Focusing on the chemistry and clinical use of anticoagulant drugs. Specifically, the text explores the stereochemistry and biochemistry of anticoagulants like heparin and warfarin, detailing how molecular shape influences pharmacological activity and efficacy. Furthermore, the chapters discuss vitamin K antagonist (VKA) resistance mechanisms in both humans and rodents, highlighting the role of VKORC1 and CYP2C9 gene polymorphisms in affecting drug dosage. Finally, the sources address risk factors for thrombosis and thrombophilia, suggesting new diagnostic approaches based on thrombin generation to guide personalized heparin prophylaxis, and review the clinical use and reversal agents for non-vitamin K antagonist oral anticoagulants (NOACs) in treating atrial fibrillation.
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