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Correspondence
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Volume 336:730-731 March 6, 1997 Number 10
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Heparin versus Hirudin for Acute Coronary Syndromes

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 by The Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) IIb Investigators
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To the Editor: The report by the Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) IIb investigators comparing recombinant hirudin and heparin for the treatment of acute coronary syndromes (Sept. 12 issue)1 is important and timely. Unfortunately, the study design was biased against the standard heparin treatment. The patients receiving hirudin were given loading and maintenance doses based on body weight, whereas all the patients receiving heparin were given a fixed dose, regardless of their size. Since the average weights of the patients in each group were the same, this difference in specified dosage by the protocol could . . . [Full Text of this Article]

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