eptifibatide or high-bolus-dose tirofiban) are mostcommonly used given that the commercializationof abciximab has largely ceased. GPIs target the finalpathway of platelet aggregation, competing with vonWillebrand factor and fibrinogen for the glycoproteinllb/llla receptor binding, and provide fast and potentantiplatelet effects.' A number of trials have shownthat GPIs improve ischemic outcomes in patients withSTEMI undergoing PPCI.9 However, most trials support-ing such a benefit were conducted a number of yearsago and their results do not translate to the currentera of interventional pharmacology. In fact, the useof GPIs comes at the expense of an increased risk ofmajor bleeding' The development of alternative treat-