PMID- 21040659 OWN - NLM STAT- MEDLINE DCOM- 20101116 LR - 20131121 IS - 1603-6824 (Electronic) IS - 0041-5782 (Linking) VI - 172 IP - 42 DP - 2010 Oct 18 TI - [Unfractionated heparin and low molecular weight heparin for acute coronary syndromes--assessment of a Cochrane review]. PG - 2888-91 AB - In aspirin-treated patients with acute coronary syndromes without ST-segment elevation unfractionated heparin (UFH) or low molecular weight heparin (LMWH) treatment < 7 days significantly reduce the risk of acute myocardial infarction (AMI), and LMWH furthermore reduces revascularisation. There is a non-significant effect on mortality compared with placebo and an insignificantly increased risk of haemorrhagic complications. No net clinical benefit of LMWH was found compared to UHF, but LMWH has pharmacokinetic advantages. The optimal duration of heparin treatment remains controversial. FAU - Husted, Steen Elkjaer AU - Husted SE AD - Medicinsk-kardiologisk Afdeling, Arhus Sygehus, Arhus Universitetshospital, 8000 Arhus C, Denmark. steehust@rm.dk FAU - Nielsen, Hans Kraemmer AU - Nielsen HK LA - dan PT - English Abstract PT - Journal Article PT - Review TT - Ufraktioneret og lavmolekylaert heparin ved akutte koronare syndromer--en gennemgang af et Cochrane-review. PL - Denmark TA - Ugeskr Laeger JT - Ugeskrift for laeger JID - 0141730 RN - 0 (Anticoagulants) RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Placebos) RN - 9005-49-6 (Heparin) RN - R16CO5Y76E (Aspirin) SB - IM MH - Acute Coronary Syndrome/*drug therapy MH - Angina, Unstable/drug therapy MH - Anticoagulants/*therapeutic use MH - Aspirin/therapeutic use MH - Evidence-Based Medicine MH - Fibrinolytic Agents/*therapeutic use MH - Heparin/*therapeutic use MH - Heparin, Low-Molecular-Weight/*therapeutic use MH - Humans MH - Myocardial Infarction/prevention & control MH - Placebos/therapeutic use MH - Practice Guidelines as Topic EDAT- 2010/11/03 06:00 MHDA- 2010/11/17 06:00 CRDT- 2010/11/03 06:00 PHST- 2010/11/03 06:00 [entrez] PHST- 2010/11/03 06:00 [pubmed] PHST- 2010/11/17 06:00 [medline] AID - VP05090183 [pii] PST - ppublish SO - Ugeskr Laeger. 2010 Oct 18;172(42):2888-91.