FDA Approves Fragmin for Chest Pain May 27, 1999 - A drug used to prevent blood clots during surgery can now also be used to treat patients with certain types of heart attacks or chest pain due to heart disease. The FDA approved dalteparin sodium injection (Fragmin) for treatment of life-threatening unstable angina and non-Q-wave myocardial infarction - a type of heart attack - in patients taking aspirin. Unstable angina is chest pain caused by a reduction of blood flow to the heart. The drug, a form of heparin, is currently on the USA market to prevent blood clots in patients having abdominal or hip replacement surgery. The approval was based on 2 international studies showing that Fragmin reduces the risk of heart attack and death when given twice daily with aspirin to patients during days 5 to 8 of treatment for unstable angina and non-Q-wave heart attack. The FDA also approved the drug for prevention of ischemia - a reduction in blood flow to the heart - in patients on aspirin therapy who may have developed a blood clot. Fragmin may help stabilize a patient awaiting additional testing and treatment. This could lower the risk of unexpected heart attacks which occur as a result of unstable angina.