Fondaparinux is Similar to Enoxaparin in
Preventing Ischemic Events Among Patients with
Acute Coronary Syndromes but Causes Less
Bleeding
Anticoagulants,
antiplatelet agents, and invasive coronary
procedures reduce ischemic coronary events in
patients with acute coronary syndromes, but
increase bleeding. Enoxaparin is a low molecular
weight heparin commonly used in patients with
acute coronary syndromes that reduces their risk
of death or myocardial infarction. A trial
conducted by the Fifth Organization to Assess
Strategies in Acute Ischemic Syndromes
Investigators (OASIS-5) in Ontario, Canada
compared the efficacy and safety of fondaparinux
(Arixtra) and enoxaparin (Lovenox). The trial
found that fondaparinux is similar to enoxaparin
in reducing the risk of ischemic coronary events
and it significantly decreases major bleeding.
These results were published in the March 14,
2006 issue of The New England Journal of
Medicine.
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