Fondaparinux:A cornerstone drug in acute coronary syndromes  

作　　者：Mohammed Yunus Khan Chandrashekhar K Ponde Viveka Kumar Kumar Gaurav 

机构地区：[1]Medical Affairs,Dr.Reddy's Laboratories Ltd,Hyderabad 500018,India [2]Department of Cardiology,P.D.Hinduja Hospital&Medical Research Centre,Mumbai 400016,India [3]Department of Cardiology,Max Super Speciality Hospital,New Delhi 110017,India

出　　处：《World Journal of Cardiology》2022年第1期40-53,共14页世界心脏病学杂志（英文版）（电子版）

摘　　要：In acute coronary syndrome(ACS),the use of anticoagulants in conjunction with antiplatelet agents in the acute phase has resulted in reduced ischemic events and is more effective than either class of drug used alone.Though parenteral anticoagulation is essential at the time of diagnosis,a balance must be made between ischemic benefit and the increased risk of bleeding when prescribing anticoagulants.Adverse events associated with anticoagulants,such as heparin-induced thrombocytopenia,bleeding problems,and the need for close monitoring of anticoagulant activity,have contributed to finding agents that reduce these limitations.Studies like the Organization to Assess Strategies in Ischemic Syndromes 5 and 6 and their meta-analysis have proven the efficacy of Fondaparinux over the entire ACS spectrum.The convenience of administration(once daily),lack of monitoring,reduction in mortality,and better safety profile make Fondaparinux a simple and effective anti-coagulant for the management of ACS.

关 键 词：Acute coronary syndrome Anti-coagulant therapy Antiplatelet therapy FONDAPARINUX Unfractionated heparin ENOXAPARIN 

分 类 号：R541.4[医药卫生—心血管疾病]