Table 1

Characteristics of predominantly STEMI studies

StudyPatients (n)PCI (%)Bivalirudin (n)UFH (n)Bivalirudin designUFH designFemale (%)Mean age (year)Follow-up (days)GPI use (%)Transradial (%)
BivalirudinUFH
HORIZONS-AMI, 20081336029318001802Intravenous bolus of 0.75 mg/kg followed by an infusion of 1.75 mg/kg/hIntravenous bolus of 60 U/kg with subsequent boluses targeted to ACT of 200–250 s2360308986
EUROMAX, 2013522188610891109Intravenous bolus of 0.75 mg/kg followed by an infusion of 1.75 mg/kg/hIntravenous bolus of 100 U/kg without GPI or 60 U/kg with GPI246230126947
Heat-PPCI, 201410181282905907Intravenous bolus of 0·75 mg/kg followed by infusion of 1·75 mg/kg/h. A rebolus of 0·3 mg/kg was administered if ACT values were <225 sIntravenous bolus of 70 U/kg with subsequent boluses if ACT values were <200 s286328131581
BRIGHT*, 2015172178977291449Intravenous bolus of 0.75 mg/kg, followed by a continuous infusion of 1.75 mg/kg/h
If ACT was <225 s, an additional bolus of 0.3 mg/kg was added
Intravenous bolus of 100 U/kg without GPI or 60 U/kg with GPI, with subsequent boluses if ACT values were <200 s18583045379
BRAVE 4, 20141154892271277Intravenous bolus of 0.75 mg/kg followed by an infusion of 1.75 mg/kg/hIntravenous bolus of 70–100 U/kg with subsequent boluses according to ACT23613036<1
  • *The trial involved three arms: bivalirudin alone, UFH alone, and UFH plus GPI.

  • ACT, activated clotting time; GPI, glycoprotein IIb/IIIa inhibitors; PCI, percutaneous coronary intervention; STEMI, ST segment elevation myocardial infarction; UFH, unfractionated heparin.