Medical information |
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Weight |
Size |
Colour of the eyes |
Left or Right handed |
Smoking status |
Diabetes |
Myopia |
Corticosteroids intake |
History of cancer and radiotherapy |
History of treated cataract |
History of eye traumatism |
Congenital cataract |
History of CT scans and localisation |
History of significant occupational exposure to ionising radiation for more than 12 consecutive months |
Occupational history |
List of all centres and periods of activity |
For each period, precise: |
Coronary angiography? |
Mean number of procedures per week or year |
Radial or femoral access route |
Coronary angioplasty? |
Mean number of procedures per week or year |
Radial or femoral access route |
Pacemaker or intracardiac defibrillator: implantation ? |
Mean number of procedures per week or year |
Mean fluoroscopy time per procedure |
Pacemaker or intracardiac defibrillator: resynchronisation? |
Mean number of procedures per week or year |
Mean fluroscopy time per procedure |
Radiofrequency catheter ablation except atrial fibrillation ? |
Mean number of procedures per week or year |
Mean fluroscopy time per procedure |
Radiofrequency catheter ablation of atrial fibrillation? |
Mean number of procedures per week or year |
Mean fluroscopy time per procedure |
Frequency of use of radiation protection tools: |
Lead apron |
Lead thyroid shield |
Lead eye glasses (goggles) |
Other eye protection |
Lead gloves |
Protective mobile screen |
Radiation protection cabin |
Frequency of use of dosimetric badge |