The Dual Antiplatelet Therapy Study (DAPT Study)
- Conditions
- Coronary Artery Disease
- Interventions
- Registration Number
- NCT00977938
- Lead Sponsor
- Baim Institute for Clinical Research
- Brief Summary
The DAPT Study is a double blind randomized controlled trial intended to determine the appropriate duration for dual antiplatelet therapy (the combination of aspirin and a second anti-clotting medication) as well as the safety and effectiveness of dual antiplatelet therapy to protect patients from stent thrombosis and major adverse cardiovascular and cerebrovascular events (MACCE) following the implantation of drug-eluting coronary stents. Similar analysis will be conducted in a smaller cohort of bare metal coronary stent - treated subjects.
- Detailed Description
Subjects with ischemic heart disease due to stenotic lesions in either native coronary arteries or coronary artery bypass grafts undergoing percutaneous coronary intervention (PCI) with stent placement and no contraindications to prolonged dual antiplatelet therapy are eligible to be enrolled in the study.
All enrolled subjects will undergo PCI with stent placement. All enrolled subjects will be treated with either an FDA-approved drug eluting stent(s) (DES) or an FDA-approved bare metal stent(s) (BMS) (per their respective Instructions for Use) and assigned to 12 months of open label FDA-approved thienopyridine treatment in addition to aspirin. Operators will select the thienopyridine according to the package insert. Thienopyridine treatment dose will be according to the standard of practice and prescribing information for the selected medication. Aspirin treatment will be 75-325 mg for the first 6 months after the procedure and 75-162 mg subsequently, to be continued indefinitely. All DES or BMS subjects who are treated with 12 months of dual antiplatelet therapy post index procedure and who are event free per protocol will be eligible for randomization to either placebo (12 m DAPT Study arm) or an additional 18 months of thienopyridine treatment (30 m DAPT Study arm). Both arms will continue aspirin therapy.
Up to four (4) separate post-market approval studies will be allowed to incorporate the randomized design of the DAPT Study for a subset of subjects who may then be contributed for the DAPT Study analyses.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 25682
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 12m DAPT Study Arm Placebo & Aspirin This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive 18 months of placebo treatment in addition to aspirin. 30m DAPT Study Arm Clopidogrel & Aspirin, Prasugrel & Aspirin This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive an additional 18 months of thienopyridine treatment in addition to aspirin.
- Primary Outcome Measures
Name Time Method MACCE (Death, Myocardial Infarction or Stroke) - Randomized DES ITT 18 months (12-30 months post-index procedure) The coprimary efficacy endpoints were the cumulative incidence of MACCE and the cumulative incidence of ARC definite or probable stent thrombosis within randomized DES ITT patients between 12 and 30 months post procedure.
Definite or Probable Stent Thrombosis (ST) - Randomized DES ITT 18 months (12-30 months post-index procedure) The coprimary efficacy endpoints were the cumulative incidence of MACCE and the cumulative incidence of definite or probable ST within randomized DES ITT patients between 12 and 30 months post procedure. ST was assessed according to the Academic Research Consortium (ARC) definitions.
GUSTO Severe or Moderate Bleeding - Randomized DES ITT 18 months (12-30 months post-index procedure) The primary safety endpoint was moderate or severe bleeding within randomized DES ITT patients between 12 and 30 months post procedure. Bleeding was assessed according to the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Arteries (GUSTO) criteria.
- Secondary Outcome Measures
Name Time Method MACCE (Death, Myocardial Infarction or Stroke) - Propensity Matched DES vs. BMS 33 months (0-33 months post-index procedure) Secondary powered endpoint
Definite or Probable Stent Thrombosis (ST) - Propensity Matched DES vs. BMS 33 months (0-33 months post-index procedure) Secondary powered endpoint
MACCE (Death, Myocardial Infarction or Stroke) - Randomized DES ITT 21 months (12-33 months post-index procedure) Definite or Probable Stent Thrombosis (ST) - Randomized DES ITT 21 months (12-33 months post-index procedure) ST was assessed according to the Academic Research Consortium (ARC) definitions.
GUSTO Severe or Moderate Bleeding - Randomized DES ITT 21 months (12-33 months post-index procedure) Bleeding was assessed according to the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Arteries (GUSTO) criteria.
