The Living Guidelines: STEMI Reperfusion Polling Results for CLASS I Guidelines

Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Class I Guidelines
1- As a system’s goal, STEMI patients presenting to a hospital with PCI capability should be treated with primary PCI within 90 min of first medical contact. Class I, Level of Evidence: A

 AHA / ACC 2007 STEMI Guidelines Class I Recommendation 1 for reperfusion should be CLASS I CLASS IIa CLASS IIb CLASS III

2- STEMI patients presenting to a hospital without PCI capability and who cannot be transferred to a PCI center and undergo PCI within 90 min of first medical contact should be treated with fibrinolytic therapy within 30 min of hospital presentation as a systems goal unless fibrinolytic therapy is contraindicated. Class I, Level of Evidence: B

 AHA / ACC 2007 STEMI Guidelines Class I Recommendation 2 for reperfusion should be CLASS I CLASS IIa CLASS IIb CLASS III