Cardiology>>>>>Ischaemic heart disease
Question 22#

Which of the following should not be used as a procedural antiacoagulant for primary angioplasty?

A) Unfractionated heparin (± GP 2b/3a)
B) Enoxaparin (± GP 2b/3a)
C) Fondaparinux
D) Bivalarudin
E) Bivalarudin + GP 2b/3a

Correct Answer is C


Use of fondaparinux in the context of primary PCI was associated with potential harm in the OASIS-6 trial and therefore it is not recommended. Bivalarudin is probably the preferred choice currently in primary PCI, but all other options are reasonable. Intravenous enoxaparin is required initially in the context of primary angioplasty