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Editorial
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Volume 354:1524-1527 April 6, 2006 Number 14
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Therapy for Patients with Acute Coronary Syndromes — New Opportunities
Raymond J. Gibbons, M.D., and Valentin Fuster, M.D., Ph.D.

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-PubMed Citation
Acute coronary syndromes, defined as myocardial infarction with ST-segment elevation, myocardial infarction without ST-segment elevation, and unstable angina, share a common pathophysiology: atherosclerotic plaque rupture, erosion, or both with superimposed intracoronary thrombosis, commonly known as atherothrombosis.1 Two large randomized trials reported in this issue of the Journal2,3 address the evolving use of antithrombotic agents for these syndromes; a third trial has been published recently.4

Table 1 places these trials in the context of existing practice guidelines for antithrombotic agents. The oldest antithrombotic agent is unfractionated heparin. Although treatment with unfractionated heparin is generally indicated for 24 to 48 hours in . . . [Full Text of this Article]


Source Information

From the Mayo Clinic College of Medicine, Rochester, Minn. (R.J.G.); and Mt. Sinai School of Medicine, New York (V.F.).

This article was published at www.nejm.org on March 14, 2006.


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