Grading System Strength of Recommendation
Grade 1 = stronga
Grade 2 = weakerb a
A = high
Quality of Evidence B = moderate C = low
Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. b Grade 2 suggests that individual patient values may lead to different choices.
Abbreviations ACCP, American College of Chest Physicians; ACS, acute coronary syndrome; BMS, bare-metal stent; BP, blood pressure; CAD, coronary artery disease; CAGB, coronary artery bypass graft; DES, drug-eluting stent; GI, gastrointestinal; HDL-C, high-density lipoprotein cholesterol; INR, international normalized ratio; LV, left ventricular; MI, myocardial infarction; mo, month; PCI, percutaneous coronary intervention; PO, by mouth; Rx, prescription; TC, total cholesterol; y, year
Sources Vandvik PO, Lincoff AM, Gore JM, Gutterman DD, Sonnenberg FA, Alonso-Coello P, Akl EA, Lansberg MG, Guyatt GH, Spencer FA. Primary and secondary prevention of cardiovascular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of
Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e637S- e668S. PMID: 22315274
US Department of Health and Human Services. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Cholesterol in Adults (Adult Treatment Panel III). Final Report. Bethesda, MD: National Institutes of Health, National Heart, Lung, and Blood Institute; 2002. NIH Publication No. 02-5215.
Disclaimer
This Guideline attempts to define principles of practice that should produce high-quality patient care. It focuses on the needs of primary care practice, but also is applicable to providers at all levels. This Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aſter consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.
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