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Direct thrombin inhibitors.

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TLDR
Thrombin is essential to coagulation, and makes for a very attractive target in medical intervention of pathologic thrombosis, and the nature of direct thrombin inhibitors is reviewed.
Abstract
Cardiovascular disease is a leading cause of death and pathologic coagulation plays an integral role in the development, propagation, and intervention of cardiovascular disease. The 2 classic anticoagulants, heparin and vitamin K antagonists, though having served humanity for nearly a century, are both inconvenient and nonspecific. Through both direct and indirect roles, thrombin is essential to coagulation, and makes for a very attractive target in medical intervention of pathologic thrombosis. This article will review the nature of direct thrombin inhibitors, current indications, and ongoing trials.

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Citations
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The Pathogenesis of Sepsis

TL;DR: Biomarkers may be used to help diagnose patients with sepsis, and they may also help to identify patients who would benefit from immunomodulatory therapies.
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Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions.

TL;DR: From the Division of Vascular and Interventional Radiological, Jefferson Radiology, Hartford Hospital, 85 Seymour St, Ste 200, Hartford, CT 06106, Received November 18, 2008; accepted November 24, 2008.
Journal ArticleDOI

Proteases as therapeutics.

TL;DR: Proteases have a bright future as a distinct therapeutic class with diverse clinical applications and the recognition that proteases are an established class of safe and efficacious drugs will stimulate investigation of additional therapeutic applications for these enzymes.
Journal ArticleDOI

Heparin-Induced Thrombocytopenia: A Comprehensive Clinical Review

TL;DR: This comprehensive review of heparin-induced thrombocytopenia's risk factors, clinical presentation, pathophysiology, diagnostic principles, and treatment places special emphasis on the management of patients requiring procedures using cardiopulmonary bypass or interventions in the catheterization laboratory.
References
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Journal ArticleDOI

Dabigatran versus warfarin in the treatment of acute venous thromboembolism

TL;DR: For the treatment of acute venous thromboembolism, a fixed dose of dabigatran is as effective as warfarin, has a safety profile that is similar to that of warfar in, and does not require laboratory monitoring.
Journal Article

Dabigatran versus warfarin in patients with atrial fibrillation.

TL;DR: Dabigatran appeared to be more efficacious in patients who weighed less and in patients with impaired renal function (in whom the drug ac­ cumulates), pointing to significant interpatient variability in response.
Journal ArticleDOI

Bivalirudin during Primary PCI in Acute Myocardial Infarction

TL;DR: In patients with ST-segment elevation myocardial infarction who are undergoing primary PCI, anticoagulation with bivalirudin alone, as compared with heparin plus glycoprotein IIb/IIIa inhibitors, results in significantly reduced 30-day rates of major bleeding and net adverse clinical events.
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