The Living Guidelines: Recommendations for Monitoring of symptoms and anti anginal therapy during follow up Polling Results for CLASS III Guidelines

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Class III Guidelines
1. Echocardiography or radionuclide imaging for assessment of left ventricular ejection fraction and segmental wall motion in patients with a normal ECG, no history of myocardial infarction, and no evidence of congestive heart failure (CHF). (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 1 for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. Repeat treadmill exercise testing in <3 years in patients who have no change in clinical status and an estimated annual mortality rate <1% on their initial evaluation, as demonstrated by one of the following:

a. Low risk Duke Treadmill score (without imaging) (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 2a for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III b. Low risk Duke Treadmill score with negative imaging. (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 2b for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III c. Normal left ventricular function and a normal coronary angiogram. (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 2c for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III d. Normal left ventricular function and insignificant coronary artery disease (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 2d for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. Stress imaging or echocardiography for patients who have no change in clinical status and a normal rest ECG, are not taking digoxin, are able to exercise, and did not require a stress imaging or echocardiographic procedure on their initial evaluation because of equivocal or intermediate-risk treadmill results. (Class III Level of Evidence: C)

 ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 3 for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. Repeat coronary angiography in patients with no change in clinical status, no change on repeat exercise testing or stress imaging, and insignificant coronary artery disease on initial evaluation. (Class III Level of Evidence: C)   ACC /AHA Guidelines for Chronic Stable Angina Pectoris Class III Recommendation 4 for Monitoring of symptoms and anti anginal therapy during follow up in patients with Chronic Stable Angina should be: CLASS I CLASS IIa CLASS IIb CLASS III