Results of IIb/IIIa receptor blockade in patients with unstable angina.

A Vahanian, P Michaud, E Garbarz
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Abstract

The efficacy of GPIIb/IIIa inhibitors has now been evaluated in over 20 000 patients with unstable angina and non-Q MI. These agents have shown great efficacy in patients undergoing percutaneous coronary intervention. They are also effective, even if to a lesser degree, as an addition to medical treatment. The safety profile is satisfactory. Several issues have to be investigated in the future: comparison of agents, use of oral inhibitors, associations with Heparin, consequences on management, and cost efficacy. As of now, it is clear that GPIIb/IIIa inhibitors represent a significant progress in the treatment of patients with acute coronary syndromes.

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不稳定型心绞痛患者IIb/IIIa受体阻断的结果。
GPIIb/IIIa抑制剂在2万多例不稳定型心绞痛和非q型心肌梗死患者中的疗效已被评估,这些药物在经皮冠状动脉介入治疗患者中显示出良好的疗效。作为药物治疗的补充,它们也是有效的,即使程度较低。安全概况令人满意。未来有几个问题需要研究:药物的比较、口服抑制剂的使用、与肝素的关联、对管理的影响和成本效益。到目前为止,很明显GPIIb/IIIa抑制剂在治疗急性冠脉综合征患者方面取得了重大进展。
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