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2004, Number s2

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Arch Cardiol Mex 2004; 74 (s2)

GP IIb/IIIa Inhibitor in Myocardial Infarction

Chatterjee K, Gallo E
Full text How to cite this article

Language: English
References: 10
Page: 148-151
PDF size: 65.91 Kb.


Key words:

Platelet anti-aggregatory, GP IIb/IIIa receptors antagonists, Acute coronary syndromes.

ABSTRACT

Glicoprotein IIb/IIIa inhibitors are powerful platelet anti-aggregatory agents which have showed its great utility in the pharmacological management of patients undergoing acute coronary syndrome. Among the many related drugs currently used, a monoclonal antibody (abciximab), two non-peptidic GP IIa/IIIb receptor antagonists (Tirofiban and Lamifiban), and a peptidic antagonist (epitifibatide) all show, between them, important pharmacokinetics differences. Thus risk/benefit derived from its used should be considered based on each patient clinical profile.


REFERENCES

  1. White HD: Non-ST-Elevation Acute Coronary Syndromes: Unstable Angina and Non-ST Elevation Myocardial Infarction. In Textbook of Cardiovascular Medicine. Ed. Eric J. Topol 2nd Edition, Lippincott, Williams & Wilkins, Philadelphia, 2002; 17: 351-384.

  2. Shuman M: Hemorrhagic Disorders: Abnormalities of Platelet and Vascular Function: In: Cecil Textbook of Medicine, Eds. Goldman, Bennet. W.B. Saunders Company, Philadelphia, 2002; 184: 996-1004.

  3. Bathelor WB, Tolleson TR, Huang Y, et al: Randomized Comparison of Platelet Inhibition with Abciximab, Tirofiban and Eptifibatide during Percutaneous Coronary Intervention in Acute Coronary Syndromes. The Compare Trial: Comparison of Measurements of Platelet Aggregation with Aggrastat, Reopro and Eptifibatide. Circulation 2002; 106: 1470-1476.

  4. Bhatt DL, Topol EJ: Current Role of Platelet Glycoprotein IIb/IIIa Inhibitors in Acute Coronary Syndromes. JAMA 2002; 284: 1549-1558.

  5. Jannuzi JL, Cannon CP, Theroux P, Boden WE: Optimizing Glycoprotein IIb/IIIa Receptor Antagonist use for the Non-ST-Segment Elevation Acute Coronary Syndromes: Risk Stratification and Therapeutic Intervention. Am Heart J 2003; 146: 764-774.

  6. Boersma E, Harrington RA, Mouterno DJ, et al: Platelet Glycoprotein IIb/IIIa Inhibitors in Acute Coronary Syndromes: A Meta Analysis of all Major Randomized Clinical Trials. Lancet 2002; 359: 189-198.

  7. Simoons ML: Effect of Glycoprotein IIb/IIIa Receptor Blocker Abciximab on Outcome in Patients with Acute Coronary Revascularization: The GUSTO IV – ACS Randomization Trial. Lancet 2001; 357: 1915-1924.

  8. Fox KA, Poole-Wilson PA, Henderson RA, et al: Interventional Versus Conservative Treatment for Patients with Unstable Angina or Non-ST-Elevation Myocardial Infarction: The British Heart Foundation Rita 3 Randomized Trial. Randomized Intervention Trial of Unstable Angina. Lancet 2002; 360: 743-751.

  9. Roffi M, Chen D, Mukherjee D, et al: Platelet Glycoprotein IIb/IIIa Inhibition in Acute Coronary Syndromes: Gradient of Benefit Related to the Revascularization Strategy. Eur Heart J 2002; 23: 1441.

  10. Topol EJ, Moliterno DJ, Hermann HC, et al: Comparison of Two Platelet Glycoprotein IIb/IIIa Inhibitors, Tirofiban and Abciximab for the Prevention of Ischemic Events with Percutaneous Coronary Revascularization. N Eng J Med 2001; 344: 1888-1894.




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Arch Cardiol Mex. 2004;74