Anticoagulants in myocardial infarction

Acute and long-term therapy
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      There is complete agreement that anticoagulants have a definite place in the management of acute coronary thrombosis with myocardial infarction. There is no disagreement as to the principle and value of the treatment, but only as to its application in particular cases. The question is not, to treat or not to treat; but whom to treat.
      Data compiled over the past ten years attest to the usefulness of anticoagulants in short-term treatment. The anticoagulant drugs now available are effective, but there is still something to be desired. Complications are uncommon, and rarely serious, in “good risk” cases. In “poor risk” cases they occur with greater frequency and are more serious.
      Long-term anticoagulant treatment is feasible and should be initiated if indications for its use are present. From personal experience with long-term therapy, as well as the experience of many other workers, it appears that its value is more than coincidence. It is not too optimistic to feel that long-term anticoagulant treatment may open the door of future medical activity heretofore shackled and imprisoned, bringing freedom to the healing hand and hope to those with chronic thromboembolic disease.
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