PMID- 20229159 OWN - NLM STAT- MEDLINE DCOM- 20100618 LR - 20181113 IS - 1563-258X (Electronic) IS - 0043-5341 (Linking) VI - 160 IP - 1-2 DP - 2010 Jan TI - Antithrombotic therapy in patients with coronary artery disease and with type 2 diabetes mellitus. PG - 30-8 LID - 10.1007/s10354-010-0747-8 [doi] AB - Diabetes mellitus (DM) is a life-threatening disease. Patients with DM have a 2- to 4-fold higher risk of developing cardiovascular disease compared to their non-diabetic counterparts. Several drugs are available for the treatment of stable coronary artery disease (CAD) and acute coronary syndrome (ACS). Among oral antiplatelet agents (acetylsalicylic acid, ticlopidine, clopidogrel, and prasugrel), prasugrel has shown the highest efficacy in patients with DM and ACS. The use of glycoprotein IIb-IIIa receptor inhibitors in diabetic subjects with ACS undergoing percutaneous coronary intervention (PCI) reduces adverse clinical events in a greater extent than in non-diabetics. Several direct and indirect antithrombins are recommended for the treatment of ACS such as unfractionated heparin (UFH), enoxaparin, fondaparinux, and bivalirudin. Enoxaparin and bivalirudin have been shown to be superior to UFH among patients with ST-elevation MI (STEMI) and non-ST elevation MI (NSTEMI) also in diabetic subgroup analyses. FAU - Farhan, Serdar AU - Farhan S AD - Third Department of Cardiology and Emergency Medicine, Wilhelminen Hospital, Vienna, Austria. serdar.farhan@wienkav.at FAU - Hochtl, Thomas AU - Hochtl T FAU - Kautzky-Willer, Alexandra AU - Kautzky-Willer A FAU - Wojta, Johann AU - Wojta J FAU - Huber, Kurt AU - Huber K LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - Austria TA - Wien Med Wochenschr JT - Wiener medizinische Wochenschrift (1946) JID - 8708475 RN - 0 (Fibrinolytic Agents) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Platelet Glycoprotein GPIIb-IIIa Complex) SB - IM MH - Acute Coronary Syndrome/*blood/*drug therapy MH - Angioplasty, Balloon, Coronary MH - Combined Modality Therapy MH - Coronary Artery Disease/*blood/*drug therapy MH - Diabetes Mellitus, Type 2/*blood/*drug therapy MH - Fibrinolytic Agents/*therapeutic use MH - Humans MH - Platelet Aggregation Inhibitors/therapeutic use MH - Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors MH - Practice Guidelines as Topic MH - Randomized Controlled Trials as Topic MH - Treatment Outcome RF - 86 EDAT- 2010/03/17 06:00 MHDA- 2010/06/19 06:00 CRDT- 2010/03/16 06:00 PHST- 2009/12/15 00:00 [received] PHST- 2009/12/16 00:00 [accepted] PHST- 2010/03/16 06:00 [entrez] PHST- 2010/03/17 06:00 [pubmed] PHST- 2010/06/19 06:00 [medline] AID - 10.1007/s10354-010-0747-8 [doi] PST - ppublish SO - Wien Med Wochenschr. 2010 Jan;160(1-2):30-8. doi: 10.1007/s10354-010-0747-8.