The Living Guidelines: Patients with Refractory End-Stage Heart Failure. Polling Results for CLASS IIa Guidelines

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Class IIa Guidelines
1. Consideration of an LV assist device as permanent or “destination” therapy is reasonable in highly selected patients with refractory end-stage HF and an estimated 1-year mortality over 50% with medical therapy. (Level of Evidence: B)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class IIa Recommendation 1 for patients with refractory end-stage heart failure should be: CLASS I CLASS IIa CLASS IIb CLASS III