MACCE (Death, Myocardial Infarction or Stroke) - Randomized BMS ITT 21 months (12-33 months post-index procedure) Definite or Probable Stent Thrombosis (ST) - Randomized BMS ITT 21 months (12-33 months post-index procedure) ST was assessed according to the Academic Research Consortium (ARC) definitions.
GUSTO Severe or Moderate Bleeding - Randomized BMS ITT 21 months (12-33 months post-index procedure) Bleeding was assessed according to the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Arteries (GUSTO) criteria.
Trial Locations
- Locations (253)
Lahey Clinic Medical Center
🇺🇸Burlington, Massachusetts, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
Cardiovascular Associates of the Delaware Valley, PA
🇺🇸Haddon Heights, New Jersey, United States
UMass Memorial Medical Center
🇺🇸Worcester, Massachusetts, United States
St. Vincent's Medical Center
🇺🇸Stamford, Connecticut, United States
Polsko-Amerykanskie Kliniki Serca.American Heart of Poland S
🇵🇱Ustron, Poland
Wielospecj. Szpital Miejski im.dr.E.Warminskiego-SPZOZ
🇵🇱Bydgoszcz, Poland
Instytut Kardiologii im. Kardynala St. Wyszynskiego
🇵🇱Warszawa, Poland
Spitalul Clinic de Urgenta Bucuresti
🇷🇴Bucuresti, Romania
Institutul Inimii Niculae Stancioiu Cluj-Napoca
🇷🇴Cluj-Napoca, Romania
Szpital Uniwersytecki w Krakowie
🇵🇱Krakow, Poland
Inst. Urgenta Boli Cardiovasculare Prof. Dr. C.C. Iliescu
🇷🇴Bucuresti, Romania
Piedmont Hospital Research Institute
🇺🇸Atlanta, Georgia, United States
Jesse Brown VA Medical Center
🇺🇸Chicago, Illinois, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States
University of Illinois at Chicago
🇺🇸Chicago, Illinois, United States
Riverside Methodist
🇺🇸Columbus, Ohio, United States
UPMC Presbyterian Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States
Boston Medical Center
🇺🇸Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
🇺🇸Boston, Massachusetts, United States
Mercy Gilbert Medical Center
🇺🇸Gilbert, Arizona, United States
Torrance Memorial Medical Center / Vasek Polak Research Program
🇺🇸Torrance, California, United States
Medical Center Central Georgia
🇺🇸Macon, Georgia, United States
Watson Clinic Center for Research
🇺🇸Lakeland, Florida, United States
Bay Area Cardiology Associates/ Brandon Regional Hospital
🇺🇸Brandon, Florida, United States
NEA Baptist Clinic
🇺🇸Jonesboro, Arkansas, United States
Tallahassee Memorial Hospital
🇺🇸Tallahassee, Florida, United States
Sacred Heart Hospital
🇺🇸Pensacola, Florida, United States
Diagnostic Cardiology Associates
🇺🇸Lauderdale Lakes, Florida, United States
Good Samaritan Hospital- IL
🇺🇸Downers Grove, Illinois, United States
Washington Hospital Center
🇺🇸Washington, D.C., District of Columbia, United States
Connecticut Clinical Research, LLC
🇺🇸Bridgeport, Connecticut, United States
Bridgeport Hospital
🇺🇸Bridgeport, Connecticut, United States
Ocala Regional Medical Center
🇺🇸Ocala, Florida, United States
Northeast Cardiology Associates
🇺🇸Bangor, Maine, United States
Union Memorial Hospital
🇺🇸Baltimore, Maryland, United States
Borgess Medical Center
🇺🇸Kalamazoo, Michigan, United States
Iowa Heart Center
🇺🇸West Des Moines, Iowa, United States
Winter Haven Hospital
🇺🇸Winter Haven, Florida, United States
Kings Daughters Medical Center
🇺🇸Ashland, Kentucky, United States
Bay Regional Medical Center
🇺🇸Bay City, Michigan, United States
Sinai Hospital at Baltimore
