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.

2011 Guidance for the Heart Rhythm Society Pertaining to Interactions with Industry

Clinical EP

April 26, 2011On October 18, 2010, HRS convened the Relationships with Industry Task Force to consider whether it should continue to collaborate with industry, why collaboration may be important, and to set parameters around industry collaboration. The Task Force concluded that collaboration with industry on research and innovation is required to achieve HRS’s mission. Nevertheless, because the potential for actual or perceived bias or conflict of interest does exist, it is necessary to establish strict ethical standards to protect the credibility of HRS and its members.

This document has been retired because it is no longer current.

2011 ACCF/AHA/HRS Focused Update on the Management of Patients with Atrial Fibrillation (Update on Dabigatran/2006 Guideline)

Atrial Arrhythmias

February 14, 2011—This guideline update states that dabigatran, a new antithrombotic agent that was recently approved by the U.S. Food and Drug Administration, is an alternative to warfarin to help prevent dangerous blood clots in patients with atrial fibrillation. The update is a joint publication of the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS). 

This document has been retired and replaced by 2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation.

See also 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation.

2011 ACCF/AHA/HRS Focused Update on the Management of Patients with Atrial Fibrillation (Updating the 2006 Guideline)

Atrial Arrhythmias

December 20, 2010—This guideline update is based on a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 

This document has been retired and replaced by 2014 AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation.

See also 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation.

2010 SCAI/ACCF/HRS/ESC/SOLACI/APSIC Statement on the Use of Live Case Demonstrations at Cardiology Meetings: Assessments of the Past and Standards for the Future

Training

September 21, 2010 – This statement is the result of a collaborative effort with interventional cardiologists and electrophysiology members from the Heart Rhythm Society (HRS). The document outlines and recommends standards for medical practitioners to use when performing and broadcasting live cardiovascular case demonstrations at medical meetings.

2010 A Heart Rhythm Society Electrophysiology Workforce Study: Current Survey Analysis of Physician Workforce Trends

Clinical EP

August 31, 2010 — A new study on overall workforce trends in the field of cardiac electrophysiology (EP) reveals an increasing demand for EP professionals resulting from shifting demographic trends, evolving health reform policies, and improved procedural outcomes. The study, commissioned in 2009 by the Heart Rhythm Society, provides data from nearly 700 respondents, including EPs, allied professionals, and basic scientists currently working within the field of cardiac electrophysiology. It found substantial growth in the overall volume and complexity of cardiac procedures performed in the past decade.

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.