General information

Please add you preferred Email address for any response:

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* 1. Please add you preferred Email address for any response:

Please indicate your profession:

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* 2. Please indicate your profession:

Please indicate your area of work:

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* 3. Please indicate your area of work:

Please indicate the area that you work in:

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* 5. Please indicate the area that you work in:

Please indicate the hospital type that you work in:

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* 6. Please indicate the hospital type that you work in:

Please further specify your hospital:

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* 7. Please further specify your hospital:

Does your center practice lysis-therapy in patients with STEMI because of absent PCI capability

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* 8. Does your center practice lysis-therapy in patients with STEMI because of absent PCI capability

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