ST elevation myocardial infarction anticoagulant and antithrombotic therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Management of the patient with ST elevation myocardial infarction requires inhibition of both the the generation of thrombin (the [[coagulation cascade]]) (via antithrombins) as well as the [[platelet]] (via antiplatelet agents). Selection of the appropriate antithrombin depends upon a variety of factors including the choice of revascularization strategy. This chapter reviews data supporting the use of both parenteral antithrombotic and oral antithrombotic (anticoagulant) agents. | |||
==Sites of Action of Antithrombins== | ==Sites of Action of Antithrombins== |
Revision as of 00:00, 22 April 2009
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Management of the patient with ST elevation myocardial infarction requires inhibition of both the the generation of thrombin (the coagulation cascade) (via antithrombins) as well as the platelet (via antiplatelet agents). Selection of the appropriate antithrombin depends upon a variety of factors including the choice of revascularization strategy. This chapter reviews data supporting the use of both parenteral antithrombotic and oral antithrombotic (anticoagulant) agents.
Sites of Action of Antithrombins
The majority of established and investigational antithrombins [1] target two factors in the coagulation cascade: Factor Xa and Factor II.
Parenteral Drugs Targeting Factor Xa
Idraparinux
Oral Drugs Targeting Factor Xa
Rivaroxaban
Apixaban
LY517717
YM150
DU-176b
PRT-054021
References
- ↑ Weitz JI (2006). "Emerging anticoagulants for the treatment of venous thromboembolism". Thromb. Haemost. 96 (3): 274–84. doi:10.1160/TH06-05-0234. PMID 16953267. Unknown parameter
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