🇺🇸Baltimore, Maryland, United States
William Beaumont Hospital
🇺🇸Royal Oak, Michigan, United States
St. Michaels Hospital
🇺🇸Newark, New Jersey, United States
Emory University Hospital Midtown
🇺🇸Atlanta, Georgia, United States
McFarland Clinic PC
🇺🇸Ames, Iowa, United States
Beaumont Hospital Troy
🇺🇸Troy, Michigan, United States
Cooper University Hospital
🇺🇸Camden, New Jersey, United States
Palm Beach Heart Research Institute
🇺🇸Atlantis, Florida, United States
Cape Cod Hospital
🇺🇸Hyannis, Massachusetts, United States
SJH Cardiology Associates
🇺🇸Liverpool, New York, United States
St. Luke's Hospital - Cedar Rapids
🇺🇸Cedar Rapids, Iowa, United States
Central Minnesota Heart Center at St. Cloud Hospital
🇺🇸Saint Cloud, Minnesota, United States
Nebraska Heart Institute
🇺🇸Lincoln, Nebraska, United States
Heart Care Research Foundation
🇺🇸Mokena, Illinois, United States
Washington Adventist Hospital
🇺🇸Takoma Park, Maryland, United States
Catholic Medical Center
🇺🇸Manchester, New Hampshire, United States
Covenant Medical Center
🇺🇸Saginaw, Michigan, United States
Great Lakes Heart & Vascular Institute, PC
🇺🇸Saint Joseph, Michigan, United States
Washington University Hospital
🇺🇸Saint Louis, Missouri, United States
Presbyterian Heart Group
🇺🇸Albuquerque, New Mexico, United States
Hamilton Cardiology Associates
🇺🇸Hamilton, New Jersey, United States
Winthrop University Hospital
🇺🇸Mineola, New York, United States
Black Hills Research- Rapid City Regional
🇺🇸Rapid City, South Dakota, United States
Shah Associates, LLC
🇺🇸Prince Frederick, Maryland, United States
Carolinas Medical Center
🇺🇸Charlotte, North Carolina, United States
Carolina Cardiology Associates
🇺🇸High Point, North Carolina, United States
Elyria Memorial Hospital
🇺🇸Elyria, Ohio, United States
Westchester Medical Center
🇺🇸Valhalla, New York, United States
York Hospital (PA)
🇺🇸York, Pennsylvania, United States
AnMed Health
🇺🇸Anderson, South Carolina, United States
Sanford USD Medical Center
🇺🇸Sioux Falls, South Dakota, United States
The Heart Hospital / Baylor Plano
🇺🇸Plano, Texas, United States
North Kansas City Hospital
🇺🇸North Kansas City, Missouri, United States
Hudson Valley Heart Center
🇺🇸Poughkeepsie, New York, United States
St. John's Mercy Medical Center
🇺🇸Saint Louis, Missouri, United States
Wake Heart Association
🇺🇸Raleigh, North Carolina, United States
Zala Megyei Korhaz
ðŸ‡ðŸ‡ºZalaegerszeg, Hungary
St Vincents Hospital Melbourne
🇦🇺Fitzroy, Australia
Mother Frances Hospital
🇺🇸Tyler, Texas, United States
Doylestown Hospital
🇺🇸Doylestown, Pennsylvania, United States
North Dallas Research Associates
🇺🇸McKinney, Texas, United States
Centrum pro choroby srdce a cev
🇨🇿Kromeriz, Czechia
Chattanooga Heart - East Third Street
🇺🇸Chattanooga, Tennessee, United States
Veteran's Affairs Medical Center- Dallas
🇺🇸Dallas, Texas, United States
Royal Adelaide Hospital
🇦🇺Adelaide, South Australia, Australia
MeritCare Medical Center
🇺🇸Fargo, North Dakota, United States
Capital Cardiovascular Research Institute
🇺🇸Austin, Texas, United States
Chambersburg Hospital
🇺🇸Chambersburg, Pennsylvania, United States
Providence St. Peter Hospital
🇺🇸Olympia, Washington, United States
Gottsegen Gyorgy Orszagos Kardiologiai Intezet
ðŸ‡ðŸ‡ºBudapest, Hungary
Josa Andras Oktato Korhaz Nonprofit Kft
ðŸ‡ðŸ‡ºNyiregyhaza, Hungary
Hospital Saint Philibert
🇫🇷Lomme, France
Krajska nemocnice T. Bati a.s.
