The Living Guidelines: Patients with Pulmonary Hypertension: Polling Results for CLASS I Guidelines

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Class I Guidelines
1. Correction of hypoxemia and acidosis is the recommended primary therapeutic measure for patients who develop AF during an acute pulmonary illness or exacerbation of chronic pulmonary disease. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class I Recommendation 1 for patients with pulmonary hypertension should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. A non dihydropyridine calcium channel antagonist (diltiazem or verapamil) is recommended to control the ventricular rate in patients with obstructive pulmonary disease who develop AF. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class I Recommendation 2 for patients with pulmonary hypertension should be: CLASS I CLASS IIa CLASS IIb CLASS III

3. Direct-current cardioversion should be attempted in patients with pulmonary disease who become hemodynamically unstable as a consequence of AF. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class I Recommendation 3 for patients with pulmonary hypertension should be: CLASS I CLASS IIa CLASS IIb CLASS III