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

Allied Professional

January 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 Heart Rhythm Society, developed the Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology 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 NASPE Expert Consensus Conference: Radiofrequency Catheter Ablation in Children with and without Congenital Heart Disease


June 2002—Based on the Consensus Conference held during the 21st Annual Scientific Sessions of the North American Society of Pacing and Electrophysiology (NASPE; now known as the Heart Rhythm Society), 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.

2005 Expert Consensus Statement: Resynchronization Therapy for Heart Failure

Heart Failure / CRT

2005 — This publication covers:

  • Mechanisms and consequences of mechanical and electrical remodeling in heart failure (HF)
  • Controlled trials of cardiac resynchronization therapy (CRT) alone or combined with implantable cardioverter defibrillator
  • Expanded indications for electrical heart failure devices.

This document has been retired because it is no longer current.

2003 International Consensus on Nomenclature and Classification of Atrial Fibrillation

Atrial Arrhythmias

April 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 Heart Rhythm Society.

2008 Heart Rhythm Society Policy Statement Update: Recommendations on the Role of Industry-Employed Allied Professionals (IEAPs)

Allied Professional

November 2008 —This policy update revises the recommendations from the original statement published under the North American Society of Pacing and Electrophysiology (NASPE) in 2001. The current recommendations include revisions to criteria on billing and collection, assistance that should or should not be performed, and the proper supervision necessary.

2012 Management of the Asymptomatic Young Patient with a Wolff-Parkinson-White

May 2012 — The expert consensus statement provides first-of-its-kind clinical practice guidelines on the evaluation and management of asymptomatic young patients with a WPW electrocardiographic pattern. This is also the first collaboration between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS).

2009 Guidelines for the Diagnosis and Management of Syncope

Clinical Ep
HRS Endorsed / Affirmed

January 1, 2009 - The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association, the Heart Failure Association, and the Heart Rhythm Society. This is a revised version of the 2004 ESC Guidelines on Syncope.

2007 ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery

Device Therapy
HRS Endorsed / Affirmed

December 19, 2007 — These guidelines are intended for physicians and nonphysician caregivers who are involved in the preoperative, operative, and postoperative care of patients undergoing noncardiac surgery. They provide a framework for considering cardiac risk of noncardiac surgery in a variety of patient and surgical situations.

This document has been retired and replaced by "2009 ACCF/AHA Focused Update on Perioperative Beta Blockade."

2006 ACC/AHA/ESC Guidelines for the Management of Patients with Atrial Fibrillation

Atrial Arrhythmias
HRS Endorsed / Affirmed

August 15, 2006 — A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines. This document has been retired and replaced by "2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation."