Publication: Effect of un-fractionated heparin and low molecular weight heparin on hospital mortality in patients with non ST elevation Acute Coronary Syndrome (ACS)
1
Issued Date
2007-12-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-43849101088
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.90, No.SUPPL 1 (2007), 109-114
Suggested Citation
Kitiporn Angkasuwapala, Kasem Ratanasumawong, Tachapong Ngarmukos, Wirash Kehasukcharoen, Watana Boonsom, Siriporn Kamsa-ard Effect of un-fractionated heparin and low molecular weight heparin on hospital mortality in patients with non ST elevation Acute Coronary Syndrome (ACS). Journal of the Medical Association of Thailand. Vol.90, No.SUPPL 1 (2007), 109-114. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/24670
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Title
Effect of un-fractionated heparin and low molecular weight heparin on hospital mortality in patients with non ST elevation Acute Coronary Syndrome (ACS)
Abstract
Background: The Thai ACS registry is a multi-center, prospective registration that describes the epidemiology, management practices and in-hospital outcomes of patients with acute coronary syndromes. Objective: Study the registry difference in hospital outcomes about cardiac death and length of stay between low molecular weight heparin (LMWH) and un-fractionated heparin (UFH). Material and Method: This is an observational descriptive study. The authors collected data from the database of the Thai ACS registry. Results: There were 233 of 3963 cases (5.9%) with cardiac death in the present study. Cardiac death in the non-ST elevated myocardial infraction (NSTEMI) group was larger than in the UA group (7.6% vs. 2.4%, p-value < 0.001). The heparin group had more cardiac death than the LMWH group (9.3% vs. 5.2%, p-value < 0.001). NSTEMI with heparin treatment had more cardiac deaths than LMWH treatment (11.8% vs. 6.8%, odd ratio 1.8). UA with heparin treatment had more cardiac deaths than LMWH treatment (4.0% vs. 2.0%, odd ratio 2.0). NSTEMI had a longer length of stay than UA (56.9% vs. 44.7%, p-value = 0.001). The heparin group had a longer stay than LMWH (58.8% vs. 51.7%, p-value < 0.001). Conclusion: Low molecular weight heparin had benefit over un-fractionated heparin in reduction of hospital mortality and length of stay in both unstable angina and non-ST elevation myocardial infarction.