Guidelines and Clinical Practice Update Library

These statements were developed following a thorough consideration of medical literature and the best available evidence and clinical experience. They represent the consensus of a multidisciplinary panel comprised of experts on the topic with a mandate to formulate disease-specific recommendations. Recommendations are aimed to provide a reasonable and practical approach to care for specialists and allied health professionals obliged with the duty of bestowing optimal care to patients and families, and can be subject to change as scientific knowledge and technology advance and as practice patterns evolve. These statements are not intended to be a substitute for physicians using their individual judgement in managing clinical care in consultation with the patient, with appropriate regard to all the individual circumstances of the patient, diagnostic and treatment options available and available resources. Adherence to these recommendations will not necessarily produce successful outcomes in every case.

For Canadian physicians and surgeons: Reading CCS Guidelines, Clinical Practice Updates, and Position Statements is eligible in the Royal College Maintenance of Certification (MOC) Program under MOC Section 2: Individual Learning for Educational Content Review (reading). You may claim 0.5 credits per hour. Please note that only attendance to the live event permits for a certificate of attendance. To claim your MOC credit(s), you must record the activity in My MOC. 

Topic	Year	Title	Type	COI
Hypertrophic Cardiomyopathy	2024	Canadian Cardiovascular Society Clinical Practice Update on Contemporary Management of the Patient with Hypertrophic Cardiomyopathy	Clinical Practice Update	View
MINOCA	2024	Canadian Cardiovascular Society/Canadian Women’s Heart Health Alliance Clinical Practice Update on Myocardial Infarction With No Obstructive Coronary Artery Disease (MINOCA)	Clinical Practice Update	View
Post-Cardiac Arrest	2024	Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Clinical Practice Update on Optimal Post Cardiac Arrest and Refractory Cardiac Arrest Patient Care	Clinical Practice Update	View
Fitness to Drive	2024	Canadian Cardiovascular Society 2023 Guidelines on the Fitness to Drive	Guideline	View
Antiplatelet Therapy	2024	Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology 2023 Focused Update of the Guidelines for the Use of Antiplatelet Therapy	Guideline	View
Team Model and Care Pathways for Aortic Disease	2023	The Aortic Team Model and Collaborative Decision Pathways for the Management of Complex Aortic Disease: Clinical Practice Update From the Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery/Canadian Association for Interventional Radiology	Clinical Practice Update	View
Prolonged QT Interval	2023	2023 Canadian Cardiovascular Society Clinical Practice Update on Management of the Patient With a Prolonged QT Interval	Clinical Practice Update	View
HF Phenotypes	2023	Canadian Cardiovascular Society-Canadian Heart Failure Society Focused Clinical Practice Update of Patients With Differing Heart Failure Phenotypes	Clinical Practice Update	View
Neuroprognostication	2023	Neuroprognostication in the Post Cardiac Arrest Patient: A Canadian Cardiovascular Society Position Statement	Position Statement	View
Pediatric Dyslipidemia	2022	The Detection, Evaluation, and Management of Dyslipidemia in Children and Adolescents: A Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Clinical Practice Update	Clinical Practice Update	View
Cardiorenal	2022	2022 Canadian Cardiovascular Society Guideline for Use of GLP-1 Receptor Agonists and SGLT2 Inhibitors for Cardiorenal Risk Reduction in Adults	Guideline	View
Peripheral Arterial Disease	2022	Canadian Cardiovascular Society 2022 Guidelines for Peripheral Arterial Disease	Guideline	View
