BRAUNWALD
ET AL., MANAGEMENT OF PATIENTS WITH UNSTABLE ANGINA AND NON-ST-SEGMENT
ELEVATION MYOCARDIAL INFARCTION UPDATE
http://www.acc.org/clinical/guidelines/unstable/incorporated/index.htm
ACC/AHA
2002 Guideline Update for the Management of Patients With Unstable
Angina and Non-ST-Segment Elevation Myocardial Infarction
A
Report of the American College of Cardiology/American Heart Association
Task Force on Practice Guidelines (Committee on the Management of
Patients With Unstable Angina)
Figure
8. Summary of trials of antithrombotic
therapy in UA. Meta-analysis of randomized trials in UA/NSTEMI that
have compared ASA with placebo, the combination of UFH and ASA with
ASA alone, the combination of an LMWH and ASA with ASA alone, and
the combination of a platelet GP IIb/IIIa antagonist (anta.), UFH
(hep.), and ASA with UFH plus ASA. The RR values, 95% CIs, and probability
value for each trial are shown. The timing of the end point (death
or MI) varied. Results with the platelet GP IIb/IIIa antagonists
are reported at the 30-day time point. Incremental gain is observed
from single therapy with ASA to double therapy with ASA and UFH
and to triple antithrombotic therapy with ASA, UFH, and a platelet
GP IIb/IIIa antagonist. In the CAPTURE trial, nearly all patients
underwent PCI after 20 to 24 h per study design. From PURSUIT (10),
PRISM-PLUS (21), Lewis
et al. (175), Cairns
et al. (176), Théroux
et al. (177), RISC group
(178), ATACS group (179),
Gurfinkel et al. (180),
FRISC group (181), CAPTURE
(182), PARAGON (183),
and PRISM (184).

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