The Living Guidelines: End-of-life Considerations. Polling Results for CLASS III Guidelines

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Class III Guidelines
1. Aggressive procedures performed within the final days of life (including intubation and implantation of a cardioverter-defibrillator in patients with NYHA functional class IV symptoms who are not anticipated to experience clinical improvement from available treatments) are not appropriate. (Level of Evidence: C)

 ACC / AHA Guidelines for Diagnosis and Management of Chronic Heart Failure: Class III Recommendation 1 for end-of-life considerations should be: CLASS I CLASS IIa CLASS IIb CLASS III