Adverse Events Module

Adverse Events Module

For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.

Adverse Events Module path is as follows:

Study -> Results Section -> Adverse Events Module -> Event Groups

Study -> Results Section -> Adverse Events Module -> Serious Events

Study -> Results Section -> Adverse Events Module -> Other Events

Adverse Events Module


Ignite Creation Date: 2025-12-25 @ 12:39 AM
Ignite Modification Date: 2025-12-25 @ 10:50 PM
NCT ID: NCT02066467
Description: All adverse events are collected as per ISO 14155:2011 and medical device guidance (MEDDEV) 2.7/3 12/2010 The number of participants at risk is defined as the subjects actively enrolled (838). Adverse events were not collected for subjects who did not undergo an implant procedure (24) and consent ineligible subjects (1).
Frequency Threshold: 0
Time Frame: Adverse events are collected from 1st enrollment through study completion (last subject's close-out visit)
Study: NCT02066467
Study Brief: Maximizing CRT Delivery by Using MultipolAr Coronary Sinus Lead FamiLy ACUITY® X4 - RALLY X4 Study
Event Groups(If Any):

Event Groups

Title Description Deaths # Affected Deaths # At Risk Serious # Affected Serious # At Risk Other # Affected Other # At Risk View
Heart Failure Patients * Subjects with heart failure who receive stable optimal pharmacologic therapy * Moderate to severe heart failure (NYHA Class III-IV) with ejection fraction (EF) ≤ 35% and QRS duration ≥ 120 ms * Left bundle branch block (LBBB) with QRS duration ≥ 130 ms, EF ≤ 30%, and mild (NYHA Class II) ischemic or non-ischemic heart failure or asymptomatic (NYHA Class I) ischemic heart failure. The study is collecting observational data on regular CRT-D device implants with special focus on the left ventricular ACUITY X4® Lead Family' . Left Ventricular lead implant: ACUITY X4® Lead Family: Implantation of (cardiac re-synchronization therapy with defibrillator) CRT-D devices for heartfailure treatment 54 None 338 838 452 838 View
Serious Events(If Any):

Serious Events

Term Type Organ System Vocab View
Coronary venous dissection SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Death SYSTEMATIC_ASSESSMENT General disorders None View
Device Deficiency SYSTEMATIC_ASSESSMENT Product Issues None View
Extracardiac stimulation - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Infection (> 30 days post-implant) SYSTEMATIC_ASSESSMENT Product Issues None View
Integumentary SYSTEMATIC_ASSESSMENT Skin and subcutaneous tissue disorders None View
Intermittent Claudication SYSTEMATIC_ASSESSMENT General disorders None View
Mitral regurgitation SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other SVT (eg AVRT, AVNRT, EAT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Renal insufficiency - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Abnormal laboratory values SYSTEMATIC_ASSESSMENT General disorders None View
Adverse reaction - Allergic reaction SYSTEMATIC_ASSESSMENT General disorders None View
Adverse reaction - Hypotension SYSTEMATIC_ASSESSMENT General disorders None View
Aortic regurgitation SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Aortic stenosis SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Arterial/venous thrombolytic event SYSTEMATIC_ASSESSMENT Vascular disorders None View
Atrial fibrillation (AF) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Atrial flutter SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Cancer SYSTEMATIC_ASSESSMENT Neoplasms benign, malignant and unspecified (incl cysts and polyps) None View
Cardiac arrest SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Cardiogenic shock SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Cerebrovascular accident (CVA) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Chest pain - Ischemic SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Chest pain - Other SYSTEMATIC_ASSESSMENT Cardiac disorders None View
COPD exacerbation SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders None View
Coronary Artery Disease SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dislodgment - Elevated threshold - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Extracardiac stimulation- LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Multiple signs - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - No reported signs - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - No reported signs - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - No reported signs -LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Unable to capture - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Unable to capture - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Unable to capture - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Distal thromboemboli SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dizziness SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dyspnea SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dyspnea - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Elevated threshold - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Elevated threshold - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Endocrine SYSTEMATIC_ASSESSMENT Endocrine disorders None View
Erosion SYSTEMATIC_ASSESSMENT Product Issues None View
Extracardiac stimulation - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Fatigue SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Fever SYSTEMATIC_ASSESSMENT Infections and infestations None View
Gastrointestinal SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Genitourinary SYSTEMATIC_ASSESSMENT Reproductive system and breast disorders None View
Head, eyes, ears, nose, throat (HEENT) SYSTEMATIC_ASSESSMENT General disorders None View
Heart failure symptoms - Unspecified SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hematological SYSTEMATIC_ASSESSMENT Blood and lymphatic system disorders None View
Hematoma - Pocket (<= 30 days post-implant) SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Hypertension SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hypotension SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Immune SYSTEMATIC_ASSESSMENT Immune system disorders None View
Impedance > 2000 ohms - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy - Noise SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy - Other SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy - SVT SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy- NSR SYSTEMATIC_ASSESSMENT Product Issues None View
Mitral stenosis SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Multiple heart failure symptoms SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Multi-system failure SYSTEMATIC_ASSESSMENT General disorders None View
Multi-system failure - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Musculoskeletal SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders None View
Myocardial infarction SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Myocardial perforation post-implant - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Myocardial perforation post-implant - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Myocardial perforation with tamponade SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Myocardial perforation without tamponade SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Neurological SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Nonsustained ventricular tachycardia (NSVT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other - Lead SYSTEMATIC_ASSESSMENT Product Issues None View
Other - Lead - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Other - PG system SYSTEMATIC_ASSESSMENT Product Issues None View
Other - PG system - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Other- Heart failure patient condition - Cardiovascular SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other- Patient condition - Non- cardiovascular SYSTEMATIC_ASSESSMENT General disorders None View
Oversensing - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Pacemaker-mediated tachycardia (PMT) SYSTEMATIC_ASSESSMENT Product Issues None View
Palpitations SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Pericardial effusion SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Peripheral edema - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Peripheral vascular disease SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Physical trauma SYSTEMATIC_ASSESSMENT General disorders None View
Pleural effusion - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Pneumothorax - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Post-surgical infection (<= 30 days post-implant) SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Post-surgical pocket hemorrhage SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Post-surgical wound discomfort SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Premature ventricular contractions (PVC) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Psychological SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Pulmonary SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders None View
Pulmonary edema - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Pulmonary embolism (PE) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Renal SYSTEMATIC_ASSESSMENT Renal and urinary disorders None View
Sinus bradycardia SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Syncope SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Systemic infection SYSTEMATIC_ASSESSMENT Infections and infestations None View
Thromboembolic events SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Transient ischemic attack (TIA) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Unable to capture - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Venous occlusion SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Ventricular fibrillation (VF) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Ventricular tachycardia (VT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Weight gain - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other Events(If Any):

