Skip Navigation

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Disclaimer
Right arrow Request Permissions
Google Scholar
Right arrow Articles by Hamm, C. W.
PubMed
Right arrow Articles by Hamm, C. W.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Bleeding management and pharmacological strategy in primary percutaneous coronary intervention

Christian W. Hamm

Department of Cardiology, Kerckhoff-Klinik–Heart Center, Bad Nauheim, Germany

Until recently, achievements in the treatment of acute coronary syndromes (ACS) could only be obtained with an increased risk of bleeding. Though long considered an unavoidable consequence of the treatment of ACS, recent data demonstrate that major bleeding has a serious impact on subsequent outcomes. These findings have brought a paradigm change to risk stratification that takes into account not only ischaemic risk, but also bleeding risk in the selection of an optimal management strategy. Strategies to reduce bleeding include assessment of the bleeding risk in each individual patient, appropriate dosing of antithrombotic drugs, and the use of drugs with proven reduced risk of bleeding in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.

Key Words: Bleeding • Antithrombin • Acute coronary syndromes • Bivalirudin • Heparin


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.