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.

2003 NASPE Training Requirements for Cardiac Implantable Electronic Devices: Selection, Implantation, and Follow-Up


July 1, 2003—This statement provides additional information regarding maintenance of skills related to device implantation, more detailed training guidelines for CIED implantation and lead extraction, and initial guidelines for implantation of cardiac resynchronization devices that require additional leads to be placed at alternative pacing sites.

 This document has been retired because it is no longer current.

2003 International Consensus on Nomenclature and Classification of Atrial Fibrillation

Atrial Arrhythmias
Atrial Fibrillation

April 1, 2003—This consensus statement provides a simple way to characterize an episode of atrial fibrillation. It is the result of a collaborative project of the Working Group on Arrhythmias and the Working Group of Cardiac Pacing of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology, now known as the Heart Rhythm Society.

2003 NASPE Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology

Allied Professional

January 1, 2003—The provision of services accompanying technology-based electrophysiological-related interventions created an opportunity for health care professionals to specialize in the field of cardiac rhythm management. Known as allied professionals (APs), this diverse group of nurses, physician assistants, technologists, technicians, and engineers is dedicated to promoting excellence in the care of patients with cardiac rhythm disorders. The North American Society of Pacing and Electrophysiology (NASPE), known today as the Heart Rhythm Society, developed these standards to articulate the scientific foundation, clinical skills, and technical knowledge requisite to provide and facilitate safe quality patient care.

 This document was reaffirmed on February 7, 2018, and will be formally assessed by February 2023.

2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices

Device Therapy

September 1, 2002—The focus of these guidelines is the appropriate use of devices (pacemakers and implantable cardioverter-defibrillators), not the treatment of cardiac arrhythmias.

 This document has been retired and replaced by ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities and subsequently by 2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities.

2002 NASPE Expert Consensus Conference: Radiofrequency Catheter Ablation in Children with and without Congenital Heart Disease


June 1, 2002—Based on the Consensus Conference held during the 21st Annual Scientific Sessions of the North American Society of Pacing and Electrophysiology (NASPE), this consensus statement covers issues of specific cardiac arrhythmias in children with or without congenital heart disease (CHD), the special needs of children and patients with CHD, and how best to meet these needs.

 This document has been retired and replaced by 2016 PACES/HRS Expert Consensus Statement on the Use of Catheter Ablation in Children and Patients with Congenital Heart Disease.

2002 NASPE Position Statement: The Revised NASPE/BPEG Generic Code for Antibradycardia, Adaptive-Rate, and Multisite Pacing 

Device Therapy

February 1, 2002—This statement provides the revised NBG code, endorsed by the British Pacing and Electrophysiology Group (BPEG) and the North American Society of Pacing and Electrophysiology (NASPE). This statement is more compatible with contemporary and emerging pacing technology with particular attention to the issue of multisite pacing.

 This document was reaffirmed on February 7, 2018, and will be formally assessed by February 2023.

2001 NASPE Clinical Cardiac Electrophysiology Fellowship Teaching Objectives for the New Millennium


December 1, 2001—This position paper outlines the basic science, clinical components, and procedural aspects of electrophysiology and provides relevant references that can be used as an educational guide.

 This document has been retired and replaced by HRS Policy Statement: Clinical Cardiac Electrophysiology Fellowship Curriculum: Update 2011. See also 2017 ACC/HRS Lifelong Learning Statement for Clinical Cardiac Electrophysiology Specialists.

2001 ACC/AHA/ESC Guidelines for the Management of Patients with Atrial Fibrillation

HRS Endorsed / Affirmed
Atrial Arrhythmias

October 1, 2001—Atrial fibrillation (AF) is the most common sustained rhythm disturbance. AF is often associated with structural heart disease, but a substantial proportion of patients with AF have no detectable heart disease. Hemodynamic impairment and thromboembolic events related to AF result in significant morbidity, mortality, and cost. The goal of this document is to provide guidance for better management of this frequent and complex arrhythmia. The document was approved by the governing bodies of the ACC, AHA, and ESC and officially endorsed by NASPE.

 This document has been retired. See 2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation and 2019 AHA/ACC/HRS Focused Update.

2001 The Role(s) of the Industry-Employed Allied Professional 

Allied Professional

March 1, 2001—The Ad Hoc NASPE/Industry Task Force developed this policy statement to clarify the role industry-employed allied professionals (IEAPs) should play in the clinical environment, with the objective of maintaining and improving high-quality and cost-effective care for patients with implanted cardiac rhythm devices.

 This document has been retired and replaced by 2008 Heart Rhythm Society Policy Statement Update: Recommendations on the Role of Industry-Employed Allied Professionals (IEAPs).