Dated evidence notes are available inside each guide. New procedure guides and evidence notes checked 24 September 2026. AI-assisted drafting and research, checked against the primary sources below; not independent clinical certification. Practice-specific activity intervals, fasting policies and individual medicine plans still require your practice’s review. A recorded practice review is the practice’s own attestation.
Release maintenance uses AI-assisted source checks and a dated change log; no independent clinical sign-off is claimed. Your practice is responsible for its final protocol. Corrections appear in this update history and the editor’s comparison panel. Email correction alerts are not active. Before reusing a saved PDF, check for template updates and retain the document ID with your practice’s distributed copy.
Template update history
25 Sep 2026 · base 2026-09-25.2 — transvenous pacemaker, ICD, S-ICD, leadless pacemaker, generator change, PVC, SVT and typical flutter guides now allow booked appointments or timeframes with booking instructions. No new fields or visits; clinical follow-up intervals and warning signs are unchanged. Saved practice edits remain preserved.
25 Sep 2026 · PVC, SVT, typical flutter and cardioversion base 2026-09-25.1 — aligned cardioversion recurrence advice across recovery and warning sections; replaced a leadless-device recovery citation with catheter-ablation evidence; highlighted the PVC/SVT rhythm-medication plan. Contact timing and practical recovery intervals remain labeled local protocols. Saved practice edits are preserved; use comparison to adopt revised sections.
24 Sep 2026 · six-procedure base 2026-09-24.2 — added PVC ablation, SVT EP study and ablation, typical flutter ablation, leadless pacemaker, generator-only replacement and elective cardioversion. Separate quick preferences and evidence panels; existing drafts remain unchanged.
24 Sep 2026 · ICD/S-ICD base 2026-09-24.1 — added separate new-implant guides, device-specific capabilities and risks, shock action plans, individualized driving clearance and provider-only evidence notes. Four optional recovery preferences reuse the existing workflow. Prior guides, edits and review histories are unchanged. Numeric lifting and dressing intervals are labeled practice protocols, not universal guidelines.
24 Sep 2026 — added provider-only evidence notes in both editors. Each topic identifies the baseline default, source type, rationale, exceptions, links and source-check date. Practice protocols are distinguished from guidelines. Patient wording and saved edits are unchanged; evidence notes do not validate custom wording or appear on patient printouts.
19 Sep 2026 · base 2026-09-19.5 — broadened the pacemaker guide to permanent transvenous implantation with one or more leads, rather than only dual-chamber systems. Leadless pacemakers remain a separate future guide. Medicine and recovery defaults are unchanged. Existing saved wording and review history are preserved; use comparison to adopt updated sections.
19 Sep 2026 · base 2026-09-19.4 — grouped preparation headings with their opening instructions to address headings left at page bottoms. No patient wording changed. The reviewer confirmed the earlier footer-only page was resolved; the newest layout still needs visual verification.
19 Sep 2026 · base 2026-09-19.3 — let later sections flow onto available paper and keep the closing footer with its preceding paragraph. The separate reviewer confirmed the opening checklist fits on one page in Safari with headers on; complete revised pagination still needs visual verification. Expanded disposable tests for review lookup, saved replacements and comparison limitations. No clinical wording changed.
19 Sep 2026 · base 2026-09-19.2 — tightened checklist print spacing and heading/paragraph page-break rules, added changed-paragraph highlighting and section matching, and linked printed IDs to account-specific review lookup. Complete PDF pagination still requires visual verification. No clinical instructions changed.
19 Sep 2026 · base 2026-09-19.1 — added template comparison and selective section replacement, print-time setup reminders, neutral document IDs and reusable after-hours contacts. Clarified who provides pacemaker driving clearance without setting a universal driving date. Preserved prior practice wording.
18 Sep 2026 — added dual-chamber pacemaker guide, direct editing, drug-specific missed-dose instructions and the ertugliflozin exception. Added action checklists, non-blocking setup reminders and practice review history. Existing direct edits are preserved; template updates do not automatically replace them.