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.

ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

Clinical Ep
HRS Endorsed / Affirmed

The Heart Rhythm Society endorsed the document on November 28, 2018. 

January 2, 2019—This document is the second of two companion appropriate use criteria (AUC) documents developed by the American College of Cardiology, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. The first document addresses the evaluation and use of multimodality imaging in the diagnosis and management of valvular heart disease, whereas this document addresses this topic with regard to structural (nonvalvular) heart disease. While dealing with different subjects, the two documents do share a common structure and feature some clinical overlap. The goal of the companion AUC documents is to provide a comprehensive resource for multimodality imaging in the context of structural and valvular heart disease, encompassing multiple imaging modalities.

2010 Prevention of Torsade de Pointes in Hospital Settings

Clinical Ep
HRS Endorsed / Affirmed

March 2010 — From the American Heart Association and the American College of Cardiology Foundation (endorsed by the American Association of Critical-Care Nurses and the International Society for Computerized Electrocardiology as published in Circulation March 2010). 

2010 Practical Rate & Rhythm Management of Atrial Fibrillation

Atrial Arrhythmias
HRS Endorsed / Affirmed

January 2010 — This guideline was adapted from the ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation.  This guide is intended to assist physicians in the diagnosis and treatment of patients with atrial fibrillation.

This document has been retired because it is no longer current.

2008 Task Force 6: Training in Specialized Electrophysiology, Cardiac Pacing, and Arrhythmia Management

Allied Professional
Training
HRS Endorsed / Affirmed

February 2008 — This document is the result of a close collaboration between the American College of Cardiology's Adult Cardiovascular Medicine Core Cardiology Training (COCATS) Task Force 6 and the Heart Rhythm Society. This Task Force 6 Report is 1 of 13 COCATS 3 Task Force Reports, which encompass training recommendations for the fellowship programs in adult cardiovascular medicine.

2006 ACC/AHA Update of the Clinical Competence Statement on Invasive Electrophysiology Studies, Catheter Ablation, and Cardioversion

Allied Professional
Training
HRS Endorsed / Affirmed

October 2006 — Developed in collaboration With the Heart Rhythm Society, this competence statement was designed to assist in the assessment of physicians' competence on a procedure-specific basis. The update specifies the minimum education, training, experience, and cognitive and technical skills necessary for the competent performance of invasive cardiac electrophysiology, catheter ablation, and cardioversion.

2009 Expert Consensus Statement on Lead Extraction in Patients w/CIEDs

Device Therapy

An update to this document was published in 2017 and is available.

An international team of device and lead management experts from North America and Europe wrote this 2009 consensus document on the management of leads in patients with cardiovascular implantable electronic devices (CIEDs). Central to this effort was a focus on transvenous lead extraction, including standards for training and for the evaluation of new tools and techniques. The document is also an update/revision of the 2000 policy statement on the extraction of implanted pacing and defibrillator leads.