🇨🇿Zlin, Czechia
Pecsi Tudomanyegyetem Klinikai Kozpont
ðŸ‡ðŸ‡ºPecs, Hungary
Austin Heart
🇺🇸Austin, Texas, United States
Clinique les Franciscaines
🇫🇷Nimes, France
Elbe-Kliniken Stade-Buxtehude GmbH
🇩🇪Stade, Germany
Miriam Hospital
🇺🇸Providence, Rhode Island, United States
Chattanooga Heart Institute
🇺🇸Chattanooga, Tennessee, United States
UT Southwestern Medical Center
🇺🇸Dallas, Texas, United States
North Central Heart Institute
🇺🇸Sioux Falls, South Dakota, United States
Universitaetsklinikum Schleswig-Holstein - PS
🇩🇪Luebeck, SH, Germany
Intermountain Medical Center
🇺🇸Murray, Utah, United States
Sacred Heart Medical Center
🇺🇸Spokane, Washington, United States
The Mount Hospital
🇦🇺Nedlands, Western Australia, Australia
Mestska nemocnice Ostrava
🇨🇿Ostrava, Czechia
Sentara, Norfolk General Hospital
🇺🇸Norfolk, Virginia, United States
Prince of Wales Eastern Heart
🇦🇺Randwick, New South Wales, Australia
The Alfred Hospital
🇦🇺Prahran, Victoria, Australia
Hopital Bichat
🇫🇷Paris, France
Waikato Hospital
🇳🇿Hamilton, New Zealand
Nouvelles Cliniques Nantaises
🇫🇷Nantes, France
Wycombe General Hospital
🇬🇧High Wycombe, Bucks, United Kingdom
Cardiovascular Associates, Ltd.
🇺🇸Virginia Beach, Virginia, United States
Vivantes Klinikum im Friedrichshain
🇩🇪Berlin, Germany
Universitaetsklinikum Dresden
🇩🇪Dresden, Germany
Vivantes-Klinikum Neukoelln
🇩🇪Berlin, Germany
University of Washington
🇺🇸Seattle, Washington, United States
Centre Hospitalier Saint Louis
🇫🇷La Rochelle, France
Nelson Hospital
🇳🇿Nelson, New Zealand
Monash Heart
🇦🇺Clayton, Australia
Wellington Hospital
🇳🇿Wellington, New Zealand
Herzzentrum Leipzig GmbH
🇩🇪Leipzig, Germany
Royal Infirmary of Edinburgh
🇬🇧Edinburgh, United Kingdom
Uniwersyteck Szpital Klin. w Bialymstoku
🇵🇱Bialystok, Poland
Mercy Angiography
🇳🇿Epsom, Auckland, New Zealand
NZOZ Centrum Medyczne Beluga-Med
🇵🇱Krakow, Poland
SPSK nr 2 Pomorskiej Akademii Medycznej w Szczecinie
🇵🇱Szczecin, Poland
The London Chest Hospital
🇬🇧London, United Kingdom
Centrul Clinic de Urgenta de Boli Cardiovasculare al Armatei
🇷🇴Bucuresti, Romania
University Hospital of Coventry and Warwickshire
🇬🇧Coventry, United Kingdom
Baptist Hospital of Miami
🇺🇸Miami, Florida, United States
St. Vincent Heart Center of Indiana, LLC
🇺🇸Indianapolis, Indiana, United States
Methodist DeBakey Heart & Vascular Center
🇺🇸Houston, Texas, United States
UC San Diego Medical Center
🇺🇸San Diego, California, United States
University of Cincinnati Medical Center
🇺🇸Cincinnati, Ohio, United States
Good Samaritan Hospital
🇺🇸Cincinnati, Ohio, United States
TexSan Heart Hospital
🇺🇸San Antonio, Texas, United States
Basildon University Hospital
🇬🇧Basildon, Essex, United Kingdom
Fremantle Hospital
🇦🇺Fremantle, Western Australia, Australia
California Pacific Medical Center
🇺🇸San Francisco, California, United States
Centennial Heart Medical Center
🇺🇸Nashville, Tennessee, United States
Abington Memorial Hospital
🇺🇸Abington, Pennsylvania, United States
Heart & Vascular Center of Arizona
🇺🇸Phoenix, Arizona, United States
Harper University Hospital
🇺🇸Detroit, Michigan, United States
Henry Ford Hospital Heart & Vascular Institute
🇺🇸Detroit, Michigan, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
Oklahoma Foundation for CV Research
🇺🇸Oklahoma City, Oklahoma, United States
Oregon Health & Sciences University Hospital
🇺🇸Portland, Oregon, United States
St. Vincent Hospital/ Providence Heart Hospital
🇺🇸Portland, Oregon, United States
University Hospital of Leicester Glenfield Hospital
🇬🇧Leicester, United Kingdom
