Bivalirudin in Acute Myocardial Infarction: "Primum Non Nocere" The Eternal Dilemma: Balancing Risks and Benefits in High-Risk Patients

被引:2
作者
Alfonso, Fernando [1 ]
Paulo, Manuel [1 ]
机构
[1] San Carlos Univ Hosp, Dept Cardiac, Cardiovasc Inst, Madrid 28040, Spain
关键词
bivalirudin; bleeding; coronary stenting; myocardial infarction; primary angioplasty; PERCUTANEOUS CORONARY INTERVENTION; COMPOSITE END-POINTS; UNFRACTIONATED HEPARIN; PRIMARY ANGIOPLASTY; BLOOD-TRANSFUSION; ABCIXIMAB; THERAPY; COMPLICATIONS; IMPACT;
D O I
10.1016/j.jcin.2010.07.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary angioplasty has been enthroned as the cornerstone of therapy in patients with ST-segment elevation myocardial infarction (STEMI) (1-3). In this scenario, coronary stenting is systematically offered. While drug-eluting stcnts (DES) are becoming increasingly used in STEMI patients because of their superior efficacy profile (1), safety concerns remain, and bare-metal stents (BMS) are still preferred by some investigators in this highly thrombogenic milieu (3).
引用
收藏
页码:803 / 805
页数:3
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