Abstract

The introduction of GP IIb-IIIa inhibitors is one of the most important developments in the treatment of acute coronary syndromes and acute complications of percutaneous coronary syndromes. To date, three parenteral GP IIb-IIIa inhibitors: abciximab, eptifibatide, and tirofiban have been approved for clinical use. These three agents have different pharmacological characteristics and associated pharmacodynamic and safety profiles. Currently, there is no standardized assay for measurement of inhibition of platelet aggregation, making direct comparisons qf pharmacodynamic properties of GP IIb-IIIa inhibitors impossible. The most common safety concerns with this class of agents are bleeding and thrombocytopenia.

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