Study Evaluating How Patients With Acute Coronary Syndrome Are Managed During 2 Years After Discharge
EPICOR
Long-term Follow-up of Antithrombotic Management Patterns in Acute Coronary Syndrome Patients
1 other identifier
observational
10,568
20 countries
410
Brief Summary
The aim of this international study is to describe the short- and long-term (i.e. up to 2 years following the index event) antithrombotic management patterns (AMPs) in patients hospitalized for acute coronary syndromes (ST segment elevation myocardial infarction (STEMI), Non-ST-Segment Elevation Acute Coronary Syndrome (NSTE-ACS)), and to document the impact of AMPs in clinical outcomes, economic variables and quality of life in a 'real-life' setting and to compare these between sites, countries and regions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2010
Typical duration for all trials
410 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 27, 2010
CompletedFirst Posted
Study publicly available on registry
July 28, 2010
CompletedStudy Start
First participant enrolled
September 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedApril 17, 2013
April 1, 2013
2.5 years
July 27, 2010
April 16, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical outcomes (ischemic and bleeding) incidence and time to these clinical outcomes
Longitudinal during 2 years after index event (phone calls to the patients at 6 weeks and each 3 months after index event)
Secondary Outcomes (3)
Antithrombotic treatments
Longitudinal during 2 years after index event (phone calls to the patients at 6 weeks and each 3 months after index event)
Use of health care resources
Longitudinal during 2 years after index event (phone calls to the patients at 6 weeks and each 3 months after index event)
Quality of life
At index event (baseline) and then at 6 weeks and each 3 months after index event
Study Arms (1)
1
Patients, older than 18, hospitalized within 24 hours of onset of symptoms and diagnosed with UA, STEMI or NSTEMI
Eligibility Criteria
Patients hospitalized within 24 hours of onset of symptoms and diagnosed with unstable angina (UA), STEMI or non-STEMI(NSTEMI). Patients will be invited to participate by the hospital (Academic or Community) which is going to discharge the patient. Participating investigators will belong to hospitals (Academic, Community, with/without cathlab, etc), in the proportion representing the reality of where this kind of patients are managed in each country.
You may qualify if:
- Diagnosis of myocardial infarction or unstable angina
- Hospitalized for the first time within 24 hours of onset of symptoms
You may not qualify if:
- Presence of any condition/circumstance which in the opinion of the investigator could significantly limit the complete follow up of the patient (e.g. tourist, non-native speaker or does not understand the local language, psychiatric disturbances)
- Current participation in a clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (410)
Research Site
Avellaneda, Argentina
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Bahía Blanca, Argentina
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Buenos Aires, Argentina
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Ciudadela, Argentina
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Corrientes, Argentina
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Córdoba, Argentina
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General Roca, Argentina
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Mar del Plata, Argentina
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Mendoza, Argentina
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Monteros, Argentina
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Quilmes, Argentina
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Rosario, Argentina
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Salta, Argentina
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San Isidro, Argentina
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San Miguel de Tucumán, Argentina
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San Salvador de Jujuy, Argentina
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(Jette) Bruxelles, Belgium
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Aalst, Belgium
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Antwerp, Belgium
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Brasschaat, Belgium
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Bruges, Belgium
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Brussels, Belgium
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Charleroi, Belgium
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Chênée, Belgium
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Dendermonde, Belgium
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Edegem, Belgium
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Eeklo, Belgium
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Genk, Belgium
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La Louvière, Belgium
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Leuven, Belgium
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Lier, Belgium
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Merksem, Belgium
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Mol, Belgium
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Mons, Belgium
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Montigny-le-Tilleul, Belgium
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Namur, Belgium
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Ostend, Belgium
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Ottignies, Belgium
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Overpelt, Belgium
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Roeselare, Belgium
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Ronse, Belgium
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Seraing, Belgium
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Sint-Niklaas, Belgium
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Soignies, Belgium
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Tienen, Belgium
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Tournai, Belgium
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Turnhout, Belgium
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Veurne, Belgium
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Aracaju, Brazil
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Belo Horizonte, Brazil
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Blumenau, Brazil
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Brasília, Brazil
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Campina Grande do Sul, Brazil
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Campo Grande, Brazil
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Curitiba, Brazil
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Marília, Brazil
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Porto Alegre, Brazil
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Rio de Janeiro, Brazil
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São José do Rio Preto, Brazil
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São Paulo, Brazil
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Tatu, Brazil
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Uberlândia, Brazil
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Votuporanga, Brazil
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Aalborg, Denmark
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Aarhus, Denmark
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Arhus N, Denmark
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Esbjerg, Denmark
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Fredericia, Denmark
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Frederiksberg, Denmark
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Haderslev, Denmark
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Hellerup, Denmark
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Herning, Denmark
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Hjørring, Denmark
