Clinical Guidelines & Documents

Authored and endorsed clinical documents provide three main components vital to advancements in the heart rhythm field: analysis, discussion of current issues, and suggestions for clinical application. The Society plans to release two new documents during the 2017 HRS Scientific Sessions:

  1. 2017 Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation
    Scope: An update of the 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation that will include recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design.
  2. 2017 Expert Consensus Statement on MRI and Radiation Exposure in Patients with CIEDs
    Scope: This document will review the safety considerations and management of the CIED patients requiring imaging. The document will also describe the indications and considerations for MRI-conditional CIEDs, as well as protocols and programming for MRI imaging in patients with CIEDs.

Please email should you have questions or need further information.

Volunteer with clinical documents: Contact us at if you are interested in serving as a peer reviewer or writing group member for future clinical documents. Please include your areas of expertise and CV.

Featured Clinical Documents

24544 2015 HRS/EHRA/APHRS/SOLAECE Expert Consensus Statement on Optimal Implantable Cardioverter-Defibrillator Programming and Testing

November 19, 2015 - The benefits and risks of ICD therapy for patients are directly impacted by the programming and surgical decisions made by the clinician. This expert consensus statement systemically describes four important clinical issues and addresses programming of: bradycardia mode and rate, tachycardia detection, tachycardia therapy, and intraprocedural testing of defibrillation efficacy.

Download the PDF 1.44 MB

22543 2015 HRS Expert Consensus Statement on Remote Interrogation and Monitoring for Cardiovascular Electronic Implantable Devices

May 13, 2015 - The current document is developed from the foundations established by the 2008 HRS Consensus Statement as well as the 2012 International Society for Holter and Noninvasive Electrocardiography and European Heart Rhythm Association’s Expert Consensus Statement on Remote Monitoring of CIEDs.  The goals of follow-up, definition of hardware, and personnel remain the same and will not be covered in this document except where evolution of remote technologies and responsibilities has occurred. The current document provides new recommendations based on data published since 2008, endorsing the need to maintain consistent follow-up, and outlining the limitations of strictly in-person methods.

Download the PDF 1.07 MB

22544 2014 HRS/NSA Survey of Atrial Fibrillation and Stroke: Gaps in Knowledge and Perspective, Opportunities for Improvement

May 13, 2015 - The Heart Rhythm Society, in partnership with the National Stroke Association, developed an survey initiative that sought characterize the impact of stroke on AF patients and their caregivers; gaps in knowledge and perspective among physicians and patients; and barriers to effective communication and optimal anticoagulation use.

Download the PDF 926.27 kB