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'Heart Team' Concept - A reality or a 'Platonic Illusion'
1National Heart Institute, 49-50 Community Centre, East of Kailash, New Delhi, 110065, India.
Indian Heart Journal
|October 22, 2017
Summary
The Heart Team concept, recommended in guidelines for complex procedures, faces challenges in practical application. Current implementation often falls short, making it a theoretical ideal rather than a functional reality.
Area of Science:
- Cardiology
- Healthcare Management
Background:
- The Heart Team concept is a Class I recommendation in European and ACC/AHA guidelines.
- It is increasingly adopted for complex and multi-modality cardiovascular procedures.
Purpose of the Study:
- To critically evaluate the practical implementation and effectiveness of the Heart Team concept.
- To identify unaddressed issues hindering the Heart Team's pragmatic application, particularly in specific national contexts.
Main Methods:
- Qualitative analysis of guideline recommendations.
- Review of clinical practice challenges related to interdisciplinary cardiovascular care.
Main Results:
- Despite theoretical advantages like patient-centered care, significant practical challenges exist.
- The Heart Team concept often functions as a euphemism, lacking true operational integration.
Conclusions:
- The Heart Team concept, while well-intentioned, is frequently a 'Platonic Illusion' rather than a pragmatic reality.
- Addressing systemic issues is crucial for the Heart Team to achieve its intended benefits in cardiovascular care.
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