The Living Guidelines: STEMI Recommendations for ACE Inhibitors Therapy Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) ACE inhibitors should be started and continued indefinitely in all patients recovering from ST segment elevation myocardial infarction (STEMI) with Left Ventricular Ejection Fraction (LVEF) less than or equal to 40% and for those with hypertension, diabetes, or chronic kidney disease, unless contraindicated. Class I (Level of Evidence: A)
 * 2) ACE inhibitors should be started and continued indefinitely in patients recovering from STEMI who are not lower risk (lower risk defined as those with normal Left Ventricular Ejection Fraction (LVEF) in whom cardiovascular risk factors are well controlled and revascularization has been performed), unless contraindicated. Class I (Level of Evidence: B)