When are glycoprotein IIb IIIa inhibitors used?
Table of Contents
The available GP IIb/IIIa inhibitors include abciximab, tirofiban, and eptifibatide. These agents, along with aspirin, are used in patients with unstable angina with PCI within 24 hours.
Does platelet adhesion cause endothelial damage?
A variety of inflammatory states may result in platelet adhesion to endothelial cells in the absence of denudation, and without evidence of significant alterations in the endothelial integrity.
Should I worry about giant platelets?
This can be very dangerous, and requires immediate medical attention to treat. In severe cases, a blood transfusion may be required. Other conditions that can be indicated by giant platelets include gray platelet syndrome and May-Hegglin anomaly.
What is a glycoprotein IIb?
The glycoprotein (GP) IIb/IIIa receptor is an integrin that mediates the final common pathway of platelet aggregation. In particular, the GP IIb/IIIa receptor is a heterodimer consisting of the alpha IIb and beta3-subunits.
Which medication is a glycoprotein IIb IIIa inhibitor?
How do glycoprotein IIb/IIIa inhibitors work?
Glycoprotein IIb/IIIa (GP IIb/IIIa) inhibitors prevent platelet aggregation by blocking glycoprotein IIb/IIIa receptors on their platelet’s plasma membrane and inhibit fibrinogen binding. The available GP IIb/IIIa inhibitors include abciximab, tirofiban, and eptifibatide.
What are GPIIb/IIIa inhibitors?
GPIIb/IIIa Inhibitors. IV glycoprotein IIb/IIIa inhibitors are often administered during percutaneous coronary interventions and other interventional procedures. These agents, including abciximab, eptifibatide, and tirofiban, reversibly bind the GPIIb/IIIa receptors on platelets, which represent the final common pathway in platelet aggregation.
Are glycoprotein IIb-IIIa inhibitors effective for stroke prevention?
Glycoprotein IIb-IIIa inhibitors for acute ischaemic stroke The available trial evidence showed that, for individuals with acute ischaemic stroke, GP IIb-IIIa inhibitors are associated with a significant risk of intracranial haemorrhage with no evidence of any reduction in death or disability in survivors.
What is the structure of the GP IIb/IIIa receptor?
In particular, the GP IIb/IIIa receptor is a heterodimer consisting of the alpha IIb and beta 3 -subunits. By competing with fibrinogen and von Willebrand factor (vWF) for GP IIb/IIIa binding, GP IIb/IIIa antagonists interfere with platelet cross-linking and platelet-derived thrombus formation.