The Living Guidelines: Patients with Refractory End-Stage Heart Failure. Polling Results for CLASS I Guidelines

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Class I Guidelines
1. Meticulous identification and control of fluid retention is recommended in patients with refractory endstage HF. (Level of Evidence: B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 1 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. Referral for cardiac transplantation in potentially eligible patients is recommended for patients with refractory end-stage HF. (Level of Evidence: B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 2 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. Referral of patients with refractory end-stage HF to an HF program with expertise in the management of refractory HF is useful. (Level of Evidence: A)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 3 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. Options for end-of-life care should be discussed with the patient and family when severe symptoms in patients with refractory end-stage HF persist despite application of all recommended therapies. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 4 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 5. Patients with refractory end-stage HF and implantable defibrillators should receive information about the option to inactivate defibrillation. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 5 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III