PMID- 15199446 OWN - NLM STAT- MEDLINE DCOM- 20040729 LR - 20051116 IS - 1528-9648 (Print) IS - 1528-9648 (Linking) VI - 3 IP - 4 DP - 2003 Nov TI - Low-molecular-weight heparins for the treatment of acute coronary syndromes. PG - 391-402 AB - Low-molecular-weight heparins (LMWHs) possess several advantages over unfractionated heparin (UFH) for the treatment of acute coronary syndromes (ACSs). Already a class I indication for the treatment of unstable angina/non-ST elevation myocardial infarction (UA/NSTEMI), LMWHs also show promise in the setting of ST elevation myocardial infarction (STEMI) and percutaneous coronary intervention (PCI). Moreover, a growing body of evidence has demonstrated equivalent safety of LMWH with concomitant use of glycoprotein IIb/IIIa inhibitors. Larger clinical studies are needed to confirm the safety and efficacy of LMWH as an antithrombin for the treatment across the spectrum of ACS. FAU - Wong, Graham C AU - Wong GC AD - Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada. FAU - Giugliano, Robert P AU - Giugliano RP LA - eng PT - Journal Article PT - Review PL - United States TA - Semin Vasc Med JT - Seminars in vascular medicine JID - 100940307 RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Platelet Glycoprotein GPIIb-IIIa Complex) SB - IM MH - Angina, Unstable/*drug therapy/physiopathology MH - Drug Therapy, Combination MH - Fibrinolytic Agents/pharmacology/*therapeutic use MH - Heparin, Low-Molecular-Weight/pharmacology/*therapeutic use MH - Humans MH - Myocardial Infarction/*drug therapy/physiopathology MH - Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors RF - 57 EDAT- 2004/06/17 05:00 MHDA- 2004/07/30 05:00 CRDT- 2004/06/17 05:00 PHST- 2004/06/17 05:00 [pubmed] PHST- 2004/07/30 05:00 [medline] PHST- 2004/06/17 05:00 [entrez] AID - 10.1055/s-2004-817703 [doi] PST - ppublish SO - Semin Vasc Med. 2003 Nov;3(4):391-402. doi: 10.1055/s-2004-817703.