Efficacy and safety of tirofiban in high-risk patients with non-ST-segment elevation acute coronary syndromes
- PMID: 19645039
- PMCID: PMC6653350
- DOI: 10.1002/clc.20475
Efficacy and safety of tirofiban in high-risk patients with non-ST-segment elevation acute coronary syndromes
Abstract
Objective: To evaluate the safety and efficacy of tirofiban in high risk patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) after percutaneous coronary intervention (PCI).
Methods: A total of 240 patients were randomized to either a tirofiban group or a control group.
Results: Compared with the control group, the platelet aggregation rate in the tirofiban group was lower (P < 0.01); the plasma levels of CK-MB and troponin I, cardiac form (cTnI) were lower (P < 0.05); ECG improved significantly (P < 0.05); the incidence of major adverse cardiac events (MACE) was lower (P < 0.05); and there was no difference in bleeding complications between the 2 groups (P = 0.1).
Conclusions: The administration of tirofiban in high risk patients with NSTE-ACS after PCI is safe and effective.
Copyright 2009 Wiley Periodicals, Inc.
References
-
- Hartman GD. Tirofiban hydrochloride: platelet antiaggregatory GP IIb/IIIa receptor antagonist. Drugs Future 1995; 20: 897–901.
-
- Madan M, Berkawitz SD, Tcheng JE. Glycoprotein IIb/IIIa integrin blockade. Circulation 1998; 98: 2629–2635. - PubMed
-
- Lynch JJ, Cook JJ, Sitko GR, et al. Nonpeptide glycoprotein IIb/IIIa inhibitors. Antithrombotic effects of MK‐0383. J Pharmacol Exp Ther 1995; 272: 20–32. - PubMed
-
- The PRISM Study Investigators . A comparison of aspirin plus tirofiban with aspirin plus heparin for unstable angina. N Engl J Med 1998; 338: 1498–1505. - PubMed
-
- PRISM‐PLUS Study Investigators . Inhibition of the platelet glycoprotein IIb/IIIa receptor with tirofiban in unstable angina and non‐Q‐wave myocardial infarction. N Engl J Med 1998; 338: 1488–1497. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous