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American Heart Association Grading Scale and Level of Evidence

A-I: conditions for which there is evidence and/or general agreement that a given treatment is useful and effective, data derived from multiple randomized clinical trials.

A-II:conditions for which there is conflicting evidence and/or divergence of opinion about the usefulness/efficacy of the treatment: data derived from multiple randomized studies.

A-III:conditions for which there is evidence and//or general agreement that the treatment is not useful/effective and in some cases may be harmful: data derived from multiple randomized controlled clinical trials.

B-I: conditions for which there is evidence and/or general agreement that a given treatment is useful and effective: data derived from a single randomized trial or nonrandomized studies.

B-II conditions for which there is conflicting evidence and/or divergence of opinion about the usefulness/efficacy of a procedure/treatment, data derived from a single randomized trial or nonrandomized studies.

B-III: conditions for which there is evidence and/or general agreement that the treatment is not useful/effective and in some cases may be harmful: data derived from a single randomized trial or non-randomized studies.

C-I: conditions for which there is evidence and/or general agreement that a given procedure or treatment is useful and effective: consensus opinion of experts.

C-II:conditions for which there is conflicting evidence and/or divergence of opinion about usefulness/efficacy of the procedure or treatment: consensus opinion of experts.

C-III:conditions for which there is evidence and/or general agreement that the procedure/treatment is not useful/effective and in some cases may be harmful: consensus opinion of experts.

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