Zwart Bastiaan, Parker William A E, Storey Robert F
Department of Cardiology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Department of Cardiology, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
J Clin Med. 2020 Jun 30;9(7):2059. doi: 10.3390/jcm9072059.
In recent years, much progress has been made in the field of antithrombotic drugs in acute coronary syndrome (ACS) treatment, as reflected by the introduction of the more potent P2Y12-inhibitors prasugrel and ticagrelor, and novel forms of concomitant anticoagulation, such as fondaparinux and bivalirudin. However, despite substantial improvements in contemporary ACS treatment, there remains residual ischemic risk in this group and hence the need for even more effective antithrombotic drugs, while balancing antithrombotic efficacy against bleeding risk. This review discusses recently introduced and currently developed antiplatelet and anticoagulant drugs in ACS treatment.
近年来,急性冠状动脉综合征(ACS)治疗领域的抗血栓药物取得了很大进展,这体现在更有效的P2Y12抑制剂普拉格雷和替格瑞洛的引入,以及新型的联合抗凝药物,如磺达肝癸钠和比伐卢定。然而,尽管当代ACS治疗有了显著改善,但该组患者仍存在残余缺血风险,因此需要更有效的抗血栓药物,同时要在抗血栓疗效和出血风险之间取得平衡。本综述讨论了近期引入和目前正在研发的用于ACS治疗的抗血小板和抗凝药物。