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(Chest. 2004;126:167S-171S.)
© 2004 American College of Chest Physicians

Financial Disclosures


    Introduction
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Hirsh has received research funding from AstraZeneca and has received honararia for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb, GlaxoSmithKline and Asahi.

Dr. Guyatt has received research support from Abbott Laboratories Limited, AstraZeneca AB, Eli Lilly Canada, Leo Pharma, and Aventis.

Dr. Albers has received research support and honoraria as a consultant from AstraZeneca, Bristol- Myers Squibb, Boehringer Ingelheim, Genentech and Sanofi-Arganon.

Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.


    Methodology for Guideline Development for the Seventh American College of Chest Physicians Conference on Antithrombotic and Thrombolytic Therapy
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.

Ms. Munger has received no research support.

Dr. O’Donnell has no conflicts to disclose.

Dr. Brower has not received any research funding and has no disclosures.

Dr. Crowther has received research funding, speakers fees and/or fees for sitting on advisory boards from Aventis Pharma, Pfizer (formally Pharmacia), Leo Laboratories, and Sanofi-Organon.

Dr. Cook has received research support from Eli Lilly Canada, Pharmacia (now Pfizer) Leo Pharma, and Aventis. She has received honoraria for consulting which was deposited into a McMaster Research Account from Eli Lilly Canada and Pharmacia (now Pfizer).

Dr. Guyatt has received research support from Abbott Laboratories Limited, AstraZeneca AB, Eli Lilly Canada, Leo Pharma, and Aventis.


    Applying the Grades of Recommendation for Antithrombotic and Thrombolytic Therapy
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Guyatt has received research support from Abbott Laboratories Limited, AstraZeneca AB, Eli Lilly Canada, Leo Pharma, and Aventis.

Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.

Dr. Cook has received research support from Eli Lilly Canada, Pharmacia (now Pfizer) Leo Pharma, and Aventis. She has received honoraria for consulting which was deposited into a McMaster Research Account from Eli Lilly Canada and Pharmacia (now Pfizer).

Dr. Jaeschke has received honoraria as a speaker at educational events from AstraZeneca, Bristol-Myers Squibb, MSD, and Eli Lilly.

Dr. Stephen Pauker has received research funding from Schering-Plough, but none related to anti-thrombotic therapy. Dr. Pauker is a member of the Board of Regents of the American College of Physicians.


    Heparin and Low Molecular Weight Heparin
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Hirsh has received research funding from AstraZeneca and has received honararia for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb, GlaxoSmithKline and Asahi.

Dr. Raschke has received honoraria for his participation on advisory boards and/or as a speaker at educational events from Berlex, Lederle, and Aventis.


    The Pharmacology and Management of the Vitamin K Antagonists
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Ansell has received research funding from AstraZeneca, Aventis, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb. Dr. Ansell has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis, Sanofi-Synthelabo-Organon, Wyeth Ayerst, Yamanouchi, Roche Diagnostics, HemoSense, International Technedyne.

Dr. Hirsh has received research funding from AstraZeneca and has received honararia for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca.

Dr. Poller is employed in an honorary capacity as Professor in the University of Manchester. He receives research funding only from the European Community and Manchester Thrombosis Research Foundation, a registered charity. No honoraria have been received from industry for the past 3 years.

Dr. Bussey has received research funding from Aventis, Organon-Sanofi-Synthelabo, AstraZeneca, Bristol-Myers Squibb, Bertek Pharmaceuticals, and Novartis and has participated on advisory boards and/or research steering committees for Aventis, Organon-Sanofi-Synthelabo, and AstraZeneca. He also has received speaking honoraria from and/or served as a consultant for Aventis, AstraZeneca, Bristol-Myers Squibb, and Organon-Sanofi-Synthelabo.

Dr. Jacobson has received research funding from AstraZeneca, Bristol-Myers Squibb, Aventis, Sanofi, Organon, Roche Diagnostics, Hemosense, International Technidyne, and Lifescan, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis, Bristol-Myers Squibb, and Lifescan.

Dr. Hylek has received research funding from Pfizer and Bristol-Myers Squibb and has received honoraria for participation as a speaker at an educational event from Bristol-Myers Squibb.