Freeman Hospital
🇬🇧Newcastle, United Kingdom
Groupe Hospitalier Sud
🇫🇷Pessac, France
CH Chatiliez Tourcoing
🇫🇷Tourcoing, France
Scott and White Healthcare - Round Rock
🇺🇸Round Rock, Texas, United States
Wakefield Hospital
🇳🇿Wellington, New Zealand
Winchester Medical Center
🇺🇸Winchester, Virginia, United States
Helios Klinikum Emil von Behring
🇩🇪Berlin, BE, Germany
Thomas Hospital
🇺🇸Fairhope, Alabama, United States
Scottsdale Health Care
🇺🇸Scottsdale, Arizona, United States
The Foundation for Cardiovascular Medicine
🇺🇸La Jolla, California, United States
University of Arkansas (Central VA) for Medical Science
🇺🇸Little Rock, Arkansas, United States
California Cardiovascular Consultants/ Washington Hospital
🇺🇸Fremont, California, United States
St. Joseph's Medical Center- CA
🇺🇸Stockton, California, United States
Harbor - UCLA Medical Center
🇺🇸Torrance, California, United States
Jacksonville Heart Center
🇺🇸Jacksonville, Florida, United States
Redmond Regional Hospital
🇺🇸Rome, Georgia, United States
Melbourne Internal Medicine Assoc
🇺🇸Melbourne, Florida, United States
Munroe Regional Medical Center
🇺🇸Ocala, Florida, United States
Baptist Hospital
🇺🇸Pensacola, Florida, United States
Emory University Hospital
🇺🇸Atlanta, Georgia, United States
Advocate Good Shephard Hospital
🇺🇸Barrington, Illinois, United States
Elmhurst Memorial Hospital
🇺🇸Elmhurst, Illinois, United States
Heartland Education and Research Foundation
🇺🇸Joliet, Illinois, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Midwest Cardiovascular Research and Education Foundation
🇺🇸Elkhart, Indiana, United States
Northwest Indiana Cardiovascular Physicians, P.C.
🇺🇸Valparaiso, Indiana, United States
Tulane University Medical School
🇺🇸New Orleans, Louisiana, United States
Peninsula Regional Medical Center
🇺🇸Salisbury, Maryland, United States
Maine Medical Center
🇺🇸Portland, Maine, United States
St. Joseph Mercy-PTCMI
🇺🇸Pontiac, Michigan, United States
Hattiesburg Clinic
🇺🇸Hattiesburg, Mississippi, United States
Cardiology Associates Research LLC
🇺🇸Tupelo, Mississippi, United States
St. Louis University Hospital
🇺🇸Saint Louis, Missouri, United States
St. John's Medical Institute
🇺🇸Springfield, Missouri, United States
Valley Hospital
🇺🇸Hawthorne, New Jersey, United States
Stony Brook University Medical Center
🇺🇸Stony Brook, New York, United States
St. Elizabeth's Medical Center- NY
🇺🇸Utica, New York, United States
Carolina Heart Specialists
🇺🇸Gastonia, North Carolina, United States
Asheville Cardiology Associates
🇺🇸Asheville, North Carolina, United States
Altru Health System
🇺🇸Grand Forks, North Dakota, United States
The Lindner Clinical Trial Center
🇺🇸Cincinnati, Ohio, United States
Northwest Ohio Cardiology
🇺🇸Toledo, Ohio, United States
Midwest Regional Medical Center
🇺🇸Midwest City, Oklahoma, United States
Frederick C Smith Clinic dba Smith Clinic
🇺🇸Marion, Ohio, United States
Geisinger Clinic
🇺🇸Danville, Pennsylvania, United States
Conemaugh Memorial Medical Center
🇺🇸Johnstown, Pennsylvania, United States
Donald Guthrie Foundation for Education and Research
🇺🇸Sayre, Pennsylvania, United States
Berks Cardiologists
🇺🇸Wyomissing, Pennsylvania, United States
CRSTI Research
🇺🇸Dallas, Texas, United States
Texas Cardiovascular
🇺🇸Austin, Texas, United States
Carilion Clinic
🇺🇸Roanoke, Virginia, United States
Lynchburg General Hospital
🇺🇸Lynchburg, Virginia, United States
Providence Healthcare Network
🇺🇸Waco, Texas, United States
Inland Cardiology Associates
🇺🇸Spokane, Washington, United States
CaRE Foundation, Inc.
