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. 

Current Clinical Documents

19093 2013 HRS/ACCF/AHA Expert Consensus Statement on the Use of Implantable Cardioverter Defibrillator Therapy in Patients Who Are Not Included or Not Well Represented in Clinical Trials

May 9, 2014 - This expert consensus statement was written by experts and developed in partnership with and endorsed by the American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA); and in collaboration with and endorsed by the Heart Failure Society of America (HFSA) and the Society of Thoracic Surgeons (STS).  Endorsed by the European Heart Rhythm Association (EHRA), the Asia Pacific Heart Rhythm Society (APHRS) and the Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE)-Latin American Society of Cardiac Pacing and Electrophysiology.

Download the PDF 1.03 MB

19089 2014 HRS Expert Consensus Statement on the Diagnosis and Management of Arrhythmias Associated with Cardiac Sarcoidosis

May 9, 2014 - This international expert consensus statement was written by experts in the field who were chosen by the Heart Rhythm Society in collaboration with representatives from the American College of Cardiology, American College of Chest Physicians, American Heart Association, Asia Pacific Heart Rhythm Society, European Hear Rhythm Association, and World Association for Sarcoidosis and Other Granulomatous Disorders (WASOG).

Download the PDF 1.39 MB

19066 2014 PACES/HRS Expert Consensus Statement on the Recognition and Management of Arrhythmias in Adult Congenital Heart Disease

May 8, 2014 - This expert consensus statement was developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS) and endorsed by the governing bodies of PACES, HRS, the American College of Cardiology (ACC), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Canadian Heart Rhythm Society (CHRS), and the International Society for Adult Congenital Heart Disease (ISACHD).

Download the PDF 6.32 MB

19068 2013 PACES/HRS Expert Consensus Statement on Evaluation and Management of Ventricular Arrhythmias in the Child with a Structurally Normal Heart

May 8, 2014 - This expert consensus statement was developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS) and endorsed by the governing bodies of PACES, HRS, the American College of Cardiology (ACC), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Canadian Heart Rhythm Society (CHRS), and the International Society for Adult Congenital Heart Disease (ISACHD). The statement was endorsed by the governing bodies of PACES, HRS, and the American College of Cardiology (ACC). Pending endorsement from the American Academy of Pediatrics (AAP).

Download the PDF 2.51 MB

19064 2013 HRS Expert Consensus Statement on Electrophysiology (EP) Lab Standards: Process, Protocols, Equipment, Personnel and Safety

May 8, 2014 - This expert consensus statement was written by experts and developed in collaboration with and endorsed by the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Pediatric and Congenital Electrophysiology Society (PACES).  Endorsed by Asia-Pacific Heart Rhythm Society (APHRS), European Heart Rhythm Society (EHRA), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE)-Latin American Society of Cardiac Pacing and Electrophysiology.

Download the PDF 962.30 kB