“…17 However, evidence supporting the concept of an aPTT therapeutic range that predicts efficacy and safety (with respect to bleeding) is somewhat tenuous. 28 Approximately 25% of patients require doses of heparin of Ͼ35 000 U/d to obtain a therapeutic aPTT and are called heparin resistant. 29 Most of these patients have therapeutic heparin levels when measured with the anti-Xa assay, and the discrepancy between the 2 tests is the result of high concentrations of procoagulants such as fibrino- Factor Xa heparin assay.…”