🇺🇸Wausau, Wisconsin, United States
Royal Perth Hospital
🇦🇺Perth, Western Australia, Australia
Fakultni nemocnice Hradec Kralove
🇨🇿Hradec Kralove, Czechia
Krajska karlovarska nemocnice a.s.
🇨🇿Karlovy Vary, Czechia
Asklepios Klinik St. Georg
🇩🇪Hamburg, Germany
North Shore Hospital
🇳🇿Auckland, New Zealand
Ascot Hospital
🇳🇿Auckland, New Zealand
Szegedi Tudomanyegyetem Szent-Gyorgyi Klinikai Kozpont
ðŸ‡ðŸ‡ºSzeged, Hungary
Christchurch Hospital
🇳🇿Christchurch, New Zealand
Middlemore Hospital
🇳🇿Auckland, New Zealand
Institutul de Urgenta pentru Boli Cardiovasculare Prof. Dr.
🇷🇴Bucuresti, Romania
Spitalul Clinic Universitar de Urgenta Bucuresti
🇷🇴Bucuresti, Romania
Institutul de Boli Cardiovasculare si Transplant Targu Mures
🇷🇴Targu Mures, Romania
Papworth Hospital
🇬🇧Cambridge, Cambs, United Kingdom
Torbay hospital
🇬🇧Torquay, Devon, United Kingdom
Barnet Hospital
🇬🇧Barnet, Herts, United Kingdom
James Cook Hospital
🇬🇧Middlesborough, N York, United Kingdom
Ninewells Hospital
🇬🇧Dundee, United Kingdom
Weston General Hospital
🇬🇧Weston Super Mare, Somerset, United Kingdom
Golden Jubilee National Hospital
🇬🇧Glasgow, Strath, United Kingdom
St Peter's Hospital
🇬🇧Chertsey, United Kingdom
Derriford Hospital
🇬🇧Plymouth, United Kingdom
Pinnacle Health Hospital
🇺🇸Harrisburg, Pennsylvania, United States
UMDNJ - Robert Wood Johnson Medical School
🇺🇸New Brunswick, New Jersey, United States
Rockingham Memorial Hospital
🇺🇸Harrisonburg, Virginia, United States
Edward Heart Hospital
🇺🇸Naperville, Illinois, United States
University of Virginia
🇺🇸Charlottesville, Virginia, United States
St. Vincents Hospital Sydney
🇦🇺Darlinghurst, New South Wales, Australia
Royal Bournemouth General Hospital
🇬🇧Bournemouth, Dorset, United Kingdom
Mercy General Hospital
🇺🇸Sacramento, California, United States
Medical Center of Aurora
🇺🇸Aurora, Colorado, United States
Florida Hospital
🇺🇸Orlando, Florida, United States
Pepin Heart Hospital
🇺🇸Tampa, Florida, United States
Mayo Clinic - Saint Marys Hospital
🇺🇸Rochester, Minnesota, United States
Alegent Health / Bergan Mercy Hospital
🇺🇸Omaha, Nebraska, United States
Creighton University
🇺🇸Omaha, Nebraska, United States
Forsyth Medical Center
🇺🇸Winston-Salem, North Carolina, United States
Wake Forest Health Sciences
🇺🇸Winston-Salem, North Carolina, United States
Aurora St. Luke's Medical Center
🇺🇸Milwaukee, Wisconsin, United States
St. Luke's Hospital Mid America Heart Institute
🇺🇸Kansas City, Missouri, United States
Kansas City Heart Foundation
🇺🇸Kansas City, Missouri, United States
Vivantes-Klinikum Neukoelin
🇩🇪Berlin, Germany
Vivantes-Humboldt Klinikum
🇩🇪Berlin, Germany
Arkansas Heart Hospital
🇺🇸Little Rock, Arkansas, United States
North Dallas Research Associate
🇺🇸McKinney, Texas, United States
Rhode Island Hospital
🇺🇸Providence, Rhode Island, United States