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Consensus and Position Papers on Arrhythmias and Electrophysiology

European Heart Rhythm Association (EHRA)

EHRA has published in past years a number of scientific documents in collaboration with the main players in the field of arrhythmias, systematically publishing them in EP Europace.

Since 2008, EHRA has also produced scientific documents in collaboration with different organisations – HRS, ACC, AHA, ESC, APHRS, LAHRS...– and is continually launching task forces to tackle new and challenging scientific topics.

Today EHRA continues to cover new areas of interest in the field and to produce scientific statements, recommendations and position papers.

EHRA Key Messages App

EHRA Key Messages App

This apps contains the principal messages of our scientific documents, providing highlights in a concise, accessible format.

Please click here for EHRA endorsement and joint documents processes.

Date

Title

Notes

Date: 06 Jul 2023

Title: Practical guidance to reduce radiation exposure in electrophysiology applying ultra low-dose protocols: an EHRA review.

This document is supported by SIEMENS HEALTHCARE GmbH in the form of an educational grant. The scientific content has not been influenced in any way by its sponsor
Date: 17 Apr 2023

Title: EHRA expert consensus document on the management of arrhythmias in frailty syndrome, endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa
Date: 17 Apr 2023

Title: EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS)
Date: 19 Oct 2022

Title: Searching for atrial fibrillation: looking harder, looking longer, and in increasingly sophisticated ways. An EHRA position paper
Date: 22 Aug 2022

Title: EHRA expert consensus statement on arrhythmic mitral valve prolapse and mitral annular disjunction complex

In collaboration with the ESC Council on Valvular Heart Disease and the European Association of Cardiovascular Imaging endorsed by the Heart Rhythm Society, by the Asia Pacific Heart Rhythm Society, and by the Latin American Heart Rhythm Society.
Date: 01 Aug 2022

Title: Practical considerations, indications and future perspectives for leadless and extravascular cardiac implantable electronic devices: a position paper by EHRA/HRS/LAHRS/APHRS
Date: 08 Jun 2022

Title: ESC Working Group on e-Cardiology Position Paper: accuracy and reliability of electrocardiogram monitoring in the detection of atrial fibrillation in cryptogenic stroke patients: In collaboration with the Council on Stroke, the European Heart Rhythm Association, and the Digital Health Committee
Date: 04 Apr 2022

Title: EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices
Date: 04 Apr 2022

Title: European Heart Rhythm Association (EHRA)/Heart Rhythm Society (HRS)/Asia Pacific Heart Rhythm Society (APHRS)/Latin American Heart Rhythm Society (LAHRS) Expert Consensus Statement on the state of genetic testing for cardiac diseases
Date: 04 Apr 2022

Title: How to use digital devices to detect and manage arrhythmias: an EHRA practical guide
Date: 22 Mar 2022

Title: Assessment and mitigation of bleeding risk in atrial fibrillation and venous thromboembolism: A Position Paper from the ESC Working Group on Thrombosis, in collaboration with the European Heart Rhythm Association, the Association for Acute CardioVascular Care and the Asia-Pacific Heart Rhythm Society
Date: 02 Feb 2022

Title: Critical appraisal of technologies to assess electrical activity during atrial fibrillation: a position paper from the European Heart Rhythm Association and European Society of Cardiology Working Group on eCardiology in collaboration with the Heart Rhythm Society, Asia Pacific Heart Rhythm Society, Latin American Heart Rhythm Society and Computing in Cardiology
Date: 28 Aug 2021

Title: Medical therapies for prevention of cardiovascular and renal events in patients with atrial fibrillation and diabetes mellitus

This document was supported by a grant from Bayer AG.
The content has not been influenced in any way by its sponsor.
Date: 21 Jul 2021

Title: EHRA Certification: a 15-year journey of attesting excellence in arrythmia healthcare
Date: 25 Apr 2021

Title: 2021 European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation
Date: 22 Apr 2021

Title: EHRA expert consensus statement and practical guide on optimal implantation technique for conventional pacemakers and implantable cardioverter-defibrillators: endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS)
Date: 02 Mar 2021

Title: Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA)
Date: 01 Mar 2021

Title: Risk stratification of patients undergoing transvenous lead extraction with the ELECTRa Registry Outcome Score (EROS): an ESC EHRA EORP European lead extraction ConTRolled ELECTRa registry analysis
Date: 05 Feb 2021

Title: Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients
Date: 04 Feb 2021

Title: 2021 ISHNE/ HRS/ EHRA/ APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals
Date: 13 Jan 2021

Title: Dynamic risk assessment to improve quality of care in patients with atrial fibrillation: the 7th AFNET/EHRA Consensus Conference
Date: 07 Nov 2020

Title: The cardiac arrest centre for the treatment of sudden cardiac arrest due to presumed cardiac cause: aims, function, and structur
Date: 31 Aug 2020

Title: Quality indicators for the care and outcomes of adults with atrial fibrillation
Date: 04 Aug 2020

