UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME

Anticoagulant therapy is widely used in all forms of acute coronary syndrome (ACS) to inhibit the formation of thrombin and/or to inhibit its activity to reduce the risk of thrombotic events (both in primary percutaneous coronary intervention and in the absence of revascularization). Of the entire r...

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Main Authors: O. V. Krikunova, R. I. Stryuk
Format: Article
Language:English
Published: Столичная издательская компания 2018-03-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/1608
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author O. V. Krikunova
R. I. Stryuk
author_facet O. V. Krikunova
R. I. Stryuk
author_sort O. V. Krikunova
collection DOAJ
description Anticoagulant therapy is widely used in all forms of acute coronary syndrome (ACS) to inhibit the formation of thrombin and/or to inhibit its activity to reduce the risk of thrombotic events (both in primary percutaneous coronary intervention and in the absence of revascularization). Of the entire range of anticoagulants offered by the domestic and foreign pharmaceutical industry, a limited number of drugs of this group are used in the treatment of ACS, in particular, unfractionated heparin and low molecular weight heparin – enoxaparin.Enoxaparin has a safety profile and clinical efficacy at least comparable to that of unfractionated heparin, and at the same time has a number of obvious advantages, such as a simpler protocol of administration and dosing, does not require routine monitoring of the parameters of the blood coagulation system. In patients with ACS with ST-segment elevation the routine administration of enoxaparin should be considered as an alternative to the standard regimen of unfractionated heparin therapy. In patients with ACS without ST-segment elevation enoxaparin should be used when fondaparinux is unavailable.
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institution Kabale University
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-5da9a6976c1d4ed7bf315780e2f8a5c42025-08-23T10:00:29ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532018-03-0114113113610.20996/1819-6446-2018-14-1-131-1361436UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROMEO. V. Krikunova0R. I. Stryuk1A.I. Yevdokimov Moscow State University of Medicine and DentistryA.I. Yevdokimov Moscow State University of Medicine and DentistryAnticoagulant therapy is widely used in all forms of acute coronary syndrome (ACS) to inhibit the formation of thrombin and/or to inhibit its activity to reduce the risk of thrombotic events (both in primary percutaneous coronary intervention and in the absence of revascularization). Of the entire range of anticoagulants offered by the domestic and foreign pharmaceutical industry, a limited number of drugs of this group are used in the treatment of ACS, in particular, unfractionated heparin and low molecular weight heparin – enoxaparin.Enoxaparin has a safety profile and clinical efficacy at least comparable to that of unfractionated heparin, and at the same time has a number of obvious advantages, such as a simpler protocol of administration and dosing, does not require routine monitoring of the parameters of the blood coagulation system. In patients with ACS with ST-segment elevation the routine administration of enoxaparin should be considered as an alternative to the standard regimen of unfractionated heparin therapy. In patients with ACS without ST-segment elevation enoxaparin should be used when fondaparinux is unavailable.https://www.rpcardio.online/jour/article/view/1608acute coronary syndromeanticoagulantsenoxaparin
spellingShingle O. V. Krikunova
R. I. Stryuk
UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
Рациональная фармакотерапия в кардиологии
acute coronary syndrome
anticoagulants
enoxaparin
title UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
title_full UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
title_fullStr UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
title_full_unstemmed UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
title_short UTILIZING ENOXAPARIN IN THE MANAGEMENT OF ACUTE CORONARY SYNDROME
title_sort utilizing enoxaparin in the management of acute coronary syndrome
topic acute coronary syndrome
anticoagulants
enoxaparin
url https://www.rpcardio.online/jour/article/view/1608
work_keys_str_mv AT ovkrikunova utilizingenoxaparininthemanagementofacutecoronarysyndrome
AT ristryuk utilizingenoxaparininthemanagementofacutecoronarysyndrome