Cardiovascular/Heart Disease	2022	Canadian Cardiovascular Society 2022 Guidelines for Cardiovascular Interventions in Adults with Congenital Heart Disease	Guideline	View
Cardiovascular/Heart Disease	2021	CCS: Clinical Practice Update on Cardiovascular Management of the Pregnant Patient	Clinical Practice Update	View
Imaging/Device Therapy	2021	2021 Update on the Safety of Magnetic Resonance Imaging: a Joint Position Statement from the CCS/CanSCMR/CHRS	Position Statement	View
Heart Failure	2021	CCS/CHFS Heart Failure Guidelines Update: Defining a New Pharmacologic Standard of Care for HFrEF	Guideline	View
Dyslipidemia	2021	2021 CCS Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult	Guideline	View
Atrial Fibrillation	2020	2020 CCS/CHRS Comprehensive Guidelines for the Management of Atrial Fibrillation	Guideline	View
Arrhythmia	2020	2020 CCS/CHRS Position Statement on the Management of Ventricular Tachycardia and Fibrillation in Patients with Structural Heart Disease	Position Statement	View
Cardiovascular/Heart Disease	2020	CCS Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance	Position Statement	View
Heart Failure	2020	CCS/CHFS Joint Position Statement on the Evaluation and Management of Patients with Cardiac Amyloidosis	Position Statement	View
Heart Failure	2020	CCS Heart Failure Guidelines Update: Focus on FMR, SGLT2 Inhibitors, ARNI in HFpEF, and Amyloidosis	Guideline	View
Prevention / Risk	2020	CCS/CTS Position Statement on Pulmonary Hypertension	Position Statement	View
Syncope	2020	CCS Clinical Practice Update on the Assessment and Management of Syncope	Clinical Practice Update	View
Transplantation	2020	CCS/CCTN Position Statement on Heart Transplantation: Patient Eligibility, Selection, and Post-Transplantation Care	Position Statement	View
CAD/ACS	2019	2019 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Guidelines on the Acute Management of ST-Elevation Myocardial Infarction: Focused Update on Regionalization and Reperfusion	Guideline	View
Cardiovascular/Heart Disease	2019	2019 CCS Position Statement for Transcatheter Aortic Valve Implantation	Position Statement	View
Antiplatelet Therapy	2018	2018 CCS/CAIC Focused Update of the Guidelines for the use of Antiplatelet Therapy	Guideline	View
Atrial Fibrillation	2018	2018 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation Supplementary Material: Management of Atrial Fibrillation: Complete CCS Guidelines Listing	Guideline	View
Dyslipidemia	2018	Canadian Cardiovascular Society Position Statement on Familial Hypercholesterolemia: Update 2018	Position Statement	View
Prevention / Risk	2018	Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes	Position Statement	View
Heart Failure	2017	2017 Comprehensive Update of the CCS Guidelines for the Management of Heart Failure	Guideline
Cardiac Arrest	2017	Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Position Statement on the Optimal Care of the Post Arrest Patient	Position Statement
Atrial Fibrillation	2016	Supplementary Material: Complete Guidelines Listing – 2010 to 2016	Guideline
Atrial Fibrillation	2016	The 2014 Atrial Fibrillation Guidelines Companion: A Practical Approach to the Use of the CCS Guidelines	Commentary
Atrial Fibrillation	2016	2016 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation Corrigendum: Published online November 29, 2016	Guideline
Cardiovascular/Heart Disease	2016	Guidelines for Evaluation and Management of Cardiovascular Complications of Cancer Therapy	Guideline
Device Therapy	2016	CCS/CHRS 2016 Implantable Cardioverter-Defibrillator (ICD) Guidelines	Guideline
Dyslipidemia	2016	2016 Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult Application of GRADE and Evidence Review	Guideline
Heart Disease	2016	CCS/CPCA Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart Disease	Position Statement
Perioperative	2016	CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery	Guideline
Syncope	2016	CCS and CPCA Position Statement on the Approach to Syncope in the Pediatric Patient	Position Statement