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Hvidovre, Denmark
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København NV, Denmark
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København Ø, Denmark
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Odense C, Denmark
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Silkeborg, Denmark
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Varde, Denmark
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Espoo, Finland
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Helsinki, Finland
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Jyväskylä, Finland
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Kuopio, Finland
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Lahti, Finland
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Rovaniemi, Finland
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Seinäjoki, Finland
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Tampere, Finland
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Turku, Finland
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Antony, France
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Argenteuil, France
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Avignon, France
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Belfort, France
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Boulogne-Billancourt, France
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Bourges, France
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Brest, France
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Brive-la-Gaillarde, France
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Caen, France
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Chambéry, France
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Chambray-lès-Tours, France
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Colmar, France
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Dijon, France
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Dunkirk, France
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Haguenau, France
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Hopital Civil (strasbourg Cedex), France
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La Rochelle, France
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La Source, France
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Lagny-sur-Marne, France
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Le Chesnay, France
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Le Coudray, France
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Le Plessis-Robinson, France
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Marignane, France
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Marseille, France
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Metz, France
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Montfermeil, France
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Montreuil, France
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Mulhouse, France
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Nice, France
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Paris, France
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Perpignan, France
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Quimper, France
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Reims, France
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Saint-Brieuc, France
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Saint-Michel-sur-Orge, France
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Strasbourg, France
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Suresnes, France
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Valence, France
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Vandœuvre-lès-Nancy, France
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Berlin, Germany
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Bielefeld, Germany
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Bochum, Germany
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Bonn, Germany
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Borken, Germany
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Cloppenburg, Germany
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Coburg, Germany
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Detmold, Germany
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Dortmund, Germany
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Essen, Germany
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Esslingen am Neckar, Germany
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Greifswald, Germany
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Hanover, Germany
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Heidelberg, Germany
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Herrsching am Ammersee, Germany
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Landshut, Germany
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Leverkusen, Germany
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Ludwigshafen, Germany
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Lübeck, Germany
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Mainz, Germany
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Merseburg, Germany
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Mönchengladbach, Germany
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Mühlheim, Germany
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Olsberg, Germany
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Regensburg, Germany
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Rostock, Germany
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Stuttgart, Germany
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Suhl, Germany
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Warendorf, Germany
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Athens, Greece
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Attiki, Greece
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Chalcis, Greece
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Chania, Greece
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Chios, Greece
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Edessa, Greece
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Elefsina, Greece
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Heraklion, Greece
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Ioannina, Greece
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Larissa, Greece
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Pátrai, Greece
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Ptolemaida, Greece
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Ancona, Italy
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Catania, Italy
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Catanzaro, Italy
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Ferrara, Italy
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Florence, Italy
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Genova, Italy
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Massa, Italy
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Milan, Italy
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Napoli, Italy
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Napoli Caserta, Italy
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Nuoro, Italy
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Ospedale Di Macerata, Italy
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Pescara, Italy
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Prato, Italy
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Rho, Italy
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Rimini, Italy
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Roma, Italy
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Rovigo, Italy
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Sassari, Italy
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Syracuse, Italy
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Treviso, Italy
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Udine, Italy
