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.

2010 HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in Patients Nearing End of Life or Requesting Withdrawal of Therapy

Ventricular Arrhythmias

May 17, 2010—This document was developed in collaboration with and endorsed by the American College of Cardiology (ACC), the American Geriatrics Society (AGS), the American Academy of Hospice and Palliative Medicine (AAHPM), the American Heart Association (AHA), the European Heart Rhythm Association (EHRA), and the Hospice and Palliative Nurses Association (HPNA). It focuses on patients nearing the end of life and addresses patients who have made a decision for CIED deactivation at other times, as well as the rights and responsibilities of clinicians (and others, such as industry-employed allied professionals) who may not wish to perform deactivation.

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

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This document has been retired because it is no longer current.

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.

2009 EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias

Ventricular Arrhythmias

May 14, 2009 — This Consensus Statement provides a state-of-the-art review on catheter ablation of ventricular tachycardia (VT). It reports on the findings of a Task Force representing the European Heart Rhythm Association (EHRA) and the Heart Rhythm Society (HRS) charged with defining the indications, techniques, and outcomes of this procedure.

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.

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.