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The living guidelines

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

The Living Guidelines: STEMI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]


Any recommendations found on these pages are for education use only. Wikidoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, Wikidoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Pharmacotherapy

Recommendations for Antiplatelet Agents / Anticoagulants Therapy: Aspirin [1]

CLASS I

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Recommendations for Antiplatelet Agents / Anticoagulants Therapy: Clopidogrel [1]

CLASS I

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CLASS IIa

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Recommendations for Antiplatelet Agents / Anticoagulants Therapy: Warfarin [1]

CLASS I

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Recommendations for Beta Blocker Therapy [1]

CLASS I

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CLASS IIa

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CLASS III

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Recommendations for ACE Inhibitors Therapy

CLASS I

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CLASS IIa

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Recommendations for Angiotensin Receptor Blockers Therapy

CLASS I [1]

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CLASS IIb [1]

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Recommendations for Aldosterone Blockers Therapy

CLASS I [1]

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Recommendations for Inhibition of the Renin-Angiotensin-Aldosterone System

CLASS I [1]

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CLASS IIa [1]

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CLASS IIb [1]

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Recommendations for Influenza Vaccination [1]

CLASS I

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Reperfusion

Primary Invasive or Pharmacological Approach [1]

CLASS I

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Facilitated PCI [1]

CLASS IIb

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CLASS III

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Immediate (or Emergency) Invasive Strategy and Rescue PCI [1]

Class I

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Class IIa

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Class IIb

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Class III

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PCI after Successful Fibrinolysis or for Patients not Undergoing Primary Reperfusion [1]

Class IIb

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Class III

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Anticoagulants as Ancillary Therapy [1]

Class I

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Anticoagulants for STEMI patients who do not undergo reperfusion therapy [1]

Class IIa

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Class III

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Thienopyridines [1]

Class I

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Class IIa

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Reference

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 Antman EM, Hand M, Armstrong PW; et al. (2008). “2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee”. Circulation. 117 (2): 296–329. doi:10.1161/CIRCULATIONAHA.107.188209. PMID 18071078. Unknown parameter |month= ignored (help)


Template:WikiDoc Sources

The Living Guidelines: UA/NSTEMI
The Living Guidelines: Chronic Stable Angina Pectoris
The Living Guidelines: Percutaneous Coronary Interventions
The Living Guidelines: Diagnosis and Management of Atrial Fibrillation

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Recommendations for pharmacological rate control during atrial fibrillation [1]

Class I

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Class IIa

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Class IIb

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Class III

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Recommendations for preventing thromboembolism [1]

Class I

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Class IIa

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Class IIb

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Class III

Long-term anticoagulation with a vitamin K antagonist is not recommended for primary prevention of stroke in patients below the age of 60 y without heart disease. [1]

Recommendations for pharmacological cardioversion of atrial fibrillation [1]

Class I

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Class IIa

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Class IIb

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Class III

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Recommendation for direct-current cardioversion of atrial fibrillation and atrial flutter [1]

Class I

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Class IIa

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Class III

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Recommendation for pharmacological enhancement of direct-current cardioversion [1]

Class IIa

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Class IIb

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Recommendation for prevention of thromboembolism in patients with atrial fibrillation undergoing cardioversion [1]

Class I

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Class IIa

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Recommendations for maintenance of sinus rhythm [1]

Class I

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Class IIa

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Class III

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Recommendations for patients with postoperative atrial fibrillation [1]

Class I

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Class IIa

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Class IIb

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Recommendations for patients with acute myocardial infarction [1]

Class I

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Class IIa

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Class III

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Recommendations for patients with Wolff Parkinson White syndrome (WPW) [1]

Class I

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Class IIb

[Atrial fibrillation Wolff-Parkinson-White preexcitation syndromes|View the Current Guidelines]]

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Class III

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Recommendations for patients with hyperthyroidism [1]

Class I

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Recommendations for pregnant patients [1]

Class I

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Class IIb

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Recommendations for patients with Hypertrophic Cardiomyopathy [1]

Class I

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Class IIa

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Recommendations for patients with Pulmonary Hypertension [1]

Class I

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Class III

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References

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 Fuster V, Ryden LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation- Executive Summary: executive summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidlines for the Management of Patients With Atrial Fibrillation): Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society. Circulation. 2006; 114: 700-752. PMID 16908781

Template:WH Template:WikiDoc Sources

The Living Guidelines: Diagnosis and Management of Chronic Heart Failure
A quick guide: How to read a guideline?


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Template:WikiDoc Cardiology News


Any recommendations found on these pages are for education use only. Wikidoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In recommending therapies, WikiDoc suggests that the following classification scheme be used. This is the classification scheme used by the ACC / AHA Guidelines Committee.

Use the Class designation to indicate whether the therapy is recommended or not and the certainty surrounding that recommendation. Use the Level of Evidence designation to indicate the strength of the data associated with that recommendation. [1]

Class I

Conditions for which there is evidence and/or general agreement that a given procedure or treatment is beneficial, useful, and effective.

Class II

Conditions for which there is conflicting evidence and/or a divergence of opinion about the usefulness/efficacy of a procedure or treatment.

Class IIa

Weight of evidence/opinion is in favor of usefulness/efficacy.

Class IIb

Usefulness/efficacy is less well established by evidence/opinion.

Class III

Conditions for which there is evidence and/or general agreement that a procedure/treatment is not useful / effective and in some cases may be harmful.

Level of Evidence A

Data derived from multiple randomized clinical trials or meta-analyses.

Level of Evidence B

Data derived from a single randomized trial, or non-randomized studies.

Level of Evidence C

Only consensus opinion of experts,case studies, or standard-of-care.

Guideline Reference Chart[2]

References

  1. Antman E.M., Hant M., Armstrong P.W., et. al., 2007 Focused updates of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Circulation published online Dec 10, 2007; DOI: 10.1161/CIRCULATION AHA.107.188209
  2. Antman E.M., Hant M., Armstrong P.W., et. al., 2007 Focused updates of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Circulation published online Dec 10, 2007; DOI: 10.1161/CIRCULATION AHA.107.188209


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