Clinical Resources | Heart Rhythm Society

Clinical Resources

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.

HRS Clinical Document Methodology

The HRS Clinical Document Development Methodology Manual and Policies transparently declares the standards by which the HRS develops clinical practice documents, which include clinical practice guidelines, expert consensus statements, scientific statements, clinical competency statements, task force policy statements, and proceedings statements.

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

Atrial Arrhythmias
Atrial Fibrillation

November 18, 2014The 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 white paper 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.

2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology

Pediatric

September 29, 2014This document is a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Academy of Pediatrics, American Heart Association, American Society of Echocardiography, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Pediatric Echocardiography. The purpose is to establish and evaluate Appropriate Use Criteria for the initial use of outpatient pediatric echocardiography.

2014 EHRA/HRS/APHRS Expert Consensus on Ventricular Arrhythmias

Ventricular Arrhythmias

August 30, 2014This international consensus statement is intended to provide clinical guidance for the management of patients with ventricular arrhythmias. It summarizes the consensus of the international writing group members and is based on a systematic review of the medical literature regarding ventricular arrhythmias.


 See also 2019 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Catheter Ablation of Ventricular Arrhythmias.

2014 ESC WGT/EHRA/EAPCI/ACCA Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting with Acute Coronary Syndrome and/or Undergoing Percutaneous Coronary or Valve Interventions

HRS Endorsed / Affirmed
Atrial Arrhythmias
Atrial Fibrillation

The Heart Rhythm Society endorsed the document in June 2014.

August 26, 2014This document on the management of antithrombotic therapy in atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing percutaneous coronary or valve interventions is a joint consensus document of the European Society of Cardiology Working Group on Thrombosis, the European Heart Rhythm Association (EHRA), the European Association of Percutaneous Cardiovascular Interventions (EAPCI), and the European Association of Acute Cardiac Care (ACCA).


 See 2018 EHRA/ESC WGT/EAPCI/ACCA Joint European Consensus Document on the Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting with Acute Coronary Syndrome and/or Undergoing Percutaneous Cardiovascular Interventions.

2014 HRS/ACC/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

Clinical EP

May 9, 2014—The purpose of this expert consensus statement is to provide clinicians with guidance on the use of implantable cardioverter-defibrillator (ICD) therapy in the management of some common populations of patients who are not represented in clinical trials and who therefore are not specifically included in the various guidelines that provide indications for ICD therapy. However, recommendations made in this document cannot account for all the nuances of clinical medicine and cannot replace careful clinical judgment for the care of an individual patient. 


 This document was reaffirmed on October 21, 2020, and will be formally assessed by October 2025.

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

Atrial Arrhythmias
Ventricular Arrhythmias

May 9, 2014This 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).

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

Clinical EP

May 8, 2014This expert consensus statement was developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). The purpose of this consensus statement is to define optimal conditions for the delivery of care regarding arrhythmias in adults with congenital heart disease and to provide expert and, where possible, evidence-based recommendations on best practice procedures for the evaluation, diagnosis, and management of arrhythmias, including medical treatment, catheter-based interventions, device therapy, and surgical options.


See also 2016 PACES/HRS Expert Consensus Statement on the Use of Catheter Ablation in Children and Patients with Congenital Heart Disease.

2014 PACES/HRS Expert Consensus Statement on the Evaluation and Management of Ventricular Arrhythmias in the Child with a Structurally Normal Heart

Ventricular Arrhythmias
Pediatric

May 8, 2014This expert consensus statement was developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). The purpose of this consensus statement is to provide up-to-date recommendations on the evaluation and treatment of ventricular tachycardia (VT) in children with structurally normal hearts (idiopathic VT).


See also 2016 PACES/HRS Expert Consensus Statement on the Use of Catheter Ablation in Children and Patients with Congenital Heart Disease.

Heart Rhythm Society Expert Consensus Statement on Electrophysiology Laboratory Standards: Process, Protocols, Equipment, Personnel, and Safety

Clinical EP

May 7, 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). The goal is to provide physicians, administrators, and regulatory personnel with the recommended requirements for building, staffing, and running a modern EP laboratory to optimize patient outcomes, minimize patient risk, and provide a safe and positive environment for physicians and staff.


 This document was reaffirmed on July 16, 2020, and will be formally assessed by July 2025. 

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

Electrophysiology

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 Association (EHRA), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE)-Latin American Society of Cardiac Pacing and Electrophysiology.