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European Heart Journal Advance Access originally published online on October 25, 2005
European Heart Journal 2005 26(23):2479-2481; doi:10.1093/eurheartj/ehi553
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The role of glycoprotein IIb/IIIa inhibitors in primary percutaneous coronary intervention for ST elevation myocardial infarction

Tone Svilaas*, Iwan C.C. van der Horst and Felix Zijlstra

Department of Cardiology, Thoraxcenter, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands

* Corresponding author. Tel: +31 50 3610444; fax: +31 50 3611347. E-mail address: t.svilaas@thorax.umcg.nl

This editorial refers to ‘Three-year duration of benefit from abciximab in patients receiving stents for acute myocardial infarction in the randomized double-blind ADMIRAL study’{dagger} by The Admiral Investigators on page 2520

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The administration of glycoprotein IIb/IIIa inhibitors is considered to provide additional benefit to mechanical reperfusion in the treatment of patients with ST elevation myocardial infarction and is included as a class-IIa recommendation in the Guidelines for Percutaneous Coronary Intervention of the European Society of Cardiology.1 Glycoprotein IIb/IIIa inhibitors block the surface receptor, which is a member of the integrin superfamily of membrane-bound adhesion molecules. Binding to the major adhesive proteins, fibrinogen and von Willebrand, occurs due to a conformational change of the glycoprotein IIb/IIIa receptor. This final step in platelet aggregation is blocked by the glycoprotein IIb/IIIa inhibitors. Other effects of the glycoprotein IIb/IIIa receptor are interference with thrombus formation, including induction of platelet disaggregation, and reduced clot retraction. Inhibitors developed and used in routine clinical practice include abciximab, the . . . [Full Text of this Article]


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Related articles in EHJ:

Three-year duration of benefit from abciximab in patients receiving stents for acute myocardial infarction in the randomized double-blind ADMIRAL study
The ADMIRAL Investigators
EHJ 2005 26: 2520-2523. [Abstract] [FREE Full Text]