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

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Class IIa Guidelines
1. For patients with UA/NSTEMI and multi vessel disease, CABG with use of the internal mammary arteries can be beneficial over PCI in patients being treated for diabetes. (Level of Evidence: B)

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

2. It is reasonable to perform CABG with the internal mammary artery for UA/NSTEMI patients with multi vessel disease and treated diabetes mellitus. (Level of Evidence: B)

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

3. Repeat CABG is reasonable for UA/NSTEMI patients with multiple SVG stenoses, especially when there is significant stenosis of a graft that supplies the LAD. (Level of Evidence: C)

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

4. Coronary artery bypass graft surgery (or PCI) is reasonable for UA/NSTEMI patients with 1 or 2 vessel CAD with or without significant proximal left anterior descending CAD but with a moderate area of viable myocardium and ischemia on non invasive testing. (Level of Evidence: B)

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

5. Coronary artery bypass graft surgery (or PCI) can be beneficial compared with medical therapy for UA/NSTEMI patients with 1 vessel disease with significant proximal left anterior descending CAD. (Level of Evidence: B)

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

6. Coronary artery bypass surgery (or PCI with stenting) is reasonable for patients with multi vessel disease and symptomatic myocardial ischemia. (Level of Evidence: B)

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