachycardia | Cardiac disorders | Systematic Assessment |
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| Gastrointestinal arteriovenous malformation | Congenital, familial and genetic disorders | Systematic Assessment |
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| Vertigo | Ear and labyrinth disorders | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
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| Gastritis erosive | Gastrointestinal disorders | Systematic Assessment |
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| Gastrointestinal haemorrhage | Gastrointestinal disorders | Systematic Assessment |
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| Gastrointestinal ulcer haemorrhage | Gastrointestinal disorders | Systematic Assessment |
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| Intestinal perforation | Gastrointestinal disorders | Systematic Assessment |
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| Intra-abdominal haematoma | Gastrointestinal disorders | Systematic Assessment |
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| Chest pain | General disorders | Systematic Assessment |
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| Death | General disorders | Systematic Assessment |
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| Device related thrombosis | General disorders | Systematic Assessment |
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| General disorders and administration site conditions | General disorders | Systematic Assessment |
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| Multiple organ dysfunction syndrome | General disorders | Systematic Assessment |
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| Oedema | General disorders | Systematic Assessment |
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| Ulcer haemorrhage | General disorders | Systematic Assessment |
|
| Cholelithiasis | Hepatobiliary disorders | Systematic Assessment |
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| Hepatic encephalopathy | Hepatobiliary disorders | Systematic Assessment |
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| Cellulitis | Infections and infestations | Systematic Assessment |
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| Endocarditis staphylococcal | Infections and infestations | Systematic Assessment |
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| Escherichia bacteraemia | Infections and infestations | Systematic Assessment |
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| Infection | Infections and infestations | Systematic Assessment |
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| Klebsiella infection | Infections and infestations | Systematic Assessment |
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| Lower respiratory tract infection | Infections and infestations | Systematic Assessment |
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| Pneumonia klebsiella | Infections and infestations | Systematic Assessment |
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| Pneumonia serratia | Infections and infestations | Systematic Assessment |
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| Sepsis | Infections and infestations | Systematic Assessment |
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| Septic shock | Infections and infestations | Systematic Assessment |
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| Staphylococcal infection | Infections and infestations | Systematic Assessment |
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| Anaemia postoperative | Injury, poisoning and procedural complications | Systematic Assessment |
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| Application site wound | Injury, poisoning and procedural complications | Systematic Assessment |
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| Arterial injury | Injury, poisoning and procedural complications | Systematic Assessment |
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| Cardiac perforation | Injury, poisoning and procedural complications | Systematic Assessment |
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| Deep vein thrombosis postoperative | Injury, poisoning and procedural complications | Systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | Systematic Assessment |
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| Post procedural haematoma | Injury, poisoning and procedural complications | Systematic Assessment |
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| Post procedural haemorrhage | Injury, poisoning and procedural complications | Systematic Assessment |
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| Postoperative wound complication | Injury, poisoning and procedural complications | Systematic Assessment |
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| Procedural haemorrhage | Injury, poisoning and procedural complications | Systematic Assessment |
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| Spinal fracture | Injury, poisoning and procedural complications | Systematic Assessment |
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| Vascular access site haematoma | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Vascular access site haemorrhage | Injury, poisoning and procedural complications | Systematic Assessment |
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| Vascular pseudoaneurysm | Injury, poisoning and procedural complications | Systematic Assessment |
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| International normalised ratio increase | Investigations | Systematic Assessment |
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| Occult blood positive | Investigations | Systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | Systematic Assessment |
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| Failure to thrive | Metabolism and nutrition disorders | Systematic Assessment |
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| Fluid retention | Metabolism and nutrition disorders | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | Systematic Assessment |
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| Malnutrition | Metabolism and nutrition disorders | Systematic Assessment |
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| Constochondritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Basal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | Systematic Assessment |
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| Syncope | Nervous system disorders | Systematic Assessment |
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| Device dislocation | Product Issues | Systematic Assessment |
|
| Mental status changes | Psychiatric disorders | Systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | Systematic Assessment |
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| Renal failure | Renal and urinary disorders | Systematic Assessment |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Pneumothorax | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Respiratory Failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Cardiac resynchronisation therapy | Surgical and medical procedures | Systematic Assessment |
|
| Glaucoma surgery | Surgical and medical procedures | Systematic Assessment |
|
| Hip arthroplasty | Surgical and medical procedures | Systematic Assessment |
|
| Arteriovenous fistula | Vascular disorders | Systematic Assessment |
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| Epistaxis | Vascular disorders | Systematic Assessment |
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| Gastrointestinal haemorrhage | Vascular disorders | Systematic Assessment |
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| Haemorrhage | Vascular disorders | Systematic Assessment |
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| Hypotension | Vascular disorders | Systematic Assessment |
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| Internal haemorrhage | Vascular disorders | Systematic Assessment |
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| Pulmonary embolism | Vascular disorders | Systematic Assessment |
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| Rectal haemorrhage | Vascular disorders | Systematic Assessment |
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| Shock haemorrhagic | Vascular disorders | Systematic Assessment |
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| Acute left ventricular failure | Cardiac disorders | Systematic Assessment |
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| Cardiorenal syndrome | Cardiac disorders | Systematic Assessment |
|
| Post procedural hypotention | Injury, poisoning and procedural complications | Systematic Assessment |
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| Osteoarthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Cardiac pacemaker replacement | Surgical and medical procedures | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Ascites | Cardiac disorders | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | Systematic Assessment |
|
| Bundle branch block right | Cardiac disorders | Systematic Assessment |
|
| Cardiac failure | Cardiac disorders | Systematic Assessment |
|
| Pericardial effusion | Cardiac disorders | Systematic Assessment |
|
| Ventricular tachycardia | Cardiac disorders | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Myocardial necrosis marker increased | Investigations | Systematic Assessment |
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| Troponin increased | Investigations | Systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | Systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | Systematic Assessment |
|
| Haematuria | Renal and urinary disorders | Systematic Assessment |
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| Urinary retention | Renal and urinary disorders | Systematic Assessment |
|
| Hypotension | Vascular disorders | Systematic Assessment |
|
| Renal failure | Renal and urinary disorders | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Genitourinary tract infections and inflammation NEC | Infections and infestations | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | Systematic Assessment |
|
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