Clinical examination of heparin-Ca in myocardial infarction patients

K Páder1, G Kerkovits

  • 1Fourth Department of Internal Medicine, Municipal Bajcsy-Zsilinszky Hospital-Outpatients Clinic.

Therapia Hungarica (English Edition)
|January 1, 1990
PubMed

Insights

Subcutaneous heparin calcium injections effectively treated myocardial infarction patients. This delayed-action heparin demonstrated safety, with only minor superficial hemorrhages observed, making it a viable anticoagulant therapy option.

Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Myocardial infarction (MI) necessitates effective anticoagulant therapy.
  • Delayed-action heparin formulations offer potential for improved treatment regimens.

Purpose of the Study:

  • To evaluate the clinical efficacy and safety of subcutaneous delayed-action heparin calcium in patients with acute and imminent myocardial infarction.

Main Methods:

  • Administered an initial 10,000 IU intravenous heparin dose.
  • Maintained therapeutic anticoagulation via subcutaneous heparin calcium injections every 12 hours.
  • Monitored native blood coagulation time (Lee-White) throughout treatment.

Main Results:

  • The treatment was effective in managing acute and imminent myocardial infarction.
  • No significant side-effects were reported, apart from superficial hemorrhages.
  • Anticoagulation was successfully transitioned to Syncumar tablets on days 4-5 post-MI.

Conclusions:

  • Subcutaneous delayed-action heparin calcium is a safe and effective option for managing myocardial infarction.
  • This therapeutic approach allows for consistent anticoagulation with minimal adverse events.

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