The Living Guidelines: STEMI Immediate (or Emergency) Invasive Strategy and Rescue PCI 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 <75 years who are suitable candidates for revascularization (Class I, Level of Evidence: B)

 AHA / ACC 2007 STEMI Guidelines for Immediate (or Emergency) Invasive Strategy and Rescue PCI Class I Recommendation 1a 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 STEMI Guidelines for Immediate (or Emergency) Invasive Strategy and Rescue PCI Class I Recommendation 1b should be CLASS I CLASS IIa CLASS IIb CLASS III

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

 AHA / ACC 2007 STEMI Guidelines for Immediate (or Emergency) Invasive Strategy and Rescue PCI Class I Recommendation 1c should be CLASS I CLASS IIa CLASS IIb CLASS III