The Living Guidelines: Recommendations for Monitoring of symptoms and anti anginal therapy during follow up Suggest Revisions to the CLASS IIb Guidelines

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Class IIb Guidelines

 * 1) Annual treadmill exercise testing in patients who have no change in clinical status, can exercise, have none of the following ECG abnormalities, and have an estimated annual mortality rate >1%. (Class IIb Level of Evidence: C)


 * a. Pre-excitation (Wolff-Parkinson-White syndrome).


 * b. Electronically paced ventricular rhythm.


 * c. >1 mm of ST depression at rest.


 * d. Complete left bundle branch block (LBBB).