The Living Guidelines: PCI After Failed Fibrinolysis Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) A strategy of coronary angiography with intent to perform PCI (or emergency CABG) is recommended for patients who have received fibrinolytic therapy and have any of the following:
 * a. Cardiogenic shock in patients less than 75 years who are suitable candidates for revascularization. (Class I Level of Evidence: B)
 * b. Severe congestive heart failure and/or pulmonary edema (Killip class III). (Class I Level of Evidence: B)
 * c. Hemodynamically compromising ventricular arrhythmias. (Class I Level of Evidence: C)