08.07.2015 Views

Enoxaparin in ACS

Enoxaparin in ACS

Enoxaparin in ACS

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Egyptian Guidel<strong>in</strong>es for themanagement of <strong>ACS</strong>Low Molecular Weight Hepar<strong>in</strong>:<strong>Enoxapar<strong>in</strong></strong> was the only LMWH which showed benefit over UFH onhard end-po<strong>in</strong>tsof death, MI or need for urgent revascularizationi(ESSENCE trial).-Dose: 1 mg/kg/12hours subcutaneously.-Duration: from 2-8days.Both Nd Nadropar<strong>in</strong>e and Dlt Daltepar<strong>in</strong> did not show any advantage overUFH on hard end po<strong>in</strong>ts (FRIC &FRAXIStrials).Most studies showed no benefit of long term treatment by LMWH’sexcept <strong>in</strong> patients with elevated Tropon<strong>in</strong> (30days).

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