“…In a recent Letter to this journal we introduced a new type of low molecular weight peptidomimetic antithrombotic drugs possessing both thrombin inhibitory and GPIIb/IIIa receptor antagonistic activities in the same molecule. , Simultaneous direct inhibition of different targets in the hemostatic system by different substances is known in hematophageous animals, in which multiple inhibition of the blood coagulation enzymes and platelet activation is frequently involved . In clinical practice a combination of anticoagulant agent (e.g., warfarin (4-hydroxy-3-(3-oxo-1-phenylbutyl)-2 H -chromen-2-one), heparin, or thrombin inhibitor) and antiaggregatory drug (e.g., acetylsalicylic acid, ticlopidine (3-[(2-chlorophenyl)methyl]-7-thia-3-azabicyclo[4.3.0]nona-8,10-diene), clopidogrel (( S )-methyl 2-(2-chlorophenyl)-2-(6,7-dihydrothieno[3,2- c ]pyridin-5(4 H )-yl)acetate), or GPIIb/IIIa antagonist) is frequently used to achieve an effective antithrombotic effect in patients with valvular heart disease, prosthetic heart valves, or acute coronary syndromes, in patients following myocardial infarction, or in patients undergoing thrombolysis .…”