Thoracic Aortic Disease	2016	CCS/CSCS/CSVS Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease	Position Statement
Atrial Fibrillation	2015	The 2014 Atrial Fibrillation Guidelines Companion: A Practical Approach to the Use of the CCS Guidelines	Commentary
Heart Failure	2015	The CCS Heart Failure Companion: Bridging Guidelines to your Practice Supplementary Material: Survey for Practical HF Guidelines Implementations by Canadian Experts	Commentary
Atrial Fibrillation	2014	Supplementary Material: Complete Guidelines Listing – 2010 to 2014	Guideline
Atrial Fibrillation	2014	Atrial Fibrillation Guidelines 2014 Focused Update: Management of Atrial Fibrillation Errata: Published online June 15 2015, Published in issue: December 2014	Guideline
CAD/ACS	2014	Revascularization—Multivessel Coronary Artery Disease – A CCS/CAIC/CSCS Joint Position Statement	Position Statement
Cardiovascular/Heart Disease	2014	Stable Ischemic Heart Disease Guidelines for Diagnosis and Management	Guideline
Dyslipidemia	2014	Familial Hypercholesterolemia: CCS Position Statement	Position Statement
Dyslipidemia	2014	Are the ACC/AHA Guidelines on the Treatment of Blood Cholesterol a Game Changer? A Perspective From the Canadian Cardiovascular Society Dyslipidemia Panel	Commentary
Heart Failure	2014	Heart Failure Guidelines 2014 Update: Focus on Anemia, Biomarkers, and Recent Therapeutic Trial Implications Erratum: Published online August 27 2015	Guideline
Thoracic Aortic Disease	2014	Management of Thoracic Aortic Disease	Position Statement
Device Therapy	2013	Cardiac Resynchronization Therapy Guidelines: Implementation	Guideline
Device Therapy	2013	Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up – A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement	Position Statement
Heart Failure	2013	Heart Failure Guidelines 2013 Update: Focus on Rehabilitation and Exercise and Surgical Coronary Revascularization	Guideline
Imaging / Echo	2013	Radiation Exposure From Cardiac Imaging and Interventional Procedures	Position Statement
Angina	2012	Management of Patients With Refractory Angina – A Canadian Cardiovascular Society/Canadian Pain Society Joint Guidelines	Guideline
Antiplatelet Therapy	2012	Antiplatelet Therapy Guidelines 2012 Update: The Use of Antiplatelet Therapy	Guideline
Assessment to Drive/Fly	2012	Fitness to Drive and Fly Guidelines 2012 Update: Fitness Following Left Ventricular Assist Device Implantation	Position Statement
Atrial Fibrillation	2012	Atrial Fibrillation Guidelines 2012 Update: Recommendations for Stroke Prevention and Rate/Rhythm Control	Guideline
Cardiovascular/Heart Disease	2012	Transcatheter Aortic Valve Implantation	Position Statement
Device Therapy	2012	Cardiac Resynchronization Therapy Guidelines: Evidence and Patient Selection	Guideline
Device Therapy	2012	Perioperative Management of Patients With Implanted Pacemakers, Defibrillators, and Neurostimulating Devices – Canadian Cardiovascular Society/Canadian Anesthesiologists’ Society/Canadian Heart Rhythm Society Joint Position Statement	Position Statement
Dyslipidemia	2012	Dyslipidemia Guidelines 2012 Update: Diagnosis and Treatment of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult	Guideline
Heart Failure	2012	Heart Failure Guidelines 2012 Update: Focus on Acute and Chronic Heart Failure	Guideline
Paediatric Cardiology	2012	Presentation, Diagnosis, and Medical Management of Heart Failure in Children	Guideline
Arrhythmia	2011	Genetic Testing in the Clinical Evaluation of Inherited Cardiac Arrhythmias Associated with Sudden Cardiac Death – A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Paper	Position Statement
Heart Failure	2011	Heart Failure Guidelines 2011 Update: Focus on Sleep Apnea, Renal Dysfunction, Mechanical Circulatory Support, and Palliative Care	Guideline
Prevention / Risk	2011	Smoking Cessation and the Cardiovascular Specialist	Position Statement
