The Living Guidelines: PCI After Failed Fibrinolysis Polling Results for CLASS I Guidelines

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Class I Guidelines
1. A strategy of coronary angiography with intent to perform PCI (or emergency CABG) is recommended for patients who have received fibrinolytic therapy and have any of the following:

a. Cardiogenic shock in patients less than 75 years who are suitable candidates for revascularization. (Class I Level of Evidence: B)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 1a for PCI After Failed Fibrinolysis should be CLASS I CLASS IIa CLASS IIb CLASS III

b. Severe congestive heart failure and/or pulmonary edema (Killip class III). (Class I Level of Evidence: B)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 1b for PCI After Failed Fibrinolysis should be CLASS I CLASS IIa CLASS IIb CLASS III

c. Hemodynamically compromising ventricular arrhythmias. (Class I Level of Evidence: C)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 1c for PCI After Failed Fibrinolysis should be CLASS I CLASS IIa CLASS IIb CLASS III