Canadian Cardiovascular Society

Guidelines and Position Statement 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.

TopicYearTitleTypeCOI
Atrial Fibrillation20202020 CCS/CHRS Comprehensive Guidelines for the Management of Atrial FibrillationGuideline
Arrhythmia20202020 CCS/CHRS Position Statement on the Management of Ventricular Tachycardia and Fibrillation in Patients with Structural Heart DiseasePosition Statement
Cardiovascular/Heart Disease2020CCS Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic IntolerancePosition StatementView
Heart Failure2020CCS/CHFS Joint Position Statement on the Evaluation and Management of Patients with Cardiac AmyloidosisPosition StatementView
Heart Failure2020CCS Heart Failure Guidelines Update: Focus on FMR, SGLT2 Inhibitors, ARNI in HFpEF, and AmyloidosisGuidelineView
Prevention / Risk2020CCS/CTS Position Statement on Pulmonary HypertensionPosition Statement
Syncope2020CCS Clinical Practice Update on the Assessment and Management of SyncopeClinical Practice Update
Transplantation2020CCS/CCTN Position Statement on Heart Transplantation: Patient Eligibility, Selection, and Post-Transplantation CarePosition StatementView
CAD/ACS20192019 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Guidelines on the Acute Management of ST-Elevation Myocardial Infarction: Focused Update on Regionalization and ReperfusionGuidelineView
Cardiovascular/Heart Disease20192019 CCS Position Statement for Transcatheter Aortic Valve ImplantationPosition StatementView
Antiplatelet Therapy20182018 CCS/CAIC Focused Update of the Guidelines for the use of Antiplatelet TherapyGuidelineView
Atrial Fibrillation20182018 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation
Supplementary MaterialManagement of Atrial Fibrillation: Complete CCS Guidelines Listing
GuidelineView
Dyslipidemia2018Canadian Cardiovascular Society Position Statement on Familial Hypercholesterolemia: Update 2018Position StatementView
Prevention / Risk2018Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive AthletesPosition StatementView
Heart Failure20172017 Comprehensive Update of the CCS Guidelines for the Management of Heart FailureGuideline
Atrial Fibrillation2016Supplementary Material: Complete Guidelines Listing – 2010 to 2016Guideline
Atrial Fibrillation2016The 2014 Atrial Fibrillation Guidelines Companion: A Practical Approach to the Use of the CCS GuidelinesCommentary
Atrial Fibrillation20162016 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation
Corrigendum: Published online November 29, 2016
Guideline
Cardiac Arrest2016Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology Position Statement on the Optimal Care of the Post Arrest PatientPosition Statment
Cardiovascular/Heart Disease2016Guidelines for Evaluation and Management of Cardiovascular Complications of Cancer TherapyGuideline
Device Therapy2016CCS/CHRS 2016 Implantable Cardioverter-Defibrillator (ICD) GuidelinesGuideline
Dyslipidemia20162016 Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult
Application of GRADE and Evidence Review
Guideline
Heart Disease2016CCS/CPCA Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection of Critical Congenital Heart DiseasePosition Statement
Perioperative2016CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgeryGuideline
Syncope2016CCS and CPCA Position Statement on the Approach to Syncope in the Pediatric PatientPosition Statement
Thoracic Aortic Disease2016CCS/CSCS/CSVS Position Statement on Open and Endovascular Surgery for Thoracic Aortic DiseasePosition Statement
Atrial Fibrillation2015The 2014 Atrial Fibrillation Guidelines Companion: A Practical Approach to the Use of the CCS GuidelinesCommentary
Heart Failure2015The CCS Heart Failure Companion: Bridging Guidelines to your Practice
Supplementary Material: Survey for Practical HF Guidelines Implementations by Canadian Experts
Commentary
Atrial Fibrillation2014Supplementary Material: Complete Guidelines Listing – 2010 to 2014Guideline
Atrial Fibrillation2014Atrial Fibrillation Guidelines 2014 Focused Update: Management of Atrial Fibrillation
ErrataPublished online June 15 2015Published in issue: December 2014
Guideline
CAD/ACS2014Revascularization—Multivessel Coronary Artery Disease – A CCS/CAIC/CSCS Joint Position StatementPosition Statement
Cardiovascular/Heart Disease2014Stable Ischemic Heart Disease Guidelines for Diagnosis and ManagementGuideline
Dyslipidemia2014Familial Hypercholesterolemia: CCS Position StatementPosition Statement
Dyslipidemia2014Are the ACC/AHA Guidelines on the Treatment of Blood Cholesterol a Game Changer? A Perspective From the Canadian Cardiovascular Society Dyslipidemia PanelCommentary
Heart Failure2014Heart Failure Guidelines 2014 Update: Focus on Anemia, Biomarkers, and Recent Therapeutic Trial Implications
ErratumPublished online August 27 2015
Guideline
Thoracic Aortic Disease2014Management of Thoracic Aortic DiseasePosition Statement
