Current Cardiology Reports

, Volume 4, Issue 4, pp 272–277

Choice of agents to limit the coagulation cascade in acute coronary syndromes

  • Richard C. Becker

DOI: 10.1007/s11886-002-0062-0

Cite this article as:
Becker, R.C. Curr Cardiol Rep (2002) 4: 272. doi:10.1007/s11886-002-0062-0


Arterial thrombosis, the predominant event in acute coronary syndromes (ACS), is the end-result of endothelial cell dysfunction, impaired vascular thromboresistance, and sudden atheromatous plaque disruption, each occurring amid a backdrop of inflammation and inflammatory mediators. Because the contribution of individual coagulation proteins to coronary arterial thrombosis varies from modest to marked, selective pharmacologic targeting is both pathobiologically sound and clinically preferred. The development of secondgeneration anticoagulants with broadened therapeutic windows represents an advance in the management of ACS.


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Copyright information

© Current Science Inc 2002

Authors and Affiliations

  • Richard C. Becker
    • 1
  1. 1.Coronary Care Unit, UMass Memorial Health CareCardiovascular Thrombosis Research CenterWorcesterUSA

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