    Platelet-Active Drugs: The Relationships Among Dose, Effectiveness, and Side Effects
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Patrono was supported in part by a grant from the Italian Ministry of University and Research to the Center of Excellence on Aging of the University of Chieti. Dr. Patrono has received grant support and speaker honoraria from Bayer, Merck, Novartis, Pharmacia, and Servier.

Dr. Coller is an inventor of abciximab and an inventor of technologies underlying the original rapid platelet function assay (RPFA) and its subsequent variants. As a result, he has an interest in royalties paid for the sales of abciximab and the RPFA. He is also a member of the scientific advisory board of Accumetrics, San Diego, CA, the manufacturer of the RPFA. Supported in part by grants 19278 and 54469 from the National Heart, Lung, and Blood Institute. Dr. Coller did not participate in developing any specific recommendations concerning the use of GPIIb/Iia antagonists or the value of monitoring antiplatelet therapy.

Dr. FitzGerald is the Robinette Foundation Professor of Cardiovascular Medicine. His work is supported by grants HL62250, HL61364, HL54500, and RR00040.

Dr. Hirsh has received research funding from AstraZeneca and has received honararia for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb, GlaxoSmithKline and Asahi.

Dr. Gerald Roth has no conflicts to declare.


    New Anticoagulant Drugs
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Weitz has received research funding from AstraZeneca and The Medicines Company and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis, and Daiichi.

Dr. Hirsh has received research funding from AstraZeneca and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb, GlaxoSmithKline and Asahi.


    Hemorrhagic Complications of Anticoagulant Treatment
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Levine has received research funding from Pharmacia Inc (now Pfizer). He has received honoraria for his participation on advisory boards, as a speaker at educational events and as a consultant for Pharmacia/Pfizer.

Dr. Raskob has received research funding from Sanofi-Synthelabo, Organon, Aventis, and Bristol-Myers Squibb, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events for Sanofi-Synthelabo, Organon, AstraZeneca, Pharmacia, Aventis, Amgen, and Pharmion.

Dr. Beyth has no conflicts of interest to disclose.

Dr. Kearon has received research funding from AstraZeneca and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Sanofi-Synthelabo-Organon, and Asahi.


    Heparin-Induced Thrombocytopenia: Recognition, Treatment, and Prevention
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Warkentin has received research funding from Organon and Sanofi-Synthelabo, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from Aventis, Berlex Laboratories, Genentech, Glaxo Smith Kline, Medicines Company, Novartis, NovoNordisk, Organon, Pharmion, RenalTech International, and Sanofi-Synthelabo.

Dr. Greinacher has received research funding from celltech, Berlex, Pharmion, Novartis, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from Berlex, Pharmion, Celltech, Mitsubishi, Aventis Pharma, SheringAG.


    Prevention of Venous Thromboembolism
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Geerts has received research funding from AstraZeneca, Aventis Pharma, and Pharmacia and has participated on advisory boards and/or research steering committees for AstraZeneca, Aventis Pharma, Eli Lilly, Pharmacia, and Sanofi-Synthelabo-Organon;

Dr. Pineo has received research funding from Aventis, Emisphere Technologies, Leo Pharma, and Pharmacia and has participated on advisory boards and/or research steering committees for AstraZeneca, Aventis, Bristol-Myers Squibb, GlaxoSmithKline, Pfizer-Pharmacia, and Sanofi-Synthelabo-Organon;

Dr. Heit has received research funding from AstraZeneca, Aventis, and Corvas and has participated on advisory boards and/or research steering committees for AstraZeneca, Aventis, and Pharmacia;

Dr. Bergqvist has participated on advisory boards and/or research steering committees for AstraZeneca, Aventis, Boehringer Ingelheim, Pharmacia/Pfizer, and Sanofi-Synthelabo;

Dr. Lassen has received research funding from Sanofi-Synthelabo and has participated on advisory boards and/or research steering committees for AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, GlaxoSmithKline, Leo Pharma, Mitsubishi Pharma, Vivolution Inc, Wyeth, and Yamanautchi;

Dr. Colwell has received research funding from Amgen, AstraZeneca, Baxter, and Sanofi-Synthelabo and has participated on advisory boards and/or research steering committees for AstraZeneca, Aventis, Pharmacia, and Sanofi-Synthelabo; and Dr. Ray has no potential conflicts.


    Antithrombotic Therapy for Venous Thromboembolic Disease
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. HR Büller has received speaker’s honoraria and consultancy fees. The total did not exceed $10,000US/year. In addition, clinical studies are supported by educational grants.

