The Living Guidelines: Patients at High Risk for Developing Heart Failure. Polling Results for CLASS I Guidelines

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Class I Guidelines
1. In patients at high risk for developing HF, systolic and diastolic hypertension should be controlled in accordance with contemporary guidelines. (Level of Evidence: A)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 1 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. In patients at high risk for developing HF, lipid disorders should be treated in accordance with contemporary guidelines. (Level of Evidence: A)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 2 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. For patients with diabetes mellitus (who are all at high risk for developing HF), blood sugar should be controlled in accordance with contemporary guidelines. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 3 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. Patients at high risk for developing HF should be counseled to avoid behaviors that may increase the risk of HF (e.g., smoking, excessive alcohol consumption, and illicit drug use). (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 4 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 5. Ventricular rate should be controlled or sinus rhythm restored in patients with supraventricular tachyarrhythmias who are at high risk for developing HF. (Level of Evidence: B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 5 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 6. Thyroid disorders should be treated in accordance with contemporary guidelines in patients at high risk for developing HF. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 6 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 7. Healthcare providers should perform periodic evaluation for signs and symptoms of HF in patients at high risk for developing HF. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 7 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 8. In patients at high risk for developing HF who have known atherosclerotic vascular disease, healthcare providers should follow current guidelines for secondary prevention. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 8 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 9. Healthcare providers should perform a noninvasive evaluation of LV function (i.e., LVEF) in patients with a strong family history of cardiomyopathy or in those receiving cardiotoxic interventions. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class I Recommendation 9 for patients at high risk for developing heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III