Recombinant hirudin for unstable angina pectoris. A multicenter, randomized angiographic trial.

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Recombinant hirudin for unstable angina pectoris. A multicenter, randomized angiographic trial.

BACKGROUND Coronary artery thrombosis plays an important pathophysiological role in unstable angina and non-Q-wave myocardial infarction. To date, heparin and thrombolytic therapy has not provided complete or consistent benefit. We hypothesized that recombinant hirudin, a direct thrombin inhibitor, would prevent accumulation of coronary artery thrombus in a manner superior to heparin. METHODS...

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Unstable angina pectoris. Clinical, angiographic, and myocardial scintigraphic observations.

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Twenty-four patients with unstable angina pectoris, defined as chest pain at rest with transient ST segment deviation of at least 1 mm, were randomly assigned to blinded treatment with either placebo or intravenous recombinant human tissue-type plasminogen activator (rt-PA). Before randomization, all patients were treated with oral beta-blockers, calcium antagonists, nitrates, and continuous in...

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Intravenous recombinant tissue-type plasminogen activator in patients with unstable angina pectoris. Results of a placebo-controlled, randomized trial.

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ژورنال

عنوان ژورنال: Circulation

سال: 1994

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.89.4.1557