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Publication Name World Journal of Cardiology
Manuscript ID 112321
Country Australia
Category Cardiac & Cardiovascular Systems
Manuscript Type Retrospective Cohort Study
Article Title Fixed vs weight-based heparin dosing in stable patients undergoing diagnostic coronary physiology studies
Manuscript Source Invited Manuscript
All Author List Kristoffer Ken Ralota, Deniz Tuncer, Nay Min Htun, Rohit Samuel, Vivek Gupta, Robert Lew and Jamie Layland
Funding Agency and Grant Number
Corresponding Author Jamie Layland, Consultant, FRACP, MD, MRCP, PhD, Professor, Senior Researcher, Department of Medicine, Peninsula Health, Monash University, 2 Hastings Road, Frankston, Melbourne, Frankston 3199, Victoria, Australia. jlayland@phcn.vic.gov.au
Key Words Unfractionated heparin; Coronary physiology; Fractional flow reserve; Microvascular function; Anticoagulation; Fixed-dose heparin; Heparin dose; Pressure-wire
Core Tip This study explores the safety and efficacy of fixed-dose vs weight-based unfractionated heparin dosing during diagnostic coronary physiology procedures. Among 128 patients, fixed-dose 5000 IU unfractionated heparin was associated with similarly low rates of bleeding and no thrombotic events compared to weight-based dosing. These findings suggest that a fixed-dose approach may be a safe and practical alternative in low-risk, physiology-only settings. The results may inform future research and support consideration of simplified anticoagulation strategies in stable patients undergoing diagnostic coronary physiology assessments.
Citation Ralota KK, Tuncer D, Htun NM, Samuel R, Gupta V, Lew R, Layland J. Fixed vs weight-based heparin dosing in stable patients undergoing diagnostic coronary physiology studies. World J Cardiol 2025; In press
Received
2025-07-24 08:11
Peer-Review Started
2025-07-24 08:12
First Decision by Editorial Office Director
2025-08-20 07:34
Return for Revision
2025-08-20 07:34
Revised
2025-09-24 09:12
Publication Fee Transferred
Second Decision by Editor
2025-12-08 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-08 11:14
Articles in Press
2025-12-08 11:14
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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