Review Article

Risks and Benefits of Thrombolytic, Antiplatelet, and Anticoagulant Therapies for ST Segment Elevation Myocardial Infarction: Systematic Review

Table 1

Groups of treatment regimens (grouping of similar arms) and pure groups.

NumberRegimenStudies (references)Number of armsN Number of “pure” armsN in “pure” arms

1ASA + PA + TP + UFH + GPI[1219]139,369104,997
2ASA + PA + TP + DTI[20]11,80011,800
3ASA + PA + TP + UFH + GPI + FS[21]12981298
4ASA + TP + UFH + GPI + FS[21]13001300
5ASA + UFH + FS[2243]38104,7543382,283
6ASA + UFH + GPI + FS[22]18,32818,328
7ASA + PA + GPI[44]12,885
8ASA + PA + TP + GPI[44]12,860
9ASA + LMWH + FS[23, 45]212,29612,040
10ASA + PA + TP + UFH[12, 14, 15, 46, 47]52,64731,922
11ASA + TP + LMWH + FS[45]1818
12ASA + TP + UFH + FS[39, 45, 46]32,992
13ASA + LMWH + KS[48]12531253
14ASA + KS[30, 4853]729,82443,428
15ASA + DTI + KS[54, 55]29,11929,119
16ASA + UFH + KS
[30, 32, 36, 37, 40, 5560]1575,382
1346,292
17ASA + PA + UFH[27, 61]38262584
18ASA + FS[30, 41, 52, 53, 62]738,29821,471
19ASA + UFH + FS + KS[40, 60]210,471210,471
20ASA + PA + UFH + GPI[61]12411241
21ASA + DTI + FS[34]11,511
22TP + KS[51]14501450
23UFH + FS[63, 64]23,13623,136
24UFH[6365]34,20034,200
25ASA + UFH [38, 42, 58, 59]44,38731,512
26ASA [49, 50]210,85412,259
27ASA + PA + UFH + FS[66]1195
28ASA + TP + LMWH + GPI + FS[67]1522
29ASA + PA + TP + LMWH + GPI + FS[67]1537
30ASA + TP + UFH + KS[56]122,961
31ASA + TP + KS[68, 69]213,846
32ASA + TP + LMWH + KS[68, 69]213,816
33ASA + PA + TP + UFH + FS[17]1829
34KS[70, 71]26,211
35UFH + KS[65, 70]21,488

ASA: acetylsalicyclic acid, PA: primary angioplasty, TP: thienopyridines, UFH: unfractionated heparin, LMWH: low molecular weight heparin, GPI: glycoprotein IIbIIIa inhibitors, DTI: direct thrombin inhibitors, FS: fibrin specific thrombolytics and KS: kinase type thrombolytics (streptokinase and urokinase).