Key result
Replacing intravenous heparin with oral aspirin and dipyridamole 24 hours after rt-PA for acute myocardial infarction resulted in similar rates of infarct-related artery occlusion (19.8% vs 18.9%).
Why the study?
Does replacing intravenous heparin with oral aspirin and dipyridamole 24 hours after rt-PA therapy maintain coronary patency and prevent reinfarction in patients with acute myocardial infarction?
RCT (n=202)
Yes
Does replacing intravenous heparin with oral aspirin and dipyridamole 24 hours after rt-PA therapy maintain coronary patency and prevent reinfarction in patients with acute myocardial infarction?
Heparin therapy can be safely discontinued 24 hours after rt-PA for acute myocardial infarction and replaced with oral aspirin and dipyridamole without compromising coronary patency or left ventricular function.
Supports early heparin discontinuation after rt-PA; confirms noninferiority of oral antiplatelet substitution for coronary patency in acute MI.
BACKGROUND: This study addressed the need for heparin administration to be continued for more than 24 hours after coronary thrombolysis with recombinant tissue-type plasminogen activator (rt-PA). METHODS AND RESULTS: A total of 241 patients with acute myocardial infarction were treated with 100 mg rt-PA and a bolus of 5,000 units i.v. heparin followed by 1,000 units/hr i.v. heparin for 24 hours. At 24 hours, 202 patients were randomized to continue intravenous heparin therapy (n = 99) in full dosage or to discontinue heparin therapy and begin an oral antiplatelet regimen of aspirin (300 mg/day) and dipyridamole (300 mg/day) (n = 103). On prospective recording, there were no differences in the pattern of chest pain, reinfarction, or bleeding complications. Coronary angiography on cardiac catheterization at 7-10 days showed no differences in patency of the infarct-related artery. The proportion of patients with total occlusion (TIMI grade 0-1) of the infarct-related artery was 18.9% in the heparin group and 19.8% in the aspirin and dipyridamole group. In the patients with an incompletely occluded infarct-related artery, the lumen was reduced by 69 +/- 2% of normal in the heparin group and 67 +/- 2% in the aspirin and dipyridamole group. Left ventricular function assessed on cardiac catheterization and radionuclide study at day 2 and at 1 month showed no differences between the two groups. Left ventricular ejection fraction on radionuclide ventriculography at 1 month was 52.4 +/- 1.2% in the heparin group and 51.9 +/- 1.2% in the aspirin and dipyridamole group. CONCLUSIONS: We conclude that heparin therapy can be discontinued 24 hours after rt-PA therapy and replaced with an oral antiplatelet regimen without any adverse effects on chest pain, reinfarction, coronary patency, or left ventricular function.
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Thompson et al. (1991) conducted an RCT in Acute myocardial infarction (n=202). Oral aspirin and dipyridamole vs. Intravenous heparin was evaluated on Total occlusion (TIMI grade 0-1) of the infarct-related artery at 7-10 days. Replacing intravenous heparin with oral aspirin and dipyridamole 24 hours after rt-PA for acute myocardial infarction resulted in similar rates of infarct-related artery occlusion (19.8% vs 18.9%).
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