analyzing influence of smoking on patients anti-coagulation status as assessed by ACT measurements during coronary angioplasty
During angioplasty, activated clotting time (ACT) measurements are recommended to attest the correct anticoagulation level and if anticoagulation levels are suboptimal after the two first boluses, additional unfractionated heparin (UFH) injections are recommended until obtention of a therapeutic ACT values (250-350s). The study hypothesis was that the procoagulant effect of the tobacco may be responsible of reduced anticoagulation levels after standardized UFH administrations and thus presenting an UFH resistance requiring increased UFH dosages to obtain a therapeutic ACT values.
Study Type
OBSERVATIONAL
Enrollment
120
selective angiography of the coronaries and angioplasty of significant culprit lesion(s)
University Hospital Nancy Brabois
Vandœuvre-lès-Nancy, France
RECRUITINGACT values after injection the first injection of a standardized unfractionated heparin bolus between non-smoking and actively smoking patients
comparison of ACT values after injection of two standardized UFH boluses between non-smoking and actively smoking patients (non-smoker group versus active smoker group)
Time frame: during the intervention
ACT values after injection the second injection of a standardized unfractionated heparin bolus between non-smoking and actively smoking patients
comparison of ACT values after injection of two standardized UFH boluses between non-smoking and actively smoking patients (non-smoker group versus active smoker group)
Time frame: immediately after the intervention
ACT values after injection of the first standardized UFH bolus in ex-smokers
ACT values after injection of the first standardized UFH bolus in ex-smokers requiring a coronarography followed by a PTCA
Time frame: during the intervention
ACT values after injection of the second standardized UFH bolus in ex-smokers
ACT values after injection of the second standardized UFH bolus in ex-smokers requiring a coronarography followed by a PTCA
Time frame: immediately after the intervention
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