Clinical Effect of Domestic Bivalirudin During Emergent Percutaneous Coronary Intervention in Patients With Acute ST-segment Elevation Myocardial Infarction
10.3969/j.issn.1000-3614.2014.07.005
- VernacularTitle:国产比伐卢定用于急性ST段抬高型心肌梗死患者急诊介入治疗术中的临床研究
- Author:
Jing SUN
;
Jun TIAN
;
Junxiang LIU
;
Guohong YANG
;
Dongxia LI
;
Jihong ZHAO
;
Xin ZHOU
;
Tiemin JIANG
;
Yuming LI
- Publication Type:Journal Article
- Keywords:
Bivalirudin;
Acute ST-segment elevation myocardial infarction;
Percutaneous coronary intervention
- From:
Chinese Circulation Journal
2014;(7):497-500
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the safety and anticoagulant efficacy of domestic bivalirudin injection during emergent percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).
Methods: A total of 75 STEMI patients were randomly divided into 2 groups according to anticoagulant used in emergent PCI procedure. Bivalirudin group, the patients received intravenous domestic bivalirudin, n=40 and Heparin group, n=35. The activated clotting time (ACT) was tested at pre-PCI, 5 minutes after medication, immediately after PCI, 30 minutes, 1 hour and 2 hours after medication respectively. The activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT) and ifbrinogen (FIB) level were measured at before medication and 6, 24, 72 hours after medication.
Results: All patients in Bivalirudin group had ACT>225s at 5min after medication as PCI requirement, while 1 patient in Heparin group could not reach the requirement and the extra dose was added. Both groups maintained ACT>225s during PCI procedure. Bivalirudin group had the lower ACT levels than those in Heparin group at 30 min, 1-and 2-hour after the medication, P<0.05. The post-PCI levels of APTT, PT, TT and FIB were similar between 2 groups, all P>0.05. The no-cardiac event surviving rate at 30 days after PCI in Bivalirudin group and in Heparin group were similar P>0.05 and the mild bleeding at 24 hours after PCI in Bivalirudin group was lower (0 vs 11.43)%, P<0.05.
Conclusion: Compared with heparin, domestic bivalirudin may take faster effect, with shorter half-life period for anticoagulation during emergent PCI procedure in STEMI patients.
