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. Below are the documents HRS is currently working on (scheduled for publication in 2015):

  1. HRS/EHRA/APHRS/SOLAECE Expert Consensus Statement on ICD Programming and Testing
    Scope: The consensus statement will focus on optimal programming for primary and secondary prevention ICDs, inappropriate shock avoidance programming (detection times, SVT discrimination, ATP), and use of defibrillation testing.
  2. HRS Expert Consensus Statement on Diagnosis and Treatment of Postural Tachycardia Syndrome (POTS), Inappropriate Sinus Tachycardia (IST) and Vasovagal Syncope (VVS)
    Scope: The consensus statement will focus on the diagnosis and management of autonomic dysfunction syndromes.
  3. HRS Expert Consensus Statement on Remote Monitoring
    Scope: The consensus statement will focus on providing a review of different modalities, indications, utility, implementation and remote monitoring of Cardiovascular Implantable Electronic Devices.

Please email clinicaldocs@hrsonline.org should you have questions or need further information. 

Featured Clinical Documents


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

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 892.13 kB


21301 2014 HRS Progress toward the prevention and treatment of atrial fibrillation: A summary of the Heart Rhythm Society Research Forum on the Treatment and Prevention of Atrial Fibrillation, Washington, DC, December 9–10, 2013

November 18, 2014 - The Heart Rhythm Society convened a research symposium on December 9–10, 2013, in Washington, DC, that focused on the prevention of atrial fibrillation (AF) as well as AF-related stroke and morbidity.Attendees sought to summarize advances in understanding AF since a 2008 National Institutes of Health(NIH) conference on this topic and to identify continued knowledge gaps and current research priorities.  This resultant whitepaper was developed in collaboration with and endorsed by the European Heart Rhythm Association (EHRA) and the Canadian Heart Rhythm Society (CHRS). It summarizes the deliberations of the attendees in an effort to accelerate progress toward preventing AF and its consequences.

Download the PDF 1.23 MB