The Living Guidelines: Pharmacological rate control during atrial fibrillation Polling Results for CLASS III Guidelines

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Class III Guidelines
1. Digitalis should not be used as the sole agent to control the rate of ventricular response in patients with paroxysmal AF. (Level of Evidence: B)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class III Recommendation 1 for pharmacological rate control during atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. Catheter ablation of the AV node should not be attempted without a prior trial of medication to control the ventricular rate in patients with AF. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class III Recommendation 2 for pharmacological rate control during atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. In patients with decompensated heart failure and AF, intravenous administration of a non dihydropyridine calcium channel antagonist may exacerbate hemodynamic compromise and is not recommended. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class III Recommendation 3 for pharmacological rate control during atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. Intravenous administration of digitalis glycosides or non dihydropyridine calcium channel antagonists to patients with AF and a pre-excitation syndrome may paradoxically accelerate the ventricular response and is not recommended. (Level of Evidence: C)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class III Recommendation 4 for pharmacological rate control during atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III