PMID- 14632961 OWN - NLM STAT- MEDLINE DCOM- 20040224 LR - 20191026 IS - 0269-4727 (Print) IS - 0269-4727 (Linking) VI - 28 IP - 5 DP - 2003 Oct TI - The role of low-molecular-weight heparins in cardiovascular medicine. PG - 371-8 AB - Low-molecular-weight heparins (LMWHs) have been shown to be as effective and safe as unfractionated heparin (UFH) for acute phase treatment of acute coronary syndrome in the absence of ST-elevation [unstable angina/non-ST-elevation myocardial infarction (UA/NSTEMI)]. LMWHs have practical advantages over UFH, including usual lack of requirement for laboratory monitoring of the anticoagulant response because of their favourable pharmacokinetic properties, and thus represent a simpler and more cost-effective option in clinical practice. The LMWH dalteparin has been shown to provide extended therapy benefit to high-risk UA/NSTEMI patients and can provide a protective bridge until revascularization. While revascularization procedures are now an established intervention for patients with UA/NSTEMI, a new approach for patients who cannot undergo immediate catheter intervention is to continue with medical treatment until revascularization is possible. LMWHs are currently being investigated for use in the catheterization laboratory, in patients undergoing percutaneous coronary intervention procedures, and in conjunction with thrombolytics for treatment of acute myocardial infarction. FAU - Hodl, R AU - Hodl R AD - Division of Cardiology, Department of Medicine, Karl-Franzens University, Graz, Austria. ronald.hoedl@kfunigraz.ac.at FAU - Klein, W AU - Klein W LA - eng PT - Journal Article PT - Review PL - England TA - J Clin Pharm Ther JT - Journal of clinical pharmacy and therapeutics JID - 8704308 RN - 0 (Anticoagulants) RN - 0 (Heparin, Low-Molecular-Weight) SB - IM MH - Angina, Unstable/*drug therapy MH - Anticoagulants/*therapeutic use MH - Coronary Disease/*drug therapy MH - Heparin, Low-Molecular-Weight/*therapeutic use MH - Humans MH - Myocardial Infarction/*drug therapy MH - Randomized Controlled Trials as Topic RF - 54 EDAT- 2003/11/25 05:00 MHDA- 2004/02/26 05:00 CRDT- 2003/11/25 05:00 PHST- 2003/11/25 05:00 [pubmed] PHST- 2004/02/26 05:00 [medline] PHST- 2003/11/25 05:00 [entrez] AID - 504 [pii] AID - 10.1046/j.0269-4727.2003.00504.x [doi] PST - ppublish SO - J Clin Pharm Ther. 2003 Oct;28(5):371-8. doi: 10.1046/j.0269-4727.2003.00504.x.