Dr. Agnelli has received honoraria for his participation on advisory boards and/or as speaker at educational events from AstraZeneca, Aventis Pharma and Sanofi-Synthelabo-Organon.

Dr. Hull has received research funding from Aventis, Pharmacia (now Pfizer), Leo Pharma, Emisphere Technologies, Dupont Pharmaceuticals (now Bristol-Myers Squibb) and Pharmion. He has received honoraria for his participation on advisory boards and/or as a speaker at educational events from Aventis, Bayer, Pharmacia (now Pfizer), Leo Pharma, Emisphere Technologies, Dupont Pharmaceuticals (now Bristol-Myers Squibb) and Pharmion.

Dr. Thomas Hyers has received honoraria as a speaker for AstraZeneca, Aventis, Boehringer Ingelheim, GlaxoSmithKline, Organon-Sanofi, and Pharmacia. He has served as a consultant for AstraZeneca and Aventis.

Dr. Raskob has received research funding from Sanofi-Synthelabo, Organon, Aventis, and Bristol-Myers Squibb, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events for Sanofi-Synthelabo, Organon, AstraZeneca, Pharmacia, Aventis, Amgen, and Pharmion.


    Antithrombotic Therapy in Atrial Fibrillation
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Singer has received research support from DuPont Pharma, now Bristol-Myers Squibb, and is a consultant for AstraZeneca.

Dr. Albers has received research support and honoraria as a consultant from AstraZeneca, Bristol- Myers Squibb, Boehringer Ingelheim, Genentech and Sanofi-Arganon.

Dr. Dalen is a consultant for DuPont Pharma, now Bristol-Myers Squibb, AstraZeneca, and Sanofi-Organon.

Dr. Go has nothing to declare.

Dr. Halperin has received research support from AstraZeneca and is a consultant for AstraZeneca. He is on the speakers bureau for Bristol-Myers Squibb and Sanofi.

Dr. Manning is a consultant for AstraZeneca, Bristol-Myers Squibb, and Phillips Medical Systems.


    Antithrombotic Therapy in Valvular Heart Disease—Native and Prosthetic
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Salem has received an honorarium for speaking for Sanofi-Synthelabo-Organon.

Dr. Stein received honoraria for speaking at educational events from Aventis Pharma and Dupont Pharma. He was a consultant for Shiley several years ago.

Dr. Al-Ahmad has nothing to declare.

Dr. Bussey has received research funding from Aventis, Organon-Sanofi-Synthelabo, AstraZeneca, Bristol-Myers Squibb, Bertek Pharmaceuticals, and Novartis and has participated on advisory boards and/or research steering committees for Aventis, Organon-Sanofi-Synthelabo, and AstraZeneca. He also has received speaking honoraria from and/or served as a consultant for Aventis, AstraZeneca, Bristol-Myers Squibb, and Organon-Sanofi-Synthelabo.

Dr. Stephen Pauker has received research funding from Schering-Plough, but none related to anti-thrombotic therapy. Dr. Pauker is a member of the Board of Regents of the American College of Physicians.

Antithrombotic and Thrombolytic Therapy for Ischemic Stroke

Dr. Albers has received research support and honoraria as a consultant from AstraZeneca, Bristol- Myers Squibb, Boehringer Ingelheim, Genentech and Sanofi-Arganon.

Dr. Easton has received honoraria for his participation on advisory boards or as a speaker at educational events from Boehringer Ingelheim, Bristol- Myers Squibb, and Sanofi-Synthelabo.

Dr. Sacco has received research funding from GlaxoSmithKline and Pfizer, and has received honoraria for his participation as a consultant on advisory boards, data and safety monitoring boards and/or as a speaker at educational events from Boehringer Ingelheim, sanofi-Synthelabo, Bristol-Myers Squibb, Pfizer, AstraZeneca, GlaxoSmithKline, and Texas Biotechnology.

Dr. Teal has received honoraria for participation on advisory boards and/or as a speaker at medical education events supported by Boehringer-Ingelheim, Sanofi-Synthelabo and Bayer, Servier, Aventis, PAION, AstraZeneca, and Hoffman-LaRoche. He has served on research steering committees for clinical trials conducted by Boehinger-Ingelheim, Bayer, ONO Pharnaceuticals and Pfizer and Eli-Lilly, EKOS, GlaxoSmithKline, and Yamaguichi.