Other Events

Term Type Organ System Vocab View
Abnormal laboratory values SYSTEMATIC_ASSESSMENT General disorders None View
Adverse reaction - General SYSTEMATIC_ASSESSMENT General disorders None View
Adverse reaction - Respiratory SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders None View
Aortic regurgitation SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Atrial fibrillation (AF) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Atrial flutter SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Cancer SYSTEMATIC_ASSESSMENT Neoplasms benign, malignant and unspecified (incl cysts and polyps) None View
Chest pain - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Chest pain - Ischemic SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Chest pain - Other SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Coronary venous dissection SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Device Deficiency SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Elevated threshold - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Elevated threshold -RV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Multiple signs - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - No reported signs - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - No reported signs -LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Unable to capture - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Unable to capture - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Dislodgment - Undersensing - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Dizziness SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dyspnea SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Dyspnea - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Elevated threshold - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Elevated threshold - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Elevated threshold - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Endocrine SYSTEMATIC_ASSESSMENT Endocrine disorders None View
Extracardiac stimulation - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Extracardiac stimulation - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Fever SYSTEMATIC_ASSESSMENT Infections and infestations None View
Gastrointestinal SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Genitourinary SYSTEMATIC_ASSESSMENT Reproductive system and breast disorders None View
Head, eyes, ears, nose, throat (HEENT) SYSTEMATIC_ASSESSMENT General disorders None View
Heart failure symptoms - Unspecified SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hematological SYSTEMATIC_ASSESSMENT Blood and lymphatic system disorders None View
Hematoma - Pocket (<= 30 days post-implant) SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Hematoma - Pocket (> 30 days post-implant) SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Hematoma - Unrelated to procedure or device SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hypertension - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hypotension SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Hypotension - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Impedance > 2000 ohms - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Impedance > 2000 ohms - RA SYSTEMATIC_ASSESSMENT Product Issues None View
Impedance > 2000 ohms - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate AV delay SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy - Other SYSTEMATIC_ASSESSMENT Product Issues None View
Inappropriate tachy therapy - SVT SYSTEMATIC_ASSESSMENT Product Issues None View
Infection (> 30 days post-implant) SYSTEMATIC_ASSESSMENT Product Issues None View
Integumentary SYSTEMATIC_ASSESSMENT Skin and subcutaneous tissue disorders None View
Multiple heart failure symptoms SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Multiple symptoms SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Musculoskeletal SYSTEMATIC_ASSESSMENT Musculoskeletal and connective tissue disorders None View
Neurological SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Nonsustained ventricular tachycardia (NSVT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other - Lead SYSTEMATIC_ASSESSMENT Product Issues None View
Other - Lead - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Other - PG system SYSTEMATIC_ASSESSMENT Product Issues None View
Other - PG system - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Other- Heart failure patient condition - Cardiovascular SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Other- Patient condition - Non- cardiovascular SYSTEMATIC_ASSESSMENT General disorders None View
Other SVT (eg AVRT, AVNRT, EAT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Oversensing - RV SYSTEMATIC_ASSESSMENT Product Issues None View
Pacemaker-mediated tachycardia (PMT) SYSTEMATIC_ASSESSMENT Product Issues None View
Palpitations SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Pericarditis - Unrelated to procedure or device SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Peripheral edema - Heart failure SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Physical trauma SYSTEMATIC_ASSESSMENT General disorders None View
Pleural effusion - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Pneumothorax - Procedure SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Post-surgical wound discomfort SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Premature ventricular contractions (PVC) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Psychological SYSTEMATIC_ASSESSMENT Psychiatric disorders None View
Pulmonary SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders None View
Rate response inappropriate SYSTEMATIC_ASSESSMENT Product Issues None View
Renal SYSTEMATIC_ASSESSMENT Renal and urinary disorders None View
RVAT Communication SYSTEMATIC_ASSESSMENT Product Issues None View
Sinus bradycardia SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Sinus tachycardia SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Syncope SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Thromboembolic events SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Transient ischemic attack (TIA) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Unable to capture - LV SYSTEMATIC_ASSESSMENT Product Issues None View
Vasovagal reaction SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Venous occlusion SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Ventricular fibrillation (VF) SYSTEMATIC_ASSESSMENT Cardiac disorders None View
Ventricular tachycardia (VT) SYSTEMATIC_ASSESSMENT Cardiac disorders None View