Anticoagulants · Pharmacology

What is the primary mechanism of action of Unfractionated Heparin (UFH)?

  1. Directly inhibits Factor Xa without antithrombin
  2. Binds antithrombin III to inhibit Thrombin and Xa
  3. Inhibition of Vitamin K epoxide reductase
  4. Blocks ADP receptors to inhibit platelet aggregation
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Correct answer: Binds antithrombin III to inhibit Thrombin and Xa

Heparin acts as a biological catalyst that binds to antithrombin III, increasing its ability to neutralize thrombin (IIa) and Factor Xa by nearly 1000-fold. This prevents the conversion of fibrinogen to fibrin.

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