Title: Remote monitoring of cardiac implanted electronic devices: legal requirements and ethical principles - ESC Regulatory Affairs Co
Date: 27 Jul 2020

Title: The effect of centre volume and procedure location on major complications and mortality from transvenous lead extraction: an ESC EHRA EORP European Lead Extraction ConTRolled ELECTRa registry subanalysis
Date: 30 Jun 2020

Title: Recommendations for participation in leisure-time physical activity and competitive sports of patients with arrhythmias and potentially arrhythmogenic conditions. Part 2: ventricular arrhythmias, channelopathies, and implantable defibrillators
Date: 29 Jun 2020

Title: Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions – Part 1: Supraventricular arrhythmias
Date: 15 Jun 2020

Title: 2020 EHRA/HRS/APHRS/LAHRS expert consensus on risk assessment in cardiac arrhythmias: use the right tool for the right outcome, in the right population
Date: 20 Nov 2019

Title: 'Real-world’ observational studies in arrhythmia research: data sources, methodology, and interpretation.

A position document from European Heart Rhythm Association (EHRA), endorsed by Heart Rhythm Society (HRS), Asia-Pacific HRS (APHRS), and Latin America HRS (LAHRS).
Date: 13 Nov 2019

Title: EHRA international consensus document on how to prevent, diagnose and treat cardiac implantable electronic device infections

Endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).
Date: 01 Sep 2019

Title: EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion – an update.
Date: 30 Jul 2019

Title: Cardiac arrhythmias in the emergency settings of acute coronary syndrome and revascularization

A European Heart Rhythm Association (EHRA) consensus document, endorsed by the European Association of Percutaneous Cardiovascular Interventions (EAPCI), Association for Acute CardioVascular Care (ACVC)
Date: 14 May 2019

Title: 2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias
Date: 27 Mar 2019

Title: EHRA White Paper: knowledge gaps in arrhythmia management—status 2019
Date: 21 Mar 2019

Title: Management of asymptomatic arrhythmias

A European Heart Rhythm Association (EHRA) consensus document, endorsed by the Heart Failure Association (HFA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Cardiac Arrhythmia Society of Southern Africa (CASSA), and Latin America Heart Rhythm Society (LAHRS)
Date: 23 Aug 2018

Title: Management of antithrombotic therapy in atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing percutaneous cardiovascular interventions

This document was supported by a grant from Boehringer Ingelheim.
The content has not been influenced in any way by its sponsor.
Date: 13 Jul 2018

Title: Management of arrhythmias and cardiac electronic devices in the critically ill and post-surgery patient
Date: 28 Jun 2018

Title: Sex differences in cardiac arrhythmia
Date: 10 May 2018

Title: Battery longevity of implantable cardioverter-defibrillators and cardiac resynchronization therapy defibrillators: technical, clinical and economic aspects. an expert review paper from EHRA
Date: 20 Mar 2018

Title: Arrhythmias in congenital heart disease
Date: 19 Mar 2018

Title: Updated 2018 Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation
Date: 18 Mar 2018

Title: EHRA/HRS/APHRS/LAHRS expert consensus on arrhythmias and cognitive function: what is the best practice?
Date: 16 Mar 2018

Title: Arrhythmia management and device therapies in endocrine disorders
Date: 16 Mar 2018

Title: Lead extraction: recommendations on definitions, endpoints, research trial design, and data collection requirements for clinical scientific studies and registries
Date: 09 Feb 2018

Title: Antiarrhythmic drugs–clinical use and clinical decision making
Date: 06 Nov 2017

Title: Occupational radiation exposure in the electrophysiology laboratory with a focus on personnel with reproductive potential and during pregnancy
Date: 15 Sep 2017

Title: HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation
Date: 30 Aug 2017

Title: Antithrombotic therapy in atrial fibrillation associated with valvular heart disease
Date: 10 Jul 2017

Title: Device-detected subclinical atrial tachyarrhythmias: definition, implications and management
Date: 05 Jul 2017

Title: Screening for atrial fibrillation
Date: 17 Jun 2017

Title: Hypertension and cardiac arrhythmias
Date: 01 Mar 2017

Title: Management of supraventricular arrhythmias
Date: 01 Jan 2017

Title: EHRA/EAPC: How to prevent atrial fibrillation
Date: 01 Jan 2017

Title: EHRA/EAPC: Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death
Date: 06 Oct 2016

Title: Left univentricular pacing for cardiac resynchronization therapy

Thanks to an educational grant from Medtronic.
The scientific content has not been influenced in any way by its sponsor.
Date: 04 Oct 2016

Title: The wearable cardioverter-defibrillator: current technology and evolving indications

Thanks to an educational grant from Zoll.
The scientific content has not been influenced in any way by its sponsor.
Date: 08 Jul 2016

Title: EHRA/HRS/APHRS/SOLAECE expert consensus on atrial cardiomyopathies: definition, characterization, and clinical implication
Date: 09 Feb 2016

Title: The role of multi-modality imaging for the evaluation of patients with atrial fibrillation
Date: 19 Nov 2015

