PMID- 21060749 OWN - NLM STAT- MEDLINE DCOM- 20110407 LR - 20211020 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 25 IP - 11 DP - 2010 Nov TI - Clinical benefit of low molecular weight heparin for ST-segment elevation myocardial infarction patients undergoing primary percutaneous coronary intervention with glycoprotein IIb/IIIa inhibitor. PG - 1601-8 LID - 10.3346/jkms.2010.25.11.1601 [doi] AB - The efficacy of low molecular weight heparin (LMWH) with low dose unfractionated heparin (UFH) during percutaneous coronary intervention (PCI) with or without glycoprotein (Gp) IIb/IIIa inhibitor compared to UFH with or without Gp IIb/IIIa inhibitor has not been elucidated. Between October 2005 and July 2007, 2,535 patients with ST elevation acute myocardial infarction (STEMI) undergoing PCI in the Korean Acute Myocardial Infarction Registry (KAMIR) were assigned to either of two groups: a group with Gp IIb/IIIa inhibitor (n=476) or a group without Gp IIb/IIIa inhibitor (n=2,059). These groups were further subdivided according to the use of LMWH with low dose UFH (n=219) or UFH alone (n=257). The primary end points were cardiac death or myocardial infarction during the 30 days after the registration. The primary end point occurred in 4.1% (9/219) of patients managed with LMWH during PCI and Gp IIb/IIIa inhibitor and 10.8% (28/257) of patients managed with UFH and Gp IIb/IIIa inhibitor (odds ratio [OR], 0.290; 95% confidence interval [CI], 0.132-0.634; P=0.006). Thrombolysis In Myocardial Infarction (TIMI) with major bleeding was observed in LMHW and UFH with Gp IIb/IIIa inhibitor (1/219 [0.5%] vs 1/257 [0.4%], P=1.00). For patients with STEMI managed with a primary PCI and Gp IIb/IIIa inhibitor, LMWH is more beneficial than UFH. FAU - Cho, Jung Sun AU - Cho JS AD - Cardiovascular Center, Seoul St. Mary's Hospital, Seoul, Korea. FAU - Her, Sung-Ho AU - Her SH FAU - Baek, Ju Yeal AU - Baek JY FAU - Park, Mahn-Won AU - Park MW FAU - Kim, Hyoung Doo AU - Kim HD FAU - Jeong, Myung Ho AU - Jeong MH FAU - Ahn, Young keun AU - Ahn Yk FAU - Chae, Shung Chull AU - Chae SC FAU - Hur, Seung Ho AU - Hur SH FAU - Hong, Taek Jong AU - Hong TJ FAU - Kim, Young Jo AU - Kim YJ FAU - Seong, In Whan AU - Seong IW FAU - Chae, Jei Keon AU - Chae JK FAU - Rhew, Jay Young AU - Rhew JY FAU - Chae, In Ho AU - Chae IH FAU - Cho, Myeong Chan AU - Cho MC FAU - Bae, Jang Ho AU - Bae JH FAU - Rha, Seung Woon AU - Rha SW FAU - Kim, Chong Jim AU - Kim CJ FAU - Choi, Donghoon AU - Choi D FAU - Jang, Yang Soo AU - Jang YS FAU - Yoon, Junghan AU - Yoon J FAU - Chung, Wook Sung AU - Chung WS FAU - Cho, Jeong Gwan AU - Cho JG FAU - Seung, Ki Bae AU - Seung KB FAU - Park, Seung Jung AU - Park SJ CN - Korea Acute Myocardial Infarction Registry Investigators LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101026 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Platelet Glycoprotein GPIIb-IIIa Complex) RN - 9005-49-6 (Heparin) SB - IM MH - Acute Disease MH - Aged MH - Drug Therapy, Combination MH - Female MH - Hemorrhage MH - Heparin/*therapeutic use MH - Heparin, Low-Molecular-Weight/*therapeutic use MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Myocardial Infarction/epidemiology/mortality/*therapy MH - Myocardial Revascularization MH - Odds Ratio MH - Platelet Glycoprotein GPIIb-IIIa Complex/*antagonists & inhibitors/metabolism MH - Prognosis MH - Registries PMC - PMC2966997 OTO - NOTNLM OT - Blood Platelets OT - Heparin OT - Myocardial Infarction OT - Prognosis FIR - Jeong, Myung Ho IR - Jeong MH FIR - Kim, Young Jo IR - Kim YJ FIR - Kim, Chong Jin IR - Kim CJ FIR - Cho, Myeong Chan IR - Cho MC FIR - Ahn, Young Keun IR - Ahn YK FIR - Kim, Jong Hyun IR - Kim JH FIR - Chae, Shung Chull IR - Chae SC FIR - Hur, Seung Ho IR - Hur SH FIR - Seong, In Whan IR - Seong IW FIR - Hong, Taek Jong IR - Hong TJ FIR - Choi, Dong Hoon IR - Choi DH FIR - Chae, Jei Keon IR - Chae JK FIR - Rhew, Jae Young IR - Rhew JY FIR - Kim, Doo Il IR - Kim DI FIR - Chae, In Ho IR - Chae IH FIR - Yoon, Junghan IR - Yoon J FIR - Koo, Bon Kwon IR - Koo BK FIR - Kim, Byung Ok IR - Kim BO FIR - Lee, Myoung Yong IR - Lee MY FIR - Kim, Kee Sik IR - Kim KS FIR - Hwang, Jin Yong IR - Hwang JY FIR - Oh, Seok Kyu IR - Oh SK FIR - Lee, Nae Hee IR - Lee NH FIR - Jeong, Kyoung Tae IR - Jeong KT FIR - Tahk, Seung Jea IR - Tahk SJ FIR - Bae, Jang Ho IR - Bae JH FIR - Rha, Seung Woon IR - Rha SW FIR - Park, Keum Soo IR - Park KS FIR - Han, Kyoo Rok IR - Han KR FIR - Ahn, Tae Hoon IR - Ahn TH FIR - Kim, Moo Hyun IR - Kim MH FIR - Yang, Joo Young IR - Yang JY FIR - Rhim, Chong Yun IR - Rhim CY FIR - Gwon, Hyeon Cheol IR - Gwon HC FIR - Park, Seong Wook IR - Park SW FIR - Koh, YoungYoup IR - Koh Y FIR - Joo, Seung Jae IR - Joo SJ FIR - Kim, Soo Joong IR - Kim SJ FIR - Jin, Dong Kyu IR - Jin DK FIR - Cho, Jin Man IR - Cho JM FIR - Chung, Wook Sung IR - Chung WS FIR - Jang, Yang Soo IR - Jang YS FIR - Cho, Jeong Gwan IR - Cho JG FIR - Seung, Ki Bae IR - Seung KB FIR - Park, Seung Jung IR - Park SJ EDAT- 2010/11/10 06:00 MHDA- 2011/04/08 06:00 PMCR- 2010/11/01 CRDT- 2010/11/10 06:00 PHST- 2010/05/04 00:00 [received] PHST- 2010/06/16 00:00 [accepted] PHST- 2010/11/10 06:00 [entrez] PHST- 2010/11/10 06:00 [pubmed] PHST- 2011/04/08 06:00 [medline] PHST- 2010/11/01 00:00 [pmc-release] AID - 10.3346/jkms.2010.25.11.1601 [doi] PST - ppublish SO - J Korean Med Sci. 2010 Nov;25(11):1601-8. doi: 10.3346/jkms.2010.25.11.1601. Epub 2010 Oct 26.