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
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
by The Admiral Investigators on page 2520
| The first 10% of the full text of this article appears below. |
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
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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]