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Adjuvant antithrombotic therapy in ST-elevation myocardial infarction: A narrative review
Author(s) -
Daniel Caldeira,
Hélder Pereira
Publication year - 2019
Publication title -
revista portuguesa de cardiologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.266
H-Index - 26
eISSN - 2174-2030
pISSN - 0870-2551
DOI - 10.1016/j.repc.2018.05.020
Subject(s) - tirofiban , cangrelor , medicine , abciximab , prasugrel , clopidogrel , eptifibatide , bivalirudin , ticagrelor , percutaneous coronary intervention , aspirin , p2y12 , dabigatran , myocardial infarction , low molecular weight heparin , pharmacology , heparin , warfarin , atrial fibrillation
This article reviews the major pharmacologic features of, and clinical evidence on, adjuvant medical therapy in patients with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention. These drugs include oral antiplatelets (aspirin and P2Y 12 inhibitors such as clopidogrel, prasugrel and ticagrelor), intravenous antiplatelet agents (the P2Y 12 inhibitor cangrelor, GP IIb/IIIa inhibitors such as abciximab, eptifibatide and tirofiban), and intravenous anticoagulant agents (unfractionated heparin, low molecular weight heparin and bivalirudin).

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