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Dissociation of Glycoprotein IIb/IIIa Antagonists From Platelets Does Not Result in Fibrinogen Binding or Platelet Aggregation
Author(s) -
Andrew L. Frelinger,
Mark I. Furman,
Lori A. Krueger,
Marc R. Barnard,
Alan D. Michelson
Publication year - 2001
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/hc3701.095950
Subject(s) - eptifibatide , tirofiban , abciximab , fibrinogen , platelet , medicine , pharmacology , platelet glycoprotein gpiib iiia complex , platelet membrane glycoprotein , platelet aggregation inhibitor , biochemistry , biophysics , chemistry , biology , percutaneous coronary intervention , myocardial infarction , conventional pci
The primary mechanism of action of glycoprotein (GP) IIb/IIIa antagonists is inhibition of the final common pathway of platelet aggregation: fibrinogen binding to the GP IIb/IIIa complex. However, it has been reported that induction of fibrinogen binding and platelet aggregation is an intrinsic prothrombotic property of low-dose GP IIb/IIIa antagonists. These apparently paradoxical results have been extensively referenced in the cardiology literature.

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