Rehabilitation	2011	Systematizing Inpatient Referral to Cardiac Rehabilitation 2010 – A Canadian Association of Cardiac Rehabilitation and Canadian Cardiovascular Society Joint Position Paper	Position Statement
Syncope	2011	Standardized Approaches to the Investigation of Syncope	Position Statement
Adult Echocardiography	2010	Echocardiography Guidelines for Training and Maintenance of Competency in Adult Echocardiography	Training and MOC
Adult Echocardiography	2010	Echocardiography Guidelines for Training and Maintenance of Competency in Adult Echocardiography	Guideline
Antiplatelet Therapy	2010	Antiplatelet Therapy Guidelines 2010: The Use of Antiplatelet Therapy in the Outpatient Setting	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #5: Catheter Ablation for Atrial Fibrillation/Atrial Flutter	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #2: Etiology and Initial Investigations	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #1: Implementing GRADE and Achieving Consensus	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #3: Management of Recent-Onset Atrial Fibrillation and Flutter in the Emergency Department	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #8: Prevention and Treatment of Atrial Fibrillation Following Cardiac Surgery	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #7: Prevention of Stroke and Systemic Thromboembolism in Atrial Fibrillation and Flutter	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #4: Rate and Rhythm Management	Guideline
Atrial Fibrillation	2010	Atrial Fibrillation Guidelines 2010 Update #6: Surgical Therapy	Guideline
Cardiac Computed Tomography	2010	Consensus Training Standards for Cardiac Computed Tomography	Training and MOC
Cardiac Electrophysiology	2010	Training Standards and Maintenance of Competency in Adult Clinical Cardiac Electrophysiology	Training and MOC
Cardiac Electrophysiology	2010	Training Standards and Maintenance of Competency in Adult Clinical Cardiac Electrophysiology	Guideline
Heart Failure	2010	Heart Failure Guidelines 2010 Update: Heart failure in ethnic minority populations, heart failure and pregnancy, disease management, and quality improvement/assurance programs	Guideline
Interventional Cardiology	2010	Guidelines for Training and Maintenance of Competency in Adult Interventional Cardiology	Training and MOC
Angina	2009	Refractory angina pectoris	Position Statement
Antiplatelet Therapy	2009	Dual antiplatelet therapy in patients requiring urgent coronary artery bypass grafting surgery	Position Statement
CAD/ACS	2009	Management of ST elevation myocardial infarction: American College of Cardiology and American Heart Association 2004 Guidelines	Canadian Perspective
Dyslipidemia	2009	Dyslipidemia Guidelines 2009 Update: Diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease in the adult	Guideline
Heart Disease	2009	Adult Congenital Heart Disease Guidelines Update 2009: Management of Adults with Congenital Heart Disease	Consensus Conference
Heart Failure	2009	Heart Failure Guidelines 2009 Update: Diagnosis and management of right-sided heart failure, myocarditis, device therapy and recent important clinical trials	Consensus Conference
Imaging / Echo	2009	Cardiac computed tomography in 2009, ‘What, when, where, who and how?’, Guidelines for the clinician	Commentary
Paediatric Cardiology	2009	Cardiac risk assessment before the use of stimulant medications in children and youth – A joint position statement by the Canadian Paediatric Society, the Canadian Cardiovascular Society, and the Canadian Academy of Child and Adolescent Psychiatry	Position Statement
Transplantation	2009	Cardiac Transplantation	Consensus Conference
Cardiovascular/Heart Disease	2008	Endocarditis prophylaxis guidelines: A compromise between science and common sense:American Heart Association 2007 Guidelines	Commentary
