Abstract

ObjectiveTo investigate the feasibility of fixed dose, weight adjusted subcutaneous low molecular weight heparin (LMWH), with monitoring of anti-Xa levels and assessment of coronary patency rates after three to five...

Highlights

  • The mean (SEM) anti-factor Xa activity (aXa) level over 72 hours was 0.52 (0.08) U/ml; from 12 hours onwards 88% of all aXa measurements were within the target range

  • infarct related coronary artery (IRA) and TIMI flow results are shown in table 2

  • This study shows that the use of fixed dose, weight adjusted subcutaneous low molecular weight heparin (LMWH) as an adjunct to recombinant tissuetype plasminogen activator (rt-PA) thrombolytic treatment for acute myocardial infarction induces stable and predictable aXa levels within the predefined target range

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Summary

Introduction

Abstract Objective—To investigate the feasibility of fixed dose, weight adjusted subcutaneous low molecular weight heparin (LMWH), with monitoring of anti-Xa levels and assessment of coronary patency rates after three to five days, thereby giving an initial indication of its safety and eYcacy. Coronary angiography was performed in all patients within five days after the start of thrombolytic treatment to determine patency (TIMI 2 and 3 flow) of the infarct related artery.

Results
Conclusion

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