Update on pharmacologic therapy for pulmonary embolism

J Cardiovasc Pharmacol Ther. 2014 Mar;19(2):159-69. doi: 10.1177/1074248413506612. Epub 2013 Oct 31.

Abstract

Warfarin, unfractionated heparin (UFH), and low-molecular-weight heparins are anticoagulants that have been used for treatment of pulmonary embolism. Currently approved drugs for treatment of venous thromboembolism include UFH, enoxaparin, dalteparin, fondaparinux, warfarin, and rivaroxaban. The advent of newer oral anticoagulants such as rivaroxaban, dabigatran, and apixaban has provided us with alternative therapeutic options for long-term anticoagulation. This article will give an overview of the various anticoagulant drugs, use in various clinical scenarios, data supporting their clinical use, and recommendations regarding duration of anticoagulant therapy.

Keywords: apixaban; dabigatran; pulmonary embolism; rivaroxaban; warfarin.

Publication types

  • Review

MeSH terms

  • Animals
  • Anticoagulants / metabolism
  • Anticoagulants / therapeutic use*
  • Aspirin / metabolism
  • Aspirin / therapeutic use
  • Fibrinolytic Agents / metabolism
  • Fibrinolytic Agents / therapeutic use*
  • Heparin, Low-Molecular-Weight / metabolism
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / metabolism
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Pulmonary Embolism / diagnosis*
  • Pulmonary Embolism / drug therapy*
  • Pulmonary Embolism / metabolism
  • Warfarin / metabolism
  • Warfarin / therapeutic use

Substances

  • Anticoagulants
  • Fibrinolytic Agents
  • Heparin, Low-Molecular-Weight
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Warfarin
  • Aspirin