The Living Guidelines: UA/NSTEMI Recommendations for CABG Polling Results for CLASS I Guidelines

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Class I Guidelines
1. Coronary artery bypass graft surgery is recommended for UA/NSTEMI patients with significant left main CAD (>50% stenosis). (Level of Evidence: A)

 UA/NSTEMI Guidelines Class I Recommendation 1 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III

2. Coronary artery bypass graft surgery is recommended for UA/NSTEMI patients with 3-vessel disease; the survival benefit is greater in patients with abnormal LV function (LVEF<50%). (Level of Evidence: A)

 UA/NSTEMI Guidelines Class I Recommendation 2 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III

3. Coronary artery bypass graft surgery is recommended for UA/NSTEMI patients with 2 vessel disease with significant proximal LAD disease and either abnormal LV function (LVEF <50%) or ischemia on non invasive testing. (Level of Evidence: A)

 UA/NSTEMI Guidelines Class I Recommendation 3 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III

4. Coronary artery bypass graft surgery is recommended for UA/NSTEMI patients in whom percutaneous revascularization is not optimal or possible and who have ongoing ischemia not responsive to maximal nonsurgical therapy. (Level of Evidence: B)

 UA/NSTEMI Guidelines Class I Recommendation 4 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III

5. Coronary artery bypass graft surgery (or PCI) is recommended for UA/NSTEMI patients with 1 or 2 vessel CAD with or without significant proximal left anterior descending CAD but with a large area of viable myocardium and high risk criteria on noninvasive testing. (Level of Evidence: B)

 UA/NSTEMI Guidelines Class I Recommendation 5 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III

6. Coronary artery bypass graft surgery (or PCI) is recommended for UA/NSTEMI patients with multi vessel coronary disease with suitable coronary anatomy, with normal LV function, and without diabetes mellitus. (Level of Evidence: A)

 UA/NSTEMI Guidelines Class I Recommendation 6 for CABG should be: CLASS I CLASS IIa CLASS IIb CLASS III