The Living Guidelines: Recommendations for UA/NSTEMI in Drug and Substance Abusers Polling Results for CLASS IIa Guidelines

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Class IIa Guidelines
1. Administration of NTG or oral calcium channel blockers can be beneficial for patients with normal ECGs or minimal ST segment deviation suggestive of ischemia after cocaine use. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class IIa Recommendation 1 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III

2. Coronary angiography, if available, is probably recommended for patients with ischemic chest discomfort after cocaine use with ST-segment depression or isolated T wave changes not known to be previously present and who are unresponsive to NTG and calcium antagonists. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class IIa Recommendation 2 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III

3. Management of UA/NSTEMI patients with methamphetamine use similar to that of patients with cocaine use is reasonable. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class IIa Recommendation 3 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III