Download Control Baseline Visit (BL)

PPMI
VITAL SIGNS
1 3 2
2 6
SUBJECT ID
INITIALS
VISIT NO
SITE NO
VISIT DATE
MM
DD
YYYY
1.
1.
Weight (in Kilograms) - Baseline and Annual only
2.
Height (in Centimeters) - Baseline and Annual only
3.
Temperature (in Celsius)
4.
Arm used to measure blood pressure? (1 = Right arm, 2 = Left arm)
5.
Supine blood pressure: systolic/diastolic (mmHg)
(to be taken after subject has been supine for
1-3 minutes)
6.
Supine heart rate (beats per minute)
(to be taken after subject has been supine for 1-3 minutes)
9.
Standing blood pressure: systolic/diastolic (mmHg)
(to be taken after subject has been standing for
1-3 minutes)
10.
Standing heart rate (beats per minute)
(to be taken after subject has been standing for 1-3 minutes)
11.
Comments:
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10.
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(10/17/07)
5/6/10
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