The Living Guidelines: Patients with Cardiac Structural Abnormalities or Remodeling who have not Developed Heart Failure Symptoms. Polling Results for CLASS IIa Guidelines

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Class IIa Guidelines
1. Angiotensin converting enzyme inhibitors or ARBs can be beneficial in patients with hypertension and LVH and no symptoms of HF. (Level of Evidence B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIa Recommendation 1 for patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. Angiotensin II receptor blockers can be beneficial in patients with low EF and no symptoms of HF who are intolerant of ACEIs. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIa Recommendation 2 for patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. Placement of an ICD is reasonable in patients with ischemic cardiomyopathy who are at least 40 days post-MI, have an LVEF of 30% or less, are NYHA functional class I on chronic optimal medical therapy, and have reasonable expectation of survival with a good functional status for more than 1 year. (Level of Evidence: B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIa Recommendation 3 for patients with cardiac structural abnormalities or remodeling who have not developed heart failure symptoms should be: CLASS I CLASS IIa CLASS IIb CLASS III