The Living Guidelines: Chronic Stable Angina Pectoris ACE Inhibitors Therapy Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) ACE inhibitors should be started and continued indefinitely in all patients with left ventricular ejection fraction (LV EF) ≤40% and in those with hypertension, diabetes mellitus, or chronic kidney disease unless contraindicated. (Class I Level of Evidence: A)
 * 2) ACE inhibitors should be started and continued indefinitely in patients who are not lower risk (lower risk defined as those with normal left ventricular ejection fraction in whom cardiovascular risk factors are well controlled and revascularization has been performed), unless contraindicated. (Class I Level of Evidence: A)