The main target of heparin sodium is enhancing activity of antithrombin III (AT-III), which results in:
- Inhibition of thrombin (factor IIa) and factor Xa, disrupting the coagulation cascade.
- Inactivation of other serine proteases involved in blood clotting.
Heparin does not lyse clots. It prevents new clot formation or extension of existing clots.