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DOI | 10.4137/CMT.S2197 |
Treatment Options in Acute Coronary Syndromes: Focus on Fondaparinux Sodium | |
Reindl, Iris; Schlitt, Axel | |
通讯作者 | Reindl, I |
来源期刊 | CLINICAL MEDICINE INSIGHTS-THERAPEUTICS
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ISSN | 1179-559X |
出版年 | 2010 |
卷号 | 2页码:869-876 |
英文摘要 | Anticoagulants are the mainstay for treating thromboembolism and acute coronary syndromes (ACS). In comparison to -heparin newer agents such as bivalirudin and fondaparinux have improved the outcome of ACS in patients managed by using an invasive or conservative strategy, respectively. Using antithrombotic therapy, however, we need to strike a careful balance between reducing ischemic events and running an increased risk of bleeding complications. Fondaparinux is the first selective inhibitor of the -coagulation factor Xa that is commercially available for clinical use. This new drug was accepted for priority review by the Food and Drug Administration based on the positive results of two pivotal, phase III trials (OASIS 5 and 6) that evaluated its role in the treatment of patients with acute coronary syndromes. Fondaparinux was associated with a significantly lower rate of bleeding than enoxaparin in the first 9 days, and at 3 and 6 months, respectively, resulting in a lower long-term mortality and morbidity in comparison to -enoxaparin. A small, but definite increase in the risk of catheter-related thrombosis has been found among patients undergoing percutaneous -coronary interventions, which is ameliorated by administering unfractionated heparin during the procedure. |
英文关键词 | acute coronary syndrome fondaparinux treatment options |
类型 | Review |
语种 | 英语 |
开放获取类型 | Other Gold |
收录类别 | ESCI |
WOS记录号 | WOS:000215767200079 |
WOS关键词 | MOLECULAR-WEIGHT HEPARIN ; PREVENTING THROMBUS FORMATION ; ACUTE MYOCARDIAL-INFARCTION ; MECHANICAL HEART-VALVES ; HIP-REPLACEMENT SURGERY ; UNFRACTIONATED HEPARIN ; VENOUS THROMBOEMBOLISM ; ST-ELEVATION ; POSTOPERATIVE FONDAPARINUX ; ASSESS STRATEGIES |
WOS类目 | Pharmacology & Pharmacy |
WOS研究方向 | Pharmacology & Pharmacy |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/329455 |
作者单位 | [Reindl, Iris; Schlitt, Axel] Martin Luther Univ Halle Wittenberg, Dept Med 3, Halle, Germany |
推荐引用方式 GB/T 7714 | Reindl, Iris,Schlitt, Axel. Treatment Options in Acute Coronary Syndromes: Focus on Fondaparinux Sodium[J],2010,2:869-876. |
APA | Reindl, Iris,&Schlitt, Axel.(2010).Treatment Options in Acute Coronary Syndromes: Focus on Fondaparinux Sodium.CLINICAL MEDICINE INSIGHTS-THERAPEUTICS,2,869-876. |
MLA | Reindl, Iris,et al."Treatment Options in Acute Coronary Syndromes: Focus on Fondaparinux Sodium".CLINICAL MEDICINE INSIGHTS-THERAPEUTICS 2(2010):869-876. |
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