The role of glycoprotein IIb/IIIa-receptor antagonists in diabetics

J Thromb Thrombolysis. 2003 Apr;15(2):99-103. doi: 10.1023/b:thro.0000003312.39877.17.

Abstract

GP IIb/IIIa-receptor-inhibitors have been shown to be effective antithrombotic agents as adjunct therapy in patients with unstable angina/non ST-elevation myocardial infarction, but also in stable and unstable patients who undergo percutaneous coronary interventions. It has been emphasized by several investigators that diabetics belong to a high-risk patient group in which a special benefit from the use of GP IIb/IIIa-inhibitors might be expected. Among these agents, most consistent data in diabetic patients are presently available for abciximab. In general, GP IIb/IIIa-antagonists have been shown to be effective in diabetics by retrospective subgroup analyzes and meta-analyzes. Prospective trials with well prespecified patient groups are missing and would be mandatory to bring more light into a still developing field.

Publication types

  • Review

MeSH terms

  • Abciximab
  • Angioplasty, Balloon, Coronary
  • Antibodies, Monoclonal / therapeutic use
  • Coronary Artery Disease / etiology
  • Coronary Artery Disease / prevention & control
  • Diabetes Complications
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / drug therapy*
  • Humans
  • Immunoglobulin Fab Fragments / therapeutic use
  • Platelet Aggregation Inhibitors / therapeutic use*
  • Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors*

Substances

  • Antibodies, Monoclonal
  • Immunoglobulin Fab Fragments
  • Platelet Aggregation Inhibitors
  • Platelet Glycoprotein GPIIb-IIIa Complex
  • Abciximab