Arid
DOI10.4137/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
ISSN1179-559X
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
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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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