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.

2014 ESC Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting With Acute Coronary Syndrome and/or Undergoing Percutaneous Coronary or Valve Interventions

Atrial Arrhythmias
HRS Endorsed / Affirmed

August 25, 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, European Heart Rhythm Association (EHRA), European Association of Percutaneous Cardiovascular Interventions (EAPCI), and European Association of Acute Cardiac Care (ACCA), endorsed by the Heart Rhythm Society (HRS) and Asia Pacific Heart Rhythm Society (APHRS).

2014 Diagnosis and Management of Arrhythmias Associated with Cardiac Sarcoidosis

Atrial Arrhythmias
Ventricular Arrhythmias

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).

2013 Use of ICD Therapy in Patients Who Are Not Included or Not Well Represented in Clinical Trials

Clinical EP

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.

Evaluation and Management of Ventricular Arrhythmias in the Child with a Structurally Normal Heart

Ventricular Arrhythmias

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, and the American College of Cardiology (ACC). Endorsed by the American Academy of Pediatrics (AAP) (which uses a different classification of evidence).

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

Clinical EP

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).

Electrophysiology (EP) Lab 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). 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.

2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation

Atrial Arrhythmias
Ablation
Clinical EP

March 28, 2014—The goal of this guideline is to establish revised recommendations for optimum management of atrial fibrillation. The guideline supersedes the 2006 ACC/AHA/ESC Guideline for the Management of Patients with Atrial Fibrillation and the two subsequent focused updates from 2011.

See 2019 AHA/ACC/HRS Focused Update the scope of which includes revisions to the section on anticoagulant (because of the approval of new medications and thromboembolism protection devices), revisions to the section on catheter ablation of atrial fibrillation (AF), revisions to the section on the management of AF complicating acute coronary syndrome (ACS), and new sections on device detection of AF and weight loss.

2013 HRS/EHRA/APHRS Expert Consensus Statement on the Diagnosis and Management of Patients with Inherited Primary Arrhythmia Syndromes

Device Therapy
Clinical EP

The objective of the consensus document is to provide clinical guidance for diagnosis, risk stratification and management of patients affected by inherited primary arrhythmia syndromes. It summarizes the opinion of the international writing group members based on their own experience and on a general review of the literature with respect to the clinical data on patients affected by channelopathies. This document does not address the indications of genetic testing in patients affected by inherited arrhythmias and their family members.

2013 Recommendations for Advanced Fellowship Training in Clinical Pediatric and Congenital Electrophysiology

Training
Pediatric

April 30, 2013—The report expands upon guidelines published in 2005 and a supplemental consensus statement issued by the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS) in 2008.  The report provides an overview of training, didactic curriculum and research experience, clinical experience, and credentialing/certification. 

This document was reaffirmed on November 28, 2018, and will be formally assessed by November 2023.

ACCF/HRS/AHA/ASE/HFSA/SCAI/SCCT/SCMR 2013 Appropriate Use Criteria for Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy

Device Therapy
Heart Failure / CRT

March 7, 2013—This document was developed by the American College of Cardiology Foundation (ACCF) and the Heart Rhythm Society (HRS) along with key specialty societies. The document provides assessed levels of appropriateness for implanting ICDs and CRTs in 369 real-life case scenarios, with the goal of enhancing physician and patient decision making and improving care and health outcomes.