COVID-19 Challenges & Solutions

Stay informed with the latest recommendations and information developed and curated by the Heart Rhythm Society's COVID-19 Rapid Response Task Force.

The COVID-19 pandemic is rapidly evolving. HRS aims to provide timely and reliable information to help guide electrophysiology patient care and recommend best practices in this complex and challenging time. These COVID-19 Challenges & Solutions resources are intended to provide guidance specifically for the EP community. There will be frequent updates to this page as more information becomes more available. Please be sure to visit this page regularly to stay up-to-date.

The Society’s COVID-19 initiatives are provided in part by:

Biosense Webster, Boston Scientific, Bristol Myers Squibb, Janssen, Medtronic, Zoll


All-Around Perspectives and the Demand for Digital Health Innovations During a Pandemic

Nassir F. Marrouche, MD, FHRS, moderates discussions with an expert panel representing industry, healthcare providers, and patients.

New American Heart Association® COVID-19 CVD Registry powered by Get With The Guidelines®

The American Heart Association has developed a COVID-19 CVD Registry to aggregate data and aid research in hopes of gaining insight into clinical treatment patterns and variations, including the collection of biomarkers, risk factors, and cardiovascular outcomes in hospitalized COVID-19 patients.

HRS Asks Congress to Support Medical Researchers and Front-Line Workers

Recognizing the strain that the coronavirus pandemic is placing on its members, HRS urges Congress to support the research community and front-line workers.

Local Media Kit for EP Practices: “It’s your health. Don’t hesitate.”

HRS launches a free local media kit for EP practices, which includes press releases, social content, and infographics to help ensure patients feel safe to seek care for heart rhythm problems, heart attacks, and strokes.

CMS Expands Payments for Audio-Only Visits

CMS announces payment increases for evaluation and management services that are provided only via telephone.

International Impact Initiatives and COVID-19

Support for the COVID-19 pandemic has been added under the umbrella of the International Impact Initiatives. Learn more on the initiatives and how you can support HRS with this mission.

FDA Drug Safety Communication re: Hydroxychloroquine/Chloroquine

FDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems

HRS COVID-19 Task Force Update: April 23, 2020

The HRS COVID-19 Task Force addresses issues facing the EP Fellows during the pandemic and its impact on their training, education, certification and redeployment.

Multi-Society Op-Ed Piece

The need to make a declaration: calling 911 immediately is still the best chance of surviving or saving a life.

HRS COVID-19 Task Force Update: April 21, 2020

Updates to guidance on QTc monitoring in COVID-19 patients

Patient Infographic: Encourage Patients Not to Delay Medical Care

ACC’s new CardioSmart infographic reminds patients not to delay medical care for heart attack and stroke symptoms amid COVID-19 concerns

Video Case Discussions Highlighting COVID-19 Guidance

Document authors discuss the application of the CCEP COVID-19 guidance document to specific, typical EP cases.

HRS COVID-19 Task Force Update: April 20, 2020

Guidance from ACGME regarding Training Director leeway in management of Clinical Cardiac Electrophysiology training requirements

CMS Announces 2019 MIPS Relief

Guidance on CMS relief for clinicians and facilities participating in Medicare quality reporting programs in response to the COVID-19 pandemic

HRS COVID-19 Task Force Update: April 15, 2020

Guidance for appropriate care for patients living with CIEDs while limiting exposure to staff and patients during COVID-19 pandemic

Heart Rhythm Journal Review: SARS-CoV-2, COVID-19 & Inherited Arrhythmia Syndromes

Review of COVID-19 associated risks and therapeutic considerations for patients with distinct inherited arrhythmia syndromes

Heart Rhythm TV COVID-19 Update: From the Front Lines Across Asia

Roderick Tung, MD, FHRS, moderates presentations and panel discussions with EP leaders from Asia and HRS President Andrea Russo, MD, FHRS

HRS COVID-19 Task Force Update: April 10, 2020

Complimentary and discounted educational resources tailored specifically for CCEP fellows-in-training now available on Heart Rhythm 365

Multi-Society Document from HRS/ACC/AHA: Considerations for Drug Interactions on QTc in Exploratory COVID-19 Treatment

Caution recommended on COVID-19 treatment with hydroxychloroquine and azithromycin for patients with cardiovascular disease

HRS Encourages Payment for Audio Visits

HRS submitted comments on CMS' Interim Final Rule expanding payment for telehealth services.

COVID-19 Patient Resources

HRS is providing resources for heart rhythm care professionals to share with their patients. There will be updates to this page as more resources become available. HRS does not endorse the information provided by these third parties and does not receive support to share these resources.

Special EP on EP Episode: QTc Monitoring With Drug Therapy During COVID-19

Discussions with Eric N. Prystowsky, MD, FHRS, and Michael John Ackerman, MD, PhD, about QTc monitoring with drug therapy during COVID-19

HRS COVID-19 Task Force Update: April 7, 2020

General guidance for QTc monitoring in COVID-19 patients

HRS/ACC/AHA COVID-19 Cardiac EP Guidance: Resources & Video Interview

Resources and expert commentary on the impact of COVID-19 on heart rhythm care and methods of triage.

Guidance on Non-Essential & Non-Elective Services

U.S. Department of Health and Human Services provides guidance on cancelled or postponed non-elective services to expand capacity and reduce risk

Changes to Scope of Practice & Practice Rules

New CMS waivers and policies related to current regulations giving providers flexibility in addressing patient care and system needs during COVID-19

Multi-Society Document from HRS/ACC/AHA: COVID-19 Practice Guidance for Electrophysiologists

Guidance for cardiac electrophysiology during the coronavirus (COVID-19) pandemic from HRS, ACC, and AHA

Letter to White House Task Force on COVID-19

HRS's letter urging White House Task Force on COVID-19 to prioritize protecting healthcare workers in the battle against the spread of the epidemic

Request for Suspension of MOC Requirements Due to COVID-19

Request from coalition of medical specialty society members to advocate for a suspension of all MOC requirements in 2020

HRS COVID-19 Task Force Update: March 27, 2020

Recommendations for managing telehealth patient visits

COVID-19 Pivot to Telemedicine: Resources & Video Interview

Khaldoun G. Tarakji, MD, MPH, FHRS; Jose Osorio, MD, FHRS; and Brigham Elise Godfrey, BSN, RN, discuss telemedicine solutions and share resources.

AMA Releases Special CPT Coding Advice for COVID-19

Coding scenarios designed to help healthcare professionals apply best coding practices during the COVID-19 public health emergency

HRS COVID-19 Task Force Update: March 20, 2020

Recommendations for managing EP procedures and EP clinics

COVID-19 Emergency Response Package Letter to the Senate

HRS's letter to Senate Leader Mitch McConnell about phase III COVID-19 emergency response package and needs of patients with heart rhythm disorder

FDA News Release

FDA news release regarding COVID-19 and treating patients with heart rhythm disorders