1. Heart Failure Guideline Recommendations for Device Therapy and Ejection Fraction (EF) Measurement ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult ( www.acc.org and www.americanheart.org ). Copyright 2005 The American College of Cardiology Foundation and American Heart Association, Inc. Permission granted for limited use. Further reproduction is not permitted without permission of the ACC/AHA.
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6. Heart Failure Background Heart Failure At Risk for Heart Failure Stage D Refractory HF requiring specialized interventions Stage B Structural heart disease but without signs or symptoms of HF Stage C Structural heart disease with prior or current HF symptoms Stage A At high risk of HF but without structural heart disease or HF symptoms
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Editor's Notes
ACC/AHA have been two of the leading forces in creating guidelines for the implantation of pacemakers and ICDs. The most recently published guidelines were published in Sept/Oct 2002. Many other countries have used these guidelines as a model to revise their own guidelines for ICD and pacemaker implantation. (In addition to the classification in Class I, II, or III, each indication has a level of evidence, based on the volume of literature published on the subject.)
All recommendations assume that patients meet all the bulleted requirements, unless otherwise indicated by an “or” in the statement.
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