Unclassified Class III recommendations in guidelines for cardiovascular medicine
Class III Recommendations in Guidelines for Cardiovascular Medicine |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Aparna Vuppala, M.B.B.S. [2]
Overview
Unclassified LOE is noted when the guideline does not report the level of evidence. The total number of class III recommendations with unclassified LOE in guidelines published by American cardiology societies is 21.
Class III Recommendations with Unclassified Level of Evidence: Organized by Guideline Keywords
The table shown below is a list of class III recommendations with unclassified level of evidence obtained from American guidelines for cardiovascular medicine. The list is organized by guideline name/keywords in alphabetical order. Alternatively, to view the same list organized by year of guideline publication, click here.
Number | Year of Guideline Publication | Guideline Keywords | Title of Guideline | Class III Recommendation | Level of Evidence | Effect |
1 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG is not indicated as initial evaluation for ischemia monitoring among patients with chest pain who are able to exercise. | N/A | N/A |
2 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients as routine evaluation of asymptomatic individuals for athletic clearance. | N/A | N/A |
3 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of asymptomatic Wolff-Parkinson-White syndrome. | N/A | N/A |
4 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of chest pain without clinical evidence of heart disease. | N/A | N/A |
5 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of syncope, near syncope, or dizziness when a noncardiac cause is present. | N/A | N/A |
6 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG is not indicated to assess pacemaker and ICD malfunction when device interrogation, ECG, or other available data (chest radiograph and so forth) are sufficient to establish an underlying cause/diagnosis. | N/A | N/A |
7 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients who have sustained myocardial contusion. | N/A | N/A |
8 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients with valvular heart disease. | N/A | N/A |
9 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among post-MI patients with normal LV function. | N/A | N/A |
10 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess symptoms possible related to rhythm disturbance is not indicated among patients with symptoms such as syncope, near syncope, episodic dizziness, or palpitation in whom other causes have been identified by history, physical examination, or laboratory tests. | N/A | N/A |
11 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of brief palpitation in the absence of heart disease. | N/A | N/A |
12 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess pacemaker and ICD function is not indicated for routine follow-up among asymptomatic patients. | N/A | N/A |
13 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients with sleep apnea. | N/A | N/A |
14 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among systemic hypertensive patients with LV hypertrophy. | N/A | N/A |
15 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated for preoperative arrhythmia evaluation of patients for noncardiac surgery. | N/A | N/A |
16 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess symptoms possible related to rhythm disturbance is not indicated among patients with cerebrovascular accidents, without other evidence of arrhythmia. | N/A | N/A |
17 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events and to evaluate for diabetic neuropathy is not indicated among diabetic subjects who are asymptomatic from arrhythmia. | N/A | N/A |
18 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events is not indicated among patients with rhythm disturbances that preclude HRV analysis (ie. atrial fibrillation). | N/A | N/A |
19 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events is not indicated among post-MI patients who are asymptomatic from arrhythmia with normal LV function. | N/A | N/A |
20 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Routine screening using ambulatory ECG is not indicated for ischemia monitoring among asymptomatic subjects. | N/A | N/A |
21 | 2013 | Site competence to PCI | ACCF/AHA/SCAI Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures | Primary or elective PCI should not be performed in hospitals without onsite cardiac surgery capabilities without a proven plan for rapid transport to a cardiac surgery operating room in a nearby hospital or without hemodynamic support capability for transfer. | N/A | N/A |
Class III Recommendations with Unclassified Level of Evidence: Organized by Year of Guideline Publication
The table shown below is a list of class III recommendations with unclassified level of evidence obtained from American guidelines for cardiovascular medicine. The list is organized by guideline year of guideline publication (newest to oldest). Alternatively, to view the same list organized by guideline name/keywords, click here.
Number | Year of Guideline Publication | Guideline Keywords | Title of Guideline | Class III Recommendation | Level of Evidence | Effect |
1 | 2013 | Site competence to PCI | ACCF/AHA/SCAI Update of the Clinical Competence Statement on Coronary Artery Interventional Procedures | Primary or elective PCI should not be performed in hospitals without onsite cardiac surgery capabilities without a proven plan for rapid transport to a cardiac surgery operating room in a nearby hospital or without hemodynamic support capability for transfer. | N/A | N/A |
2 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG is not indicated as initial evaluation for ischemia monitoring among patients with chest pain who are able to exercise. | N/A | N/A |
3 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients as routine evaluation of asymptomatic individuals for athletic clearance. | N/A | N/A |
4 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of asymptomatic Wolff-Parkinson-White syndrome. | N/A | N/A |
5 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of chest pain without clinical evidence of heart disease. | N/A | N/A |
6 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of syncope, near syncope, or dizziness when a noncardiac cause is present. | N/A | N/A |
7 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG is not indicated to assess pacemaker and ICD malfunction when device interrogation, ECG, or other available data (chest radiograph and so forth) are sufficient to establish an underlying cause/diagnosis. | N/A | N/A |
8 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients who have sustained myocardial contusion. | N/A | N/A |
9 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients with valvular heart disease. | N/A | N/A |
10 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among post-MI patients with normal LV function. | N/A | N/A |
11 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess symptoms possible related to rhythm disturbance is not indicated among patients with symptoms such as syncope, near syncope, episodic dizziness, or palpitation in whom other causes have been identified by history, physical examination, or laboratory tests. | N/A | N/A |
12 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulary ECG is not indicated among pediatric patients for the evaluation of brief palpitation in the absence of heart disease. | N/A | N/A |
13 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess pacemaker and ICD function is not indicated for routine follow-up among asymptomatic patients. | N/A | N/A |
14 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among patients with sleep apnea. | N/A | N/A |
15 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated among systemic hypertensive patients with LV hypertrophy. | N/A | N/A |
16 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess risk for future cardiac events in patients without symptoms from arrhythmia is not indicated for preoperative arrhythmia evaluation of patients for noncardiac surgery. | N/A | N/A |
17 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Ambulatory ECG to assess symptoms possible related to rhythm disturbance is not indicated among patients with cerebrovascular accidents, without other evidence of arrhythmia. | N/A | N/A |
18 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events and to evaluate for diabetic neuropathy is not indicated among diabetic subjects who are asymptomatic from arrhythmia. | N/A | N/A |
19 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events is not indicated among patients with rhythm disturbances that preclude HRV analysis (ie. atrial fibrillation). | N/A | N/A |
20 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Measurement of HRV to assess risk for future cardiac events is not indicated among post-MI patients who are asymptomatic from arrhythmia with normal LV function. | N/A | N/A |
21 | 1999 | Ambulatory ECG | ACC/AHA Guidelines for Ambulatory Electrocardiography | Routine screening using ambulatory ECG is not indicated for ischemia monitoring among asymptomatic subjects. | N/A | N/A |