Efficacy and Safety of Fondaparinux Versus Enoxaparin in Patients With Acute Coronary Syndromes Treated With Glycoprotein IIb/IIIa Inhibitors or ThienopyridinesResults From the OASIS 5 (Fifth Organization to Assess Strategies in Ischemic Syndromes) Trial
Sanjit S. Jolly, MD, MSc*,*,
David P. Faxon, MD ,
Keith A.A. Fox, MB, ChB ,
Rizwan Afzal, MSc*,
William E. Boden, MD ,
Petr Widimsky, MD||,
P. Gabriel Steg, MD¶,
Vicent Valentin, MD#,
Andrez Budaj, MD**,
Christopher B. Granger, MD ,
Campbell D. Joyner, MD ,
Susan Chrolavicius, BScN*,
Salim Yusuf, DPhil* and
Shamir R. Mehta, MD, MSc*
* Department of Medicine, Hamilton Health Sciences, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada
Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
Royal Infirmary and University of Edinburgh, Edinburgh, Scotland
Department of Cardiology, University of Buffalo School of Medicine, Buffalo General Hospital, Buffalo, New York
|| Charles University, Hospital Kralovske Vinohrady, Prague, Czech Republic
¶ Département de Cardiologie, INSERM U-698, Université Paris 7, AP-HP, Paris, France
# Hospital Universitari Dr. Peset, Valencia, Spain
** Postgraduate Medical School, Department of Cardiology, Grochowski Hospital, Warsaw, Poland
 Duke Clinical Research Institute, Duke University, Durham, North Carolina
 Department of Medicine, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada

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Figure 1 Safety and Efficacy of Fondaparinux Versus Enoxaparin in GP IIb/IIIa and Thienopyridine Subgroups
Fondaparinux reduced major bleeding and improved net clinical outcome compared with enoxaparin irrespective of glycoprotein (GP) IIb/IIIa or thienopyridine use. CI = confidence interval; MI = myocardial infarction.
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Figure 2 Kaplan-Meier Event Curves for Major Bleeding and Net Clinical Outcome for GP IIb/IIIa and Thienopyridine Subgroups
Net clinical outcome (death, myocardial infarction, refractory ischemia, or major bleeding). GP = glycoprotein; HR = hazard ratio.
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Figure 3 In Those Undergoing PCI, the Efficacy and Safety of Fondaparinux Versus Enoxaparin in Those Treated With GP IIb/IIIa Inhibitors or Pre-Treated ( 6 h) With Thienopyridines or Both
In the PCI population, fondaparinux reduced major bleeding compared with enoxaparin regardless of GP IIb/IIIa or thienopyridine pre-treatment. PCI = percutaneous coronary intervention; other abbreviations as in Figure 1.
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