Mesh : Acute Coronary Syndrome / blood drug therapy Acute Disease Adult Eptifibatide Humans Male Peptides / adverse effects Platelet Aggregation Inhibitors / adverse effects Platelet Count Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors Thrombocytopenia / blood chemically induced Time Factors

来  源:   DOI:10.1186/1756-0500-7-107   PDF(Sci-hub)

Abstract:
BACKGROUND: The interactions among cells or among cells and components of the extracellular matrix, is a crucial pathophysiological process involving some molecules collectively known as adhesion molecules (CAMs). Glycoprotein IIb / IIIa receptors are only restricted to blood platelets and they bind fibrinogen and adhesion proteins such as fibronectin, vitronectin, von Willebrand factor to form cross bridges between adjacent platelets. IIb/IIIa receptor antagonists are an object of intense research activity for target therapy worldwide during the last decades. Three GPIIb/IIIa inhibitors, abciximab, tirofiban, and eptifibatide, have been approved for clinical use. Profound thrombocytopenia is an uncommon but clinically important complication of glycoprotein IIb/IIIa inhibitors.
METHODS: This case report discusses a forty-four-year-old male patient with acute coronary syndrome who underwent percutaneous coronary intervention and developed profound thrombocytopenia within 4 hours of first administration of eptifibatide.
CONCLUSIONS: This report adds another case of eptifibatide-induced thrombocytopenia to the medical literature and endorses the importance of platelet count monitoring after initiating therapy with this agent.
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