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Varese, Italy
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Versilia, Italy
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Luxembourg, Luxembourg
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Cardenas, Tabasco, Mexico
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Chihuahua City, Mexico
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Chihuahua, Chihuahua, Mexico
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Durango, Mexico
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Durango, Durango, Mexico
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Guadalajara, Mexico
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Guadalajara, Jalisco, Mexico
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Guanajuato City, Mexico
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León, Mexico
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Merida, Yucatan, Mexico
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Mexicali, Baja California, Mexico
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Mexico City, Mexico
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Monterrey, Nuevo Leon, Mexico
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Oaxaca, Oaxaca, Mexico
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Puebla, Puebla, Mexico
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Querétaro, Mexico
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Saltillo Coahuila, Mexico
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San Luis Potosí City, Mexico
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Sinaloa, Culiacan, Mexico
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Tabasco, Mexico
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Tijuana B.C., Mexico
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Toluca, Estado de Mexico, Mexico
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Torreon Coahuila, Mexico
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Torreón, Mexico
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Xalapa, Veracruz, Mexico
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Amstelveen, Netherlands
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Amsterdam, Netherlands
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Bergen op Zoom, Netherlands
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Beverwijk, Netherlands
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Delft, Netherlands
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Den Bosh, Netherlands
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Doetinchem, Netherlands
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Goes, Netherlands
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Haarlem, Netherlands
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Heerlen, Netherlands
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Hoofddorp, Netherlands
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Hoogeveen, Netherlands
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Meppel, Netherlands
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Purmerend, Netherlands
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Stadskanaal, Netherlands
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The Hague, Netherlands
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Winterswijk, Netherlands
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Zwolle, Netherlands
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Bergen, Norway
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Bodø, Norway
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Elverum, Norway
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Flekkefjord, Norway
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Førde, Norway
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Gjøvik, Norway
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Hamar, Norway
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Hammerfest, Norway
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Harstad, Norway
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Haugesund, Norway
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Hønefoss, Norway
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Kongsvinger, Norway
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Kristiansund N, Norway
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Levanger, Norway
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Lillehammer, Norway
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Lorenskog, Norway
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Molde, Norway
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Oslo, Norway
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Rjukan, Norway
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Rud, Norway
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Skien, Norway
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Tromsø, Norway
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Trondheim, Norway
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Tynset, Norway
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Tønsberg, Norway
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Bydgoszcz, Poland
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Elblag, Poland
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Jelenia Góra, Poland
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Kalisz, Poland
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Koszalin, Poland
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Krakow, Poland
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Olsztyn, Poland
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Opole, Poland
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Ostrow Maz., Poland
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Oława, Poland
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Poznan, Poland
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Pruszków, Poland
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Radom, Poland
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Sandomierz, Poland
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Starogard Gdański, Poland
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Słupsk, Poland
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Tarnów, Poland
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Torun, Poland
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Warsaw, Poland
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Wałbrzych, Poland
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Wroclaw, Poland
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Włocławek, Poland
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Alba Iulia, Romania
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Arad, Romania
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Bacau, Romania
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Baia Mare, Romania
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Bistriţa, Romania
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Brasov, Romania
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Brăila, Romania
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Bucharest, Romania
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Buzău, Romania
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Cluj-Napoca, Romania
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Constanța, Romania
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Craiova, Romania
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Drobeta-Turnu Severin, Romania
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Focşani, Romania
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Galati, Romania
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Hunedoara, Romania
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Iași, Romania
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Oradea, Romania
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Piatra Neamţ, Romania
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Piteşti, Romania
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Ploieşti, Romania
