The Living Guidelines: STEMI Immediate (or Emergency) Invasive Strategy and Rescue PCI Suggest Revisions to the CLASS IIb Guidelines

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Class IIb Guidelines

 * 1) A strategy of coronary angiography with intent to perform PCI in the absence of one or more of the above Class I or IIa indications might be reasonable in moderate- and high-risk patients, but its benefits and risks are not well established. The benefits of rescue PCI are greater the earlier it is initiated after the onset of ischemic discomfort. (Class IIb, Level of Evidence: C)