Clinical Resources | Heart Rhythm Society

Clinical Resources

Authored and endorsed clinical documents provide three main components vital to advancements in the heart rhythm field: analysis of the evidence, discussion of current issues, and suggestions for clinical application.

Published Clinical Documents

2011 HRS/ASA Expert Consensus Statement on the Perioperative Management of Patients with Implantable Defibrillators, Pacemakers, and Arrhythmia Monitors: Facilities and Patient Management

Device Therapy

July 1, 2011—Developed as a joint project with the American Society of Anesthesiologists (ASA) and in collaboration with the American Heart Association (AHA) and the Society of Thoracic Surgeons (STS), a diverse panel of experts in pacemaker and defibrillator management focused on medical procedures that might interfere with cardiovascular implantable electronic device (CIED) function.


This document was reaffirmed on June 16, 2021, and will be formally assessed by June 2026.

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 This document has been retired because it is no longer current.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

Atrial Arrhythmias
Atrial Fibrillation

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
Atrial Fibrillation

December 20, 2010—This guideline update focuses on several areas in which new data on management of patients with atrial fibrillation (AF) have become available, including a) recommendations for strict versus lenient heart rate control, b) combined use of antiplatelet and anticoagulant therapy, and c) use of dronedarone.


 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.

Sudden Cardiac Death Prediction and Prevention: Report from a National Heart, Lung, and Blood Institute and Heart Rhythm Society Workshop

Clinical EP

November 30, 2010—The National Heart, Lung, and Blood Institute (NHLBI) and the Heart Rhythm Society (HRS) jointly presented a workshop featuring experts in cardiac electrophysiology on September 29–30, 2009, in Washington, DC. The workshop explored emerging approaches for improved prediction and prevention of sudden cardiac death (SCD). This special report outlines the expert consensus, identifies knowledge gaps, and makes six specific research recommendations.

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 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
Device Therapy

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 15, 2023 and will be formally assessed again in 2028.

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