Class III recommendations in guidelines for cardiovascular medicine list of guidelines organization by level of evidence - Unclassified

Class III Recommendations in Guidelines for Cardiovascular Medicine
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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]

Class III Recommendations with Unclassified Level of Evidence: Organized by Guideline Keywords

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

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