    Antithrombotic Therapy for Coronary Artery Disease
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Robert Harrington has received research grants through the Duke Clinical Research Institute from Aventis, AstraZeneca, Millennium, Schering, Merck, Lilly, Centocor, Roche, The Medicines Company, BMS, Sanofi, Glaxo, Daiichi.

Dr. Ezekowitz has received research funding from AstraZeneca/B.I. and is a consultant for AstraZeneca, B.I. Eli Lilly, Pfizer, Aventis, Glaxo, and Wyeth.

Dr. Meade has received payment as a member of ISEAC, the Independent Scientific and Ethics Advisory Committee to IMS Healthcare, a general practice database used for research and has received honoraria from Bayer.

Dr. Vorchheimer has received research funding from AstraZeneca, Sanofi, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events sponsored by Millennium Pharmaceuticals, and Sanofi.

Dr. Guyatt has received research support from Abbott Laboratories Limited, AstraZeneca AB, Eli Lilly Canada, Leo Pharma, and Aventis.


    Thrombolysis and Adjunctive Therapy in Acute Myocardial Infarction
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Menon has received honoraria from Roche Inc.

Dr. Cannon, through the Department of Medicine of brigham and Women’s Hospital, currently receives research grant support from Bristol-Myers Squibb, Merck, and Sanofi-Synthelabo. He is a consultant to Asahi Chemical Company, Bayer, Pfizer Limited, Vertex, Medicines Company, Ortho-Clinical Diagnostics, AstraZeneca, GlaxoSmithKline. Dr. Cannon is on the speaker bureau of Aventis, Bristol-Myers Squibb, Centocor, Eli Lilly, Genentech, Merck, Millennium, Sanofi-Synthelabo. He has received honoraria for preparation of educational materials from Best Med, Discovery East, Excerpta Medica, Medical Decision Point, and NCME.

Dr. Robert Harrington has received research grants through the Duke Clinical Research Institute from Aventis, AstraZeneca, Millennium, Schering, Merck, Lilly, Centocor, Roche, The Medicines Company, BMS, Sanofi, Glaxo, Daiichi.

Dr. Goodman has received research funding and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Bayer, Biovail, Boehringer Ingelheim, BrystolMyers Squibb, CanAm, Centocor, Daiichi, Eli Lilly, Fournier Pharma, Hoffman-La Roche, Key Schering/Schering Plough, Millenium, Merck, Novartis, Sanofi Synthelabo, Servier, and Solvay.

Dr. Wilcox has received research funding from AstraZeneca, Aventis and Bristol-Myers Squibb.

Dr. Ohman has received research grants from the following organizations: BMS, Sanofi, Millennium, Schering-Plough, Aventis, and Berlex.

Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.


    Antithrombotic Therapy During Percutaneous Coronary Intervention
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Popma has received research grant support from Cordis Corporation, Boston Scientific, Medtronic, Guidant, Abbott Vascular, Radiant Medical, Biocompatibles within the Angiographic Core Laboratory and has participated as a speaker over the past 3 years at events sponsored directly or indirectly by Schering-Plough, Millenium, Aventis, Medicines Company, Bristol-Myers Squibb, Eli Lilly, Merck, and Sanofi.

Dr. Berger has received a small amount of research support from Bristol-Myer Squibb/Sanofi and Cordis/Johnson & Johnson. He formerly served on a scientific advisory board for Bristol-Myer Squibb/Sanofi. He currently serves on a scientific advisory board for Cordis/Johnson & Johnson and Genentech. He has spoken at scientific symposia supported by Merck, Aventis, Bristol-Myer Squibb/Sanofi and the Medicines Co.

Dr. Ohman has received research grants from the following organizations: BMS, Sanofi, Millennium, Schering-Plough, Aventis, and Berlex.

Dr. Robert Harrington has received research grants through the Duke Clinical Research Institute from Aventis, AstraZeneca, Millennium, Schering, Merck, Lilly, Centocor, Roche, The Medicines Company, BMS, Sanofi, Glaxo, Daiichi.

Dr. Weitz has received research funding from AstraZeneca and The Medicines Company and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis, and Daiichi.


