The Living Guidelines: Patients with Refractory End-Stage Heart Failure. Polling Results for CLASS IIb Guidelines

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Class IIb Guidelines
1. Pulmonary artery catheter placement may be reasonable to guide therapy in patients with refractory end-stage HF and persistently severe symptoms. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIb Recommendation 1 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. The effectiveness of mitral valve repair or replacement is not established for severe secondary mitral regurgitation in refractory end-stage HF. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIb Recommendation 2 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. Continuous intravenous infusion of a positive inotropic agent may be considered for palliation of symptoms in patients with refractory end-stage HF. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIb Recommendation 3 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III