Randomized, Placebo-Controlled Trial of Platelet Glycoprotein IIb/IIIa Blockade With Primary Angioplasty for Acute Myocardial Infarction
Author(s) -
Sorin J. Brener,
Lawrence A. Barr,
J.E.B. Burchenal,
Stanley Katz,
Barry S. George,
Ancil A. Jones,
Eric David Cohen,
Phillip C. Gainey,
Harvey White,
H. Barrett Cheek,
Jeffrey W. Moses,
David J. Moliterno,
Mark B. Effron,
Eric J. Topol
Publication year - 1998
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.98.8.734
Subject(s) - medicine , primary angioplasty , myocardial infarction , blockade , cardiology , angioplasty , randomized controlled trial , placebo , abciximab , platelet , percutaneous coronary intervention , receptor , pathology , alternative medicine
The benefit of catheter-based reperfusion for acute myocardial infarction (MI) is limited by a 5% to 15% incidence of in-hospital major ischemic events, usually caused by infarct artery reocclusion, and a 20% to 40% need for repeat percutaneous or surgical revascularization. Platelets play a key role in the process of early infarct artery reocclusion, but inhibition of aggregation via the glycoprotein IIb/IIIa receptor has not been prospectively evaluated in the setting of acute MI.
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