Transient thrombotic state after abrupt discontinuation of heparin in percutaneous coronary angioplasty

A. J. Conrad Smith, Robert E. Holt, Kelly Fitzpatrick, Igor F. Palacios, Herman K. Gold, Wendy Werner, Edwin G. Bovill, Valentin Fuster, Ik Kyung Jang

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Clinical and biochemical evidence of a rebound phenomenon after discontinuing thrombin inhibitors has been reported in patients with unstable angina. To investigate if a similar phenomenon occurs in patients undergoing coronary angioplasty, 14 patients were prospectively studied during and after discontinuation of heparin infusion. A transient thrombotic state identified by a significant increase in a polypeptide fragment and fibrinopeptide A was observed 3 hours after abruptly discontinuing heparin infusion. This observation may be clinically important in managing patients after coronary angioplasty.

Original languageEnglish
Pages (from-to)434-439
Number of pages6
JournalAmerican Heart Journal
Volume131
Issue number3
DOIs
StatePublished - 1996

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