    Antithrombotic Therapy in Patients With Saphenous Vein and Internal Mammary Artery Bypass Grafts
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Stein received honoraria for speaking at educational events from Aventis Pharma and Dupont Pharma. He was a consultant for Shiley several years ago.

Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.

Dr. Dalen has received honoraria as a consultant for DuPont Pharma (now Bristol-Myers Squibb), AstraZeneca and Sanofi-Organon.

Dr. Gutterman owns stock in Johnson & Johnson.


    Antithrombotic Therapy in Peripheral Arterial Occlusive Disease
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Sobel has received research funding from Commonwealth Biotechnologies Inc, and has received no honoraria or consulting fees from pharmaceutical or technology firms.

Dr. Jackson has not received industry funding for research and has not received honoraria during this time period.

Dr. Lip has received research funding from AstraZeneca, Merck, and Servier, and has received honoraria for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Servier, Boehringer Ingelheim, Novartis, Mitsubishi, Pharma, Yamanuchi, Bristol-Myers Squibb, Sanofi-Synthelabo-Organon, GlaxoSmithKline, Sankyo and Merck.

Dr. Tangelder is at present an employee of Sanofi-Synthelabo. During the preparation of the text for this guideline, he had nothing to declare.

Dr. Verhaeghe has received research support from AstraZeneca AB and Sanofi-Organon.


    Use of Antithrombotic Agents During Pregnancy
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Bates has no conflicts of interest to disclose.

Dr. Greer has received honoraria for his participation on advisory boards and/or as a speaker at educational events from Aventis.

Dr. Hirsh has received research funding from AstraZeneca and has received honararia for his participation on advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Sanofi-Synthelabo-Organon, Bristol-Myers Squibb, GlaxoSmithKline and Asahi.


    Antithrombotic Therapy in Children
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Chan has received research funding from Leo Pharma and Pfizer, and has received honoraria for his participation on the advisory boards from Aventis Pharma, Bayer, and Wyeth.

Dr. Massicotte has received research funding from Leo Pharma and Pfizer and AstraZeneca and has received honoraria for her participation on the advisory boards and/or as a speaker at educational events from AstraZeneca, Aventis Pharma, Lifescan, Leo Pharma, Sanofi-Synthelabo-Organon, and Bristol-Myers Squibb.

Dr. Michelson has received research funding from Centocor, Lilly, Bristol-Myers Squibb and Sanofi-Synthelabo.


    Antithrombotic and Thrombolytic Therapy: From Evidence to Application
 TOP
 Introduction
 Methodology for Guideline...
 Applying the Grades of...
 Heparin and Low Molecular...
 The Pharmacology and Management...
 Platelet-Active Drugs: The...
 New Anticoagulant Drugs
 Hemorrhagic Complications of...
 Heparin-Induced...
 Prevention of Venous...
 Antithrombotic Therapy for...
 Antithrombotic Therapy in Atrial...
 Antithrombotic Therapy in...
 Antithrombotic Therapy for...
 Thrombolysis and Adjunctive...
 Antithrombotic Therapy During...
 Antithrombotic Therapy in...
 Antithrombotic Therapy in...
 Use of Antithrombotic Agents...
 Antithrombotic Therapy in...
 Antithrombotic and Thrombolytic...
 
Dr. Schünemann has received research funding from AstraZeneca, Boehringer Ingelheim, Pfizer, and Amgen Inc. He has received honoraria and consultant fees from AstraZeneca, Boehringer Ingelheim, and Amgen that were deposited into research accounts at the University of Buffalo and McMaster University.

Dr. Cook has received research support from Eli Lilly Canada, Pharmacia (now Pfizer) Leo Pharma, and Aventis. She has received honoraria for consulting which was deposited into a McMaster Research Account from Eli Lilly Canada and Pharmacia (now Pfizer).

Dr. Grimshaw has received funding from Astra Zeneca administered through the Canadian Cardiovascular Society to develop a study protocol.

Dr. Heffner has not received research funding from any company related to issues of thrombosis or thrombolytic therapy.

Dr. Tapson has received research funding from Aventis, and AstraZeneca, and has received honoraria for his participation on advisory boards and as a speaker at educational events from Aventis, AstraZeneca, and Berlex.

Dr. Guyatt has received research support from Abbott Laboratories Limited, AstraZeneca AB, Eli Lilly Canada, Leo Pharma, and Aventis.





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