Actualités dans la gestion des syndromes coronariens aigus

Fibrinolytic Therapy:
Antithrombotic Co-therapy
Recommendations Class LOE
• Antithrombin co-therapy
– with alteplase, reteplase and tenecteplase:
• enoxaparin i.v. bolus followed 15 min later by first s.c.
dose; if age > 75 years no i.v. bolus and start with reduced
first s.c. dose
I
A
• if enoxaparin is not available: a weight-adjusted bolus of
i.v. heparin followed by a weight adjusted i.v. infusion with
first aPTT control after 3 h
I
A