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J Am Coll Cardiol, 2000; 36:1507-1513
© 2000 by the American College of Cardiology Foundation
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Low molecular weight heparin decreases rebound ischemia in unstable angina or non-Q-wave myocardial infarction: the Canadian ESSENCE ST segment monitoring substudy

Shaun G. Goodman, MD, FACC*, Aiala Barr, PhD*, Anatoli Sobtchouk, MD*, Marc Cohen, MD, FACC{dagger}, Gregg J. Fromell, MD{ddagger}, Luc Laperrière, MD§, Carol Hill, RN*, Anatoly Langer, MD, FACC* for the Canadian Efficacy and Safety of Subcutaneous Enoxaparin in Non-Q-Wave Coronary Events (ESSENCE) ST Segment Monitoring Substudy Group

* Canadian Heart Research Center, Division of Cardiology, St. Michael’s Hospital, University of Toronto, Toronto, Canada
{dagger} Division of Cardiology, Hahnemann University Hospital, Philadelphia, Pennsylvania, USA
{ddagger} Covance Clinical Trials Research and Development, Inc., Princeton, New Jersey, USA
§ Fournier Pharma and Department of General Medicine, Hospital Center of the University of Montreal, Montreal, Quebec, Canada



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Figure 1 Flowchart showing disposition of patients.

 


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Figure 2 Kaplan-Meier plot of 1-year event-free survival from death or nonfatal myocardial (re)infarction among patients with (solid line, n = 87) and without (dashed line, n = 144) ST segment change (ischemia) during either initial or study drug discontinuation monitoring.

 


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Figure 3 Kaplan-Meier plot of 1-year event-free survival from death or nonfatal myocardial (re)infarction among heparin patients (solid lines): 1) with ST segment change (ischemia) during continuous monitoring (heavy solid line, n = 52) and 2) without ischemia during continuous monitoring (light solid line, n = 67) and among enoxaparin patients (dashed lines): 1) with ischemia (heavy dashed line, n = 35) and 2) without ischemia (light dashed line, n = 77).

 


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Figure 4 Kaplan-Meier plot of 1-year event-free survival from death or nonfatal myocardial (re)infarction among patients with ST segment shift on baseline 12-lead ECG (solid lines): 1) with ST segment change (ischemia) during continuous monitoring (heavy solid line, n = 44) and 2) without ischemia during continuous monitoring (light solid line, n = 41) and among patients without ST segment shift on baseline 12-lead ECG (dashed lines): 1) with ischemia (heavy dashed line, n = 43) and 2) without ischemia (light dashed line, n = 103).

 




 
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