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Râmnicu Vâlcea, Romania
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Sibiu, Romania
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Slatina, Romania
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Suceava, Romania
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Târgovişte, Romania
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Târgu Mureş, Romania
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Timișoara, Romania
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Zalău, Romania
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Ljubljana, Slovenia
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Maribor, Slovenia
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Alcalá de Henares, Spain
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Alcoy, Spain
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Alicante, Spain
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Aranjuez, Spain
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Ávila, Spain
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Barcelona, Spain
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Baza, Spain
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Ciudad Real, Spain
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Coslada, Spain
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Elche, Spain
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Elda, Spain
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Ferrol, Spain
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Fuenlabrada, Spain
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Gandia, Spain
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Girona, Spain
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Huelva, Spain
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Huercal Overa, Spain
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Huesca, Spain
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Igualada, Spain
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León, Spain
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Lugo, Spain
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Madrid, Spain
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Palencia, Spain
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Pozoblanco, Spain
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Puertollano, Spain
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Salamanca, Spain
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San Juan, Spain
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San Sebastián de los Reyes, Spain
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Santiago de Compostela, Spain
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Segovia, Spain
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Seville, Spain
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Tarragona, Spain
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Terrassa, Spain
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Toledo, Spain
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Torrevieja, Spain
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Tortosa, Spain
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Valencia, Spain
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Vélez-Málaga, Spain
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Vic, Spain
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Villajoyosa, Spain
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Zaragoza, Spain
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Adana, Turkey (Türkiye)
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Ankara, Turkey (Türkiye)
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Antalya, Turkey (Türkiye)
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Çanakkale, Turkey (Türkiye)
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Diyarbak?r, Turkey (Türkiye)
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Elaz?g, Turkey (Türkiye)
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Erzurum, Turkey (Türkiye)
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Eskişehir, Turkey (Türkiye)
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Gaziantep, Turkey (Türkiye)
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Istanbul, Turkey (Türkiye)
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Izmir, Turkey (Türkiye)
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Kayseri, Turkey (Türkiye)
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Konya, Turkey (Türkiye)
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Malatya, Turkey (Türkiye)
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Manisa, Turkey (Türkiye)
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Mersin, Turkey (Türkiye)
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Samsun, Turkey (Türkiye)
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Sivas, Turkey (Türkiye)
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Trabzon, Turkey (Türkiye)
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Airdrie, United Kingdom
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Antrim, United Kingdom
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Basingstoke, United Kingdom
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Belfast, United Kingdom
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Birmingham, United Kingdom
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Blackburn, United Kingdom
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Blackpool, United Kingdom
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Craigavon, United Kingdom
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Croydon, United Kingdom
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East Kilbride, United Kingdom
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Essex, United Kingdom
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Glasgow, United Kingdom
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Harrow, United Kingdom
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Hastings, United Kingdom
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Hertfordshire, United Kingdom
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High Wycombe, United Kingdom
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Kirkcaldy, United Kingdom
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Livingston, United Kingdom
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London, United Kingdom
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Manchester, United Kingdom
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Middlesbrough, United Kingdom
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Morriston Hospital (Swansea), United Kingdom
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Newcastle upon Tyne, United Kingdom
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Peterborough, United Kingdom
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Rotherham, United Kingdom
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Sheffield, United Kingdom
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Stevenage, United Kingdom
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Sutton Coldfield, United Kingdom
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Worcester, United Kingdom
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Barquisimeto, Venezuela
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Caracas, Venezuela
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Coro, Venezuela
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Maracaibo, Venezuela
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Maracay, Venezuela
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Oriente, Venezuela
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Valencia, Venezuela
Related Publications (10)
Huo Y, Van de Werf F, Han Y, Rossello X, Pocock SJ, Chin CT, Lee SW, Li Y, Jiang J, Vega AM, Medina J, Bueno H. Long-Term Antithrombotic Therapy and Clinical Outcomes in Patients with Acute Coronary Syndrome and Renal Impairment: Insights from EPICOR and EPICOR Asia. Am J Cardiovasc Drugs. 2021 Jul;21(4):471-482. doi: 10.1007/s40256-020-00447-5. Epub 2021 Feb 4.
