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Acute coronary syndromes

Oral factor Xa inhibitors in acute coronary syndromes

Factor Xa inhibitors, a new class of oral anticoagulants, have been evaluated in the phase II ATLAS ACS-TIMI 46 and APPRAISE trials. Addition of these agents to standard therapy has tended to reduce the incidence of adverse cardiovascular events at the expense of a dose-dependent increase in the risk of bleeding complications.

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Correspondence to Gregory Y. H. Lip.

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Gregory Lip is a consultant for Bayer, has been on the speaker's bureau/received honoraria, and has received research grants from Bayer. The other authors declare no competing interests.

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Tapp, L., Wrigley, B. & Lip, G. Oral factor Xa inhibitors in acute coronary syndromes. Nat Rev Cardiol 6, 619–620 (2009). https://doi.org/10.1038/nrcardio.2009.160

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