Inhibition of the Platelet Glycoprotein IIb/IIIa Receptor with Tirofiban in Unstable Angina and Non–Q-Wave Myocardial Infarction

Platelet activation and aggregation, with resultant arterial thrombus formation, are pivotal in the pathophysiology of acute coronary syndromes. 1 , 2 The development of inhibitors of fibrinogen binding to the platelet glycoprotein IIb/IIIa receptor has expanded the therapeutic options for treating...

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Veröffentlicht in:The New England journal of medicine 1998-05, Vol.338 (21), p.1488-1497
Hauptverfasser: Bazzino, O, Barrero, C, Garre, L, Sosa, A
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container_end_page 1497
container_issue 21
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container_title The New England journal of medicine
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creator Bazzino, O
Barrero, C
Garre, L
Sosa, A
description Platelet activation and aggregation, with resultant arterial thrombus formation, are pivotal in the pathophysiology of acute coronary syndromes. 1 , 2 The development of inhibitors of fibrinogen binding to the platelet glycoprotein IIb/IIIa receptor has expanded the therapeutic options for treating thrombotic disorders. 3 , 4 The effectiveness of the inhibitor drugs in preventing acute ischemic complications related to abrupt vessel closure after angioplasty has been well documented. 5 – 9 Pilot studies have suggested that blockade of the platelet glycoprotein IIb/IIIa receptor may also be useful in the treatment of patients with unstable angina, whether or not they are also undergoing interventional procedures. 10 – 13 We . . .
doi_str_mv 10.1056/NEJM199805213382102
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Coronary vasodilator agents ; Aspirin - therapeutic use ; Biological and medical sciences ; Blood clots ; Cardiovascular system ; Double-Blind Method ; Drug dosages ; Drug Therapy, Combination ; Female ; Fibrinolytic Agents - adverse effects ; Fibrinolytic Agents - therapeutic use ; Heart attacks ; Hemorrhage - chemically induced ; Heparin - adverse effects ; Heparin - therapeutic use ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - drug therapy ; Myocardial Infarction - mortality ; Myocardial Infarction - prevention &amp; control ; Myocardial Ischemia - epidemiology ; Myocardial Ischemia - prevention &amp; control ; Pharmacology. 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Coronary vasodilator agents</subject><subject>Aspirin - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood clots</subject><subject>Cardiovascular system</subject><subject>Double-Blind Method</subject><subject>Drug dosages</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Fibrinolytic Agents - adverse effects</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Heart attacks</subject><subject>Hemorrhage - chemically induced</subject><subject>Heparin - adverse effects</subject><subject>Heparin - therapeutic use</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - prevention &amp; control</subject><subject>Myocardial Ischemia - epidemiology</subject><subject>Myocardial Ischemia - prevention &amp; control</subject><subject>Pharmacology. 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subjects Acute coronary syndromes
Aged
Angina pectoris
Angina, Unstable - drug therapy
Angina, Unstable - mortality
Antianginal agents. Coronary vasodilator agents
Aspirin - therapeutic use
Biological and medical sciences
Blood clots
Cardiovascular system
Double-Blind Method
Drug dosages
Drug Therapy, Combination
Female
Fibrinolytic Agents - adverse effects
Fibrinolytic Agents - therapeutic use
Heart attacks
Hemorrhage - chemically induced
Heparin - adverse effects
Heparin - therapeutic use
Humans
Incidence
Male
Medical sciences
Middle Aged
Myocardial Infarction - drug therapy
Myocardial Infarction - mortality
Myocardial Infarction - prevention & control
Myocardial Ischemia - epidemiology
Myocardial Ischemia - prevention & control
Pharmacology. Drug treatments
Platelet Aggregation Inhibitors - adverse effects
Platelet Aggregation Inhibitors - therapeutic use
Platelet Glycoprotein GPIIb-IIIa Complex - antagonists & inhibitors
Proportional Hazards Models
Tyrosine - adverse effects
Tyrosine - analogs & derivatives
Tyrosine - therapeutic use
title Inhibition of the Platelet Glycoprotein IIb/IIIa Receptor with Tirofiban in Unstable Angina and Non–Q-Wave Myocardial Infarction
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