PMID: 33537947DERIVEDMartin-Asenjo R, Gregson J, Rossello X, Van de Werf F, Medina J, Danchin N, Pocock S, Bueno H. Number of Antithrombotic Drugs Used Early and In-hospital Outcomes in Acute Coronary Syndromes. J Cardiovasc Transl Res. 2021 Aug;14(4):790-798. doi: 10.1007/s12265-020-10094-5. Epub 2021 Jan 8.
PMID: 33420682DERIVEDStepinska J, Wojtkowska I, Annemans L, Danchin N, Pocock SJ, de Werf FV, Medina J, Bueno H. Long-Term Outcome of Acute Coronary Syndromes in Patients on Chronic Oral Anticoagulants: Data from the EPICOR Study. Curr Vasc Pharmacol. 2020;18(1):92-99. doi: 10.2174/1570161117666181227122355.
PMID: 30588886DERIVEDBardaji A, Leal M, Arrarte V, Garcia-Moll X, Perez de Isla L, Bueno H. Extended dual antiplatelet therapy after acute coronary syndrome in Spain: Results from the EPICOR study. Cardiovasc Ther. 2017 Apr;35(2). doi: 10.1111/1755-5922.12237.
PMID: 27885830DERIVEDBueno H, Pocock S, Danchin N, Annemans L, Gregson J, Medina J, Van de Werf F. International patterns of dual antiplatelet therapy duration after acute coronary syndromes. Heart. 2017 Jan 15;103(2):132-138. doi: 10.1136/heartjnl-2016-309509. Epub 2016 Aug 8.
PMID: 27504002DERIVEDAnnemans L, Danchin N, Van de Werf F, Pocock S, Licour M, Medina J, Bueno H. Prehospital and in-hospital use of healthcare resources in patients surviving acute coronary syndromes: an analysis of the EPICOR registry. Open Heart. 2016 Feb 24;3(1):e000347. doi: 10.1136/openhrt-2015-000347. eCollection 2016.
PMID: 27127635DERIVEDBeauloye C, Vrolix M, Claeys MJ, van de Borne P, Vandendriessche E, Van De Werf F. Pre-hospital management of acute coronary syndrome patients in Belgium and Luxembourg and other Western European countries. Acta Cardiol. 2016 Feb;71(1):15-24. doi: 10.2143/AC.71.1.3132093.
PMID: 26853249DERIVEDZeymer U, Heuer H, Schwimmbeck P, Genth-Zotz S, Wolff K, Nienaber CA; EPICOR Investigators. Guideline-adherent therapy in patients with acute coronary syndromes. The EPICOR registry in Germany. Herz. 2015 Mar;40 Suppl 1:27-35. doi: 10.1007/s00059-014-4161-7. Epub 2014 Nov 7.
PMID: 25374386DERIVEDPocock S, Bueno H, Licour M, Medina J, Zhang L, Annemans L, Danchin N, Huo Y, Van de Werf F. Predictors of one-year mortality at hospital discharge after acute coronary syndromes: A new risk score from the EPICOR (long-tErm follow uP of antithrombotic management patterns In acute CORonary syndrome patients) study. Eur Heart J Acute Cardiovasc Care. 2015 Dec;4(6):509-17. doi: 10.1177/2048872614554198. Epub 2014 Oct 9.
PMID: 25301783DERIVEDBueno H, Danchin N, Tafalla M, Bernaud C, Annemans L, Van de Werf F. EPICOR (long-tErm follow-up of antithrombotic management Patterns In acute CORonary syndrome patients) study: rationale, design, and baseline characteristics. Am Heart J. 2013 Jan;165(1):8-14. doi: 10.1016/j.ahj.2012.10.018. Epub 2012 Nov 20.
PMID: 23237128DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Mónica Tafalla
Medical Department.AstraZeneca Spain
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 27, 2010
First Posted
July 28, 2010
Study Start
September 1, 2010
Primary Completion
March 1, 2013
Study Completion
March 1, 2013
Last Updated
April 17, 2013
Record last verified: 2013-04