Zalunfiban at First Medical Contact for STEMI: Faster Coronary Patency and Better 30‑Day Outcomes but More Minor Bleeding
Highlights
– Zalunfiban, a subcutaneous glycoprotein IIb/IIIa (αIIbβ3) inhibitor given at first medical contact, improved a 30‑day hierarchical clinical composite in patients with ST‑elevation myocardial infarction (STEMI).
– Zalunfiban accelerated preintervention coronary patency (improved corrected frame count) and lowered the chance of worse outcomes in a multicomponent ranking model (adjusted odds ratio 0.79; 95% CI 0.65–0.98; P=0.028).
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