To the Editor: Drs Bhatt and Topol discussed
the role of glycoprotein (Gp) IIb/IIIa inhibitors in acute coronary syndromes,1 but did not comment on the use of these agents
in patients who have received fibrinolytic therapy. It is not uncommon for
patients who have received such treatment to require further acute intervention.
Are there any data about the risk-benefit ratio of Gp IIb/IIIa agents in patients
who may subsequently require urgent angioplasty following failed fibrinolytic
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