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.

2009 Transvenous Lead Extraction: Heart Rhythm Society Expert Consensus on Facilities, Training, Indications, and Patient Management

Device Therapy

May 25, 2009An 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.

An update to this document titled 2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction was published in September 2017.

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.

2008 HRS/PACES Clinical Competency Statement: Training Pathways for Implantation of Cardioverter-Defibrillators and Cardiac Resynchronization Therapy Devices in Pediatric and Congenital Heart Patients


May 14, 2008—This clinical document details the training for ICD/CRT implants in patients who are either in the pediatric age range (birth–18 years of age) with or without congenital heart disease or adults with congenital heart disease. The health care team involved in the care of these patients should have knowledge and expertise about the implantation indications, implantation techniques, complications, programming, and follow-up for these devices, as well as the nontechnical treatment issues relevant to children.

This document has been retired and replaced by 2013 Recommendations for Advanced Fellowship Training in Clinical Pediatric and Congenital Electrophysiology.

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

Allied Professional
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.

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.