TY - JOUR T1 - LOw-molecular-weight heparins in the management of acute coronary syndromes AU - Zed PJ, Tisdale JE, Borzak S Y1 - 1999/09/13 N1 - 10.1001/archinte.159.16.1849 JO - Archives of Internal Medicine SP - 1849 EP - 1857 VL - 159 IS - 16 N2 - Acute coronary syndromes (unstable angina and non–Q-wave myocardial infarction) are caused by the rupture of an atherosclerotic plaque, platelet activation, and fibrin deposition resulting in thrombosis. Aspirin and unfractionated heparin have traditionally been the treatments of choice for patients with acute coronary syndromes. Low-molecular-weight heparins offer potential advantages over unfractionated heparin, having proven equally effective for the treatment and prevention of many thromboembolic processes. Recently, a number of randomized controlled trials have been conducted to evaluate the role of low-molecular-weight heparins in the management of patients with unstable angina or non–Q-wave myocardial infarction. The purpose of this article is to review and evaluate the available literature on the use of low-molecular-weight heparins in the management of acute coronary syndromes to establish their role in therapy. SN - 0003-9926 M3 - doi: 10.1001/archinte.159.16.1849 UR - http://dx.doi.org/10.1001/archinte.159.16.1849 ER -