Bivalirudin alternative during STEMI PCI — ACC/AHA · 2025 recommendation
2025 ACC/AHA acute coronary syndromes guideline
For STEMI undergoing PCI, bivalirudin is useful as an alternative to unfractionated heparin to reduce mortality and bleeding.
Class of Recommendation
Class 1
Level of Evidence
Level B-R
Last source-check date
2026-08-23
Exact source location
Section 4.4, ‘Recommendations for Parenteral Anticoagulation’, STEMI PCI recommendation 5, p. e794
Prepared source-record governance
This record is prepared from a stored source. It is not labelled reviewer-verified because named reviewer provenance has not been documented.
- Clinical reviewer
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- Reviewer credentials
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- Last source-check date
- 2026-08-23
- Second-review status
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- Conflict-of-interest declaration
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- Source publication date
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Verification status & editorial record
Status: Prepared source record — reviewer provenance not documented.
Last source-check: 2026-08-23
No formally approved public metadata is currently available for a named reviewer, second-review status, conflict declaration, publication or access date, version history, or next review date for this record.
Verification boundary: This concise reference is limited to a prepared source recommendation. Verify the official document, local protocol, and patient context before application.