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

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Class I Guidelines

 * 1) In patients whose anatomy is suitable, PCI should be performed when there is objective evidence of recurrent MI. (Class I Level of Evidence: C)
 * 2) In patients whose anatomy is suitable, PCI should be performed for moderate or severe spontaneous or provocable myocardial ischemia during recovery from STEMI. (Class I Level of Evidence: B)
 * 3) In patients whose anatomy is suitable, PCI should be performed for cardiogenic shock or hemodynamic instability. (Class I Level of Evidence: B)