Which Clot Buster is Best for Acute Coronary Syndromes?

December 31, 2006

Is heparin necessary for a hospitalizedpatient with an acute coronary syndromeif he or she is receiving long-termwarfarin therapy?

Is heparin necessary for a hospitalizedpatient with an acute coronary syndromeif he or she is receiving long-termwarfarin therapy?
----MD

In general, I would recommend stoppingwarfarin and replacing it withheparin plus aspirin. There is noconvincing evidence that warfarin isacutely beneficial in patients withcoronary syndromes.
---- Prediman K. Shah, MD
Director, Division of Cardiology
Cedars-Sinai Medical Center
Los Angeles