Heart Failure	2008	Heart Failure Guidelines 2008 Update: Best practices for transition of care of heart failure patients, and the recognition, investigation and treatment of cardiomyopathies	Consensus Conference
Imaging / Echo	2008	Contrast Echocardiography: Putting things into perspective – A Canadian Cardiovascular Society/Canadian Society of Echocardiography joint commentary	Canadian Perspective
CAD/ACS	2007	Drug-eluting stents – A Canadian Association of Interventional Cardiology and Canadian Cardiovascular Society joint statement	Position Statement
Heart Failure	2007	Heart Failure Guidelines 2007 Update: Prevention, management during intercurrent illness or acute decompensation, and use of biomarkers	Consensus Conference
Imaging / Echo	2007	Contrast Echocardiography in Canada – A Canadian Cardiovascular Society/Canadian Society of Echocardiography Position Paper	Commentary
Dyslipidemia	2006	Diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease	Position Statement
Heart Failure	2006	Heart Failure Guidelines 2006: Diagnosis and management	Consensus Conference
Imaging / Echo	2006	Advanced Non-invasive Cardiac Imaging using Positron Emission Tomography, Magnetic Resonance Imaging and Multi-Detector Computed Tomographic Angiography in the Diagnosis and Evaluation of Ischemic Heart Disease – A joint position statement by CCS / CAR / CANM / CNCS / Can SCMR	Position Statement
Device Therapy	2005	Implantable Cardioverter Defibrillator Use in Canada – A Canadian Cardiovascular Society and Canadian Heart Rhythm Society position paper	Position Statement
Peripheral Arterial Disease	2005	Peripheral Arterial Disease	Consensus Conference
Prevention / Risk	2005	Pulmonary Arterial Hypertension – A Canadian Cardiovascular Society and Canadian Thoracic Society position statement	Position Statement
Atrial Fibrillation	2004	Atrial Fibrillation Guidelines 2004	Consensus Conference
CAD/ACS	2004	STEMI: ACC/AHA Guidelines	Canadian Perspective
Cardiovascular/Heart Disease	2004	Surgical Management of Valvular Heart Disease	Consensus Conference
Imaging / Echo	2004	Provision of Echocardiography in Canada	Standards of Practice
Transplantation	2004	Paediatric and Adult Congential Heart Transplantation	Consensus Conference
Assessment to Drive/Fly	2003	Fitness to Drive and Fly Guidelines 2003: Assessment of the cardiac patient for fitness to drive and fly  (Executive Summary)	Consensus Conference
Heart Failure	2003	Heart Failure Guidelines 2002/2003: Diagnosis and Management of Heart Failure	Consensus Conference
Cardiovascular/Heart Disease	2002	Management of Heart Disease in the Elderly Patient	Consensus Conference
Prevention / Risk	2002	Hormone Replacement Therapy and Cardiovascular Disease –  Heart and Stroke Foundation of Canada, Society of Obstetricians and Gynecologists of Canada, Canadian Cardiovascular Society	Position Statement
Heart Disease	2001	Adult Congenital Heart Disease Guidelines 2001: Management of Adults with Congenital Heart Disease	Consensus Conference
Transplantation	2001	Cardiac Transplantation	Consensus Conference
Cardiovascular/Heart Disease	2000	Women and ischemic heart disease	Consensus Conference
Prevention / Risk	2000	Homocyst(e)ine and Cardiovascular Disease –  Heart and Stroke Foundation of Canada	Commentary
Arrhythmia	1999	Prevention of sudden death from ventricular arrhythmia   (Executive Summary)	Consenus Conference
Cardiovascular/Heart Disease	1999	Sildenafil in the Management of Sexual Dysfunction in Patients with Cardiovascular Disease	Position Statement
Prevention / Risk	1998	Prevention of cardiovascular diseases: the role of the cardiovascular specialist	Consensus Conference
Cardiovascular/Heart Disease	1997	Evaluation and Management of Chronic Ischemic Heart Disease	Consensus Conference
Cardiovascular/Heart Disease	1995	Indications For and Access To Revascularization	Consensus Conference
Cardiovascular/Heart Disease	1992	Coronary Thrombolysis	Consensus Conference
Angina	1976	Angina pectoris, a CCS Grading Scale	Consensus Conference