Device Therapy2013Cardiac Resynchronization Therapy Guidelines: ImplementationGuideline
Device Therapy2013Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up – A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position StatementPosition Statement
Heart Failure2013Heart Failure Guidelines 2013 Update: Focus on Rehabilitation and Exercise and Surgical Coronary RevascularizationGuideline
Imaging / Echo2013Radiation Exposure From Cardiac Imaging and Interventional ProceduresPosition Statement
Angina2012Management of Patients With Refractory Angina – A Canadian Cardiovascular Society/Canadian Pain Society Joint GuidelinesGuideline
Antiplatelet Therapy2012Antiplatelet Therapy Guidelines 2012 Update: The Use of Antiplatelet TherapyGuideline
Assessment to Drive/Fly2012Fitness to Drive and Fly Guidelines 2012 Update: Fitness Following Left Ventricular Assist Device ImplantationPosition Statement
Atrial Fibrillation2012Atrial Fibrillation Guidelines 2012 Update: Recommendations for Stroke Prevention and Rate/Rhythm ControlGuideline
Cardiovascular/Heart Disease2012Transcatheter Aortic Valve ImplantationPosition Statement
Device Therapy2012Cardiac Resynchronization Therapy Guidelines: Evidence and Patient SelectionGuideline
Device Therapy2012Perioperative Management of Patients With Implanted Pacemakers, Defibrillators, and Neurostimulating Devices – Canadian Cardiovascular Society/Canadian Anesthesiologists’ Society/Canadian Heart Rhythm Society Joint Position StatementPosition Statement
Dyslipidemia2012Dyslipidemia Guidelines 2012 Update: Diagnosis and Treatment of Dyslipidemia for the Prevention of Cardiovascular Disease in the AdultGuideline
Heart Failure2012Heart Failure Guidelines 2012 Update: Focus on Acute and Chronic Heart FailureGuideline
Paediatric Cardiology2012Presentation, Diagnosis, and Medical Management of Heart Failure in ChildrenGuideline
Arrhythmia2011Genetic Testing in the Clinical Evaluation of Inherited Cardiac Arrhythmias Associated with Sudden Cardiac Death – A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position PaperPosition Statement
Heart Failure2011Heart Failure Guidelines 2011 Update: Focus on Sleep Apnea, Renal Dysfunction, Mechanical Circulatory Support, and Palliative CareGuideline
Prevention / Risk2011Smoking Cessation and the Cardiovascular SpecialistPosition Statement
Rehabilitation2011Systematizing Inpatient Referral to Cardiac Rehabilitation 2010 – A Canadian Association of Cardiac Rehabilitation and Canadian Cardiovascular Society Joint Position PaperPosition Statement
Syncope2011Standardized Approaches to the Investigation of SyncopePosition Statement
Adult
Echocardiography
2010Echocardiography Guidelines for Training and Maintenance of Competency in Adult EchocardiographyTraining and MOC
Adult
Echocardiography
2010Echocardiography Guidelines for Training and Maintenance of Competency in Adult EchocardiographyGuideline
Antiplatelet Therapy2010Antiplatelet Therapy Guidelines 2010: The Use of Antiplatelet Therapy in the Outpatient SettingGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #5: Catheter Ablation for Atrial Fibrillation/Atrial FlutterGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #2: Etiology and Initial InvestigationsGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #1: Implementing GRADE and Achieving ConsensusGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #3: Management of Recent-Onset Atrial Fibrillation and Flutter in the Emergency DepartmentGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #8: Prevention and Treatment of Atrial Fibrillation Following Cardiac SurgeryGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #7: Prevention of Stroke and Systemic Thromboembolism in Atrial Fibrillation and FlutterGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #4: Rate and Rhythm ManagementGuideline
Atrial Fibrillation2010Atrial Fibrillation Guidelines 2010 Update #6: Surgical TherapyGuideline
Cardiac Computed Tomography2010Consensus Training Standards for Cardiac Computed TomographyTraining and MOC
Cardiac Electrophysiology2010Training Standards and Maintenance of Competency in Adult Clinical Cardiac ElectrophysiologyTraining and MOC
Cardiac Electrophysiology2010Training Standards and Maintenance of Competency in Adult Clinical Cardiac ElectrophysiologyGuideline
Heart Failure2010Heart Failure Guidelines 2010 Update: Heart failure in ethnic minority populations, heart failure and pregnancy, disease management, and quality improvement/assurance programsGuideline
Interventional Cardiology2010Guidelines for Training and Maintenance of Competency in Adult Interventional CardiologyTraining and MOC
Angina2009Refractory angina pectorisPosition Statement
Antiplatelet Therapy2009Dual antiplatelet therapy in patients requiring urgent coronary artery bypass grafting surgeryPosition Statement