Title: HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing
Date: 18 Oct 2015

Title: A roadmap to improve the quality of atrial fibrillation management
Date: 31 Aug 2015

Title: Updated 2015 Practical Guide on the use of non-vitamin K antagonist anticoagulants in patients with non-valvular atrial fibrillation
Date: 21 Aug 2015

Title: Arrhythmias in heart failure
Date: 24 Jun 2015

Title: Cardiac tachyarrhythmias and patient values and preferences for their management
Date: 24 Jun 2015

Title: Syncope Unit: rationale and requirement
Date: 24 Jun 2015

Title: Chronic kidney disease in patients with cardiac rhythm disturbances or implantable electrical devices: clinical significance and implications for decision making
Date: 23 Jun 2015

Title: Antithrombotic management in patients undergoing electrophysiological procedures
Date: 29 May 2015

Title: State of the art of leadless pacing

Thanks to an unrestricted grant from St Jude Medical.
The scientific content has not been influenced in any way by its sponsor.
Date: 11 Sep 2014

Title: An EHRA review of multisite pacing to achieve cardiac resynchronization therapy

Thanks to an unrestricted grant from Medtronic.
The scientific content has not been influenced in any way by its sponsor.
Date: 01 Sep 2014

Title: EHRA/HRS/APHRS Expert consensus on ventricular arrhythmias
Date: 29 Aug 2014

Title: EHRA/EAPCI Catheter-based left atrial appendage occlusion
Date: 29 Aug 2014

Title: EHRA/ACCA/EAPCI: Cardiac arrhythmias in acute coronary syndromes
Date: 02 May 2014

Title: Practical ways to reduce radiation dose for patients and staff during device implantations and electrophysiological procedures
Date: 20 Nov 2013

Title: New devices in heart failure

Thanks to an unrestricted grant from St Jude Medical.
The scientific content has not been influenced in any way by its sponsor.
Date: 30 Aug 2013

Title: HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes
Date: 27 Aug 2013

Title: Personalized management of atrial fibrillation: Proceedings from the fourth Atrial Fibrillation competence NETwork/European Heart Rhythm Association consensus conference
Date: 12 Jul 2013

Title: Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement
Date: 01 Jun 2013

Title: The use of imaging for electrophysiological and devices procedures
Date: 21 May 2013

Title: Impact of extending device longevity on the long-term costs of implantable cardioverterdefibrillator therapy: a modelling study with a 15-year time horizon

Thanks to an educational grant from Boston Scientific. The scientific content has not been influenced in any way by its sponsor.
Date: 01 Sep 2012

Title: EHRA/HRS expert consensus statement on cardiac resynchronization therapy in heart failure: implant and follow-up recommendations and management
Date: 01 Aug 2012

Title: Statistics on the Use of Cardiac Electronic Devices and Electrophysiological Procedures in 54 ESC countries
Date: 01 Mar 2012

Title: HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design
Date: 01 Jan 2012

Title: Pathways for training and accreditation for transvenous lead extraction
Date: 19 Aug 2011

Title: ISHNE/EHRA expert consensus on remote monitoring of cardiovascular implantable electronic devices (CIEDs)
Date: 01 Aug 2011

Title: HRS/EHRA Expert Consensus Statement on the State of Genetic Testing for the Channelopathies and Cardiomyopathies
Date: 26 Jul 2011

Title: Comprehensive risk reduction in patients with atrial fibrillation: emerging diagnostic and therapeutic options: a report from the 3rd Atrial Fibrillation Competence NETwork/European Heart Rhythm Association consensus conference
Date: 01 May 2011

Title: Bleeding risk assessment and management in atrial fibrillation patients
Date: 01 Jan 2011

Title: Management of patients with palpitations
Date: 25 Oct 2010

Title: Management of patients receiving implantable cardiac defibrillator shocks: Recommendations for acute and long-term patient management
Date: 30 Jul 2010

Title: Management of cardiovascular implantable electronic devices in patients nearing end of life or requesting withdrawal of therapy
Date: 30 Sep 2009

Title: Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting With Acute Coronary Syndrome and/or Undergoing Percutaneous Coronary Intervention/ Stenting
Date: 01 Jul 2009

Title: Early and comprehensive management of atrial fibrillation: Proceedings from the 2nd AFNET/EHRA consensus conference on atrial fibrillation entitled ‘research perspectives in atrial fibrillation’
Date: 13 Jun 2009

Title: Updated recommendations for driving by patients with implantable cardioverter defibrillators
Date: 01 Jun 2009

Title: EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias
Date: 01 May 2009

Title: Indications for the use of diagnostic implantable and external ECG loop recorders
Date: 01 Jun 2008

Title: Monitoring of Cardiovascular Implantable Electronic Devices (CIEDs): Description of Techniques, Indications, Personnel, Frequency and Ethical Considerations
Date: 01 Nov 2007

Title: Outcome parameters for trials in atrial fibrillation
Date: 22 Mar 2006

Title: Guidance Document on cardiac rhythm management product performance