Higher Maximum Doses and Infusion Rates Compared with Standard Unfractionated Heparin Therapy Are Associated with Adequate Anticoagulation without Increased Bleeding in Both Obese and Nonobese Patients with Cardiovascular Indications

C. Floroff, N. Palm, D. Steinberg, E. Powers, B. Wiggins
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引用次数: 4

Abstract

To evaluate the time to achieve therapeutic activated partial thromboplastin time (aPTT) values and occurrence of bleeding based on standard unfractionated heparin (UFH) weight‐based dosing recommendations compared with an aggressive weight‐based UFH dosing strategy using higher maximum doses and infusion rates in both obese and nonobese patients who presented with non–ST‐segment elevation myocardial infarction or unstable angina (NSTEMI/UA) or atrial fibrillation.
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与标准的无分级肝素治疗相比,更高的最大剂量和输注速率与有心血管适应症的肥胖和非肥胖患者的充分抗凝而不增加出血相关
评估在非st段抬高型心肌梗死或不稳定型心绞痛(NSTEMI/UA)或房颤的肥胖和非肥胖患者中,基于标准未分级肝素(UFH)体重给药建议与采用更高最大剂量和输注速率的积极分级肝素给药策略相比,达到治疗性活化部分血栓活素时间(aPTT)值的时间和出血发生率。
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