HRS/ACC Scientific Statement: Guiding Principles on Same-Day Discharge for Intracardiac Catheter Ablation Procedures

April 24, 2025—The Heart Rhythm Society (HRS) and the American College of Cardiology (ACC), partnered to develop the HRS/ACC Scientific Statement: Guiding Principles on Same-Day Discharge for Intracardiac Catheter Ablation Procedures.

As catheter ablation procedures continue to evolve—with improved safety, efficiency, and outcomes—there has been a growing shift toward same-day discharge (SDD) strategies to enhance patient access and optimize health system resources.

This scientific statement reviews global clinical evidence and real-world data supporting SDD after intracardiac ablation procedures. Available data demonstrate low complication rates, low readmission rates, and comparable outcomes to overnight observation, supporting the safety and feasibility of SDD in appropriately selected patients.

The document outlines key principles for implementing SDD protocols, emphasizing a structured approach across patient selection, procedural planning, and post-procedure management.

Key elements include:

• Careful patient selection, including clinical stability and social support
• Procedural planning to minimize risk and support recovery
• Standardized post-procedure monitoring and discharge criteria
• Clear patient education and follow-up planning

A central theme throughout the statement is the importance of shared decision-making, ensuring that discharge strategies prioritize patient safety, comfort, and patient preferences. In addition to clinical considerations, the document highlights broader system-level impacts, including improved access to care, increased operational efficiency, and potential cost savings for both facilities and patients.

Overall, this statement provides a practical framework for implementing same-day discharge protocols while maintaining high standards of patient-centered care.