| Novel anticoagulants: How to make a choice? |
| | Contents |
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| Indications (N)OACs |
| | “Old” versus new |
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| Synthetic oral anticoagulants |
| | Indications for NOACs |
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| Arterial and Venous Thrombosis |
| | Thrombosis occurs by interaction of three elements |
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| Atherothrombosis |
| | Long-term anticoagulation in patients with coronary disease, and future developments. |
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| Long-term anticoagulation in patients with coronary disease, and future developments. |
| | Long-term anticoagulation in patients with coronary disease, and future developments. |
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| Median D-dimer concentration over time. |
| | Kaplan–Meier curve depicting the primary endpoint |
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| Alexander et al, NEJM 2011 |
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| Mega et al, NEJM 2012 |
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| So how about these (N)OACs? |
| | NOACs in ACS |
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| Is the level of thrombin generated in blood clinically relevant? |
| | Atherosclerotic Plaque Progression |
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| Thrombus age after thrombosuction: proportions of treated patients (n=199). |
| | Histological spectrum of thrombus and atherosclerotic plaque tissue retrieved by intracoronary thrombectomy. |
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| IF STAININGS – CO-LOCALIZATION OF TF, FVII & FX |
| | EARLY ATHEROSCLEROSIS EXHIBITS AN ENHANCED PRO-COAGULANT STATE |
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| SIGNIFICANTLY HIGHER ETP & TAT IN EARLY ATHEROSCLEROTIC LESIONS |
| | “What is all that thrombin for?” |
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| Elements of blood coagulation |
| | Elements of blood coagulation |
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| PHENOTYPIC MODULATION OF THE ARTERIAL VESSEL WALL: NON-HEMOSTATIC ACTIONS OF KEY COAGULATION PROTEINS |
| | Thrombin and atherosclerosis: causality? |
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| Thrombin-induced Atherogenesis? |
| | Thrombin being proatherogenic? |
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| EXTENSIVE ATHEROSCLEROSIS IN TM Pro/Pro / ApoE-/- CAROTID ARTERIES |
| | INCREASED ACCUMULATION OF MФ AND LESS α-ACTIN AND COLLAGEN I/III IN TM Pro/Pro / ApoE-/- |
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| INTRAPLAQUE HEMORRHAGE & PLAQUE RUPTURE IN TM Pro/Pro / ApoE-/- MICE |
| | Secondary prevention |
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| DABIGATRAN/APC PROTECTS AGAINST SEVERE ATHEROSCLEROSIS PROGRESSION IN TM Pro/Pro / ApoE-/- |
| | Results I/R injury : Evans Blue/TTC staining |
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| Antithrombotic therapy |
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