CAD/ACS2009Management of ST elevation myocardial infarction: American College of Cardiology and American Heart Association 2004 GuidelinesCanadian Perspective
Dyslipidemia2009Dyslipidemia Guidelines 2009 Update: Diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease in the adultGuideline
Heart Disease2009Adult Congenital Heart Disease Guidelines Update 2009: Management of Adults with Congenital Heart DiseaseConsensus Conference
Heart Failure2009Heart Failure Guidelines 2009 Update: Diagnosis and management of right-sided heart failure, myocarditis, device therapy and recent important clinical trialsConsensus Conference
Imaging / Echo2009Cardiac computed tomography in 2009, ‘What, when, where, who and how?’, Guidelines for the clinicianCommentary
Paediatric Cardiology2009Cardiac 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 PsychiatryPosition Statement
Transplantation2009Cardiac TransplantationConsensus Conference
Cardiovascular/Heart Disease2008Endocarditis prophylaxis guidelines: A compromise between science and common sense:American Heart Association 2007 GuidelinesCommentary
Heart Failure2008Heart Failure Guidelines 2008 Update: Best practices for transition of care of heart failure patients, and the recognition, investigation and treatment of cardiomyopathiesConsensus Conference
Imaging / Echo2008Contrast Echocardiography: Putting things into perspective – A Canadian Cardiovascular Society/Canadian Society of Echocardiography joint commentaryCanadian Perspective
CAD/ACS2007Drug-eluting stents – A Canadian Association of Interventional Cardiology and Canadian Cardiovascular Society joint statementPosition Statement
Heart Failure2007Heart Failure Guidelines 2007 Update: Prevention, management during intercurrent illness or acute decompensation, and use of biomarkersConsensus Conference
Imaging / Echo2007Contrast Echocardiography in Canada – A Canadian Cardiovascular Society/Canadian Society of Echocardiography Position PaperCommentary
Dyslipidemia2006Diagnosis and treatment of dyslipidemia and prevention of cardiovascular diseasePosition Statement
Heart Failure2006Heart Failure Guidelines 2006: Diagnosis and managementConsensus Conference
Imaging / Echo2006Advanced 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 SCMRPosition Statement
Device Therapy2005Implantable Cardioverter Defibrillator Use in Canada – A Canadian Cardiovascular Society and Canadian Heart Rhythm Society position paperPosition Statement
Peripheral Arterial Disease2005Peripheral Arterial DiseaseConsensus Conference
Prevention / Risk2005Pulmonary Arterial Hypertension – A Canadian Cardiovascular Society and Canadian Thoracic Society position statementPosition Statement
Atrial Fibrillation2004Atrial Fibrillation Guidelines 2004Consensus Conference
CAD/ACS2004STEMI: ACC/AHA GuidelinesCanadian Perspective
Cardiovascular/Heart Disease2004Surgical Management of Valvular Heart DiseaseConsensus Conference
Imaging / Echo2004Provision of Echocardiography in CanadaStandards of Practice
Transplantation2004Paediatric and Adult Congential Heart TransplantationConsensus Conference
Assessment to Drive/Fly2003Fitness to Drive and Fly Guidelines 2003: Assessment of the cardiac patient for fitness to drive and fly 
(Executive Summary)
Consensus Conference
Heart Failure2003Heart Failure Guidelines 2002/2003: Diagnosis and Management of Heart FailureConsensus Conference
Cardiovascular/Heart Disease2002Management of Heart Disease in the Elderly PatientConsensus Conference
Prevention / Risk2002Hormone Replacement Therapy and Cardiovascular Disease –  Heart and Stroke Foundation of Canada, Society of Obstetricians and Gynecologists of Canada, Canadian Cardiovascular SocietyPosition Statement
Heart Disease2001Adult Congenital Heart Disease Guidelines 2001: Management of Adults with Congenital Heart DiseaseConsensus Conference
Transplantation2001Cardiac TransplantationConsensus Conference
Cardiovascular/Heart Disease2000Women and ischemic heart diseaseConsensus Conference
Prevention / Risk2000Homocyst(e)ine and Cardiovascular Disease –  Heart and Stroke Foundation of CanadaCommentary
Arrhythmia1999Prevention of sudden death from ventricular arrhythmia  
(Executive Summary)
Consenus Conference
Cardiovascular/Heart Disease1999Sildenafil in the Management of Sexual Dysfunction in Patients with Cardiovascular DiseasePosition Statement
Prevention / Risk1998Prevention of cardiovascular diseases: the role of the cardiovascular specialistConsensus Conference
Cardiovascular/Heart Disease1997Evaluation and Management of Chronic Ischemic Heart DiseaseConsensus Conference
Cardiovascular/Heart Disease1995Indications For and Access To RevascularizationConsensus Conference
Cardiovascular/Heart Disease1992Coronary ThrombolysisConsensus Conference
Angina1976Angina pectoris, a CCS Grading ScaleConsensus Conference
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