The Living Guidelines: PCI after Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion Suggest Revisions to the CLASS IIa Guidelines

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Class IIa Guidelines

 * 1) It is reasonable to perform routine PCI in patients with Left Ventricular ejection fraction ≤40%, Heart Failure, or serious ventricular arrhythmias. (Class IIa Level of Evidence: C)
 * 2) It is reasonable to perform PCI when there is documented clinical heart failure during the acute episode, even though subsequent evaluation shows preserved Left Ventricular function (Left Ventricular ejection fraction >40%). (Class IIa Level of Evidence: C)