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Published on: June 28, 2024
The Multidisciplinary Heart Team in Cardiovascular Medicine: Current Role and Future Challenges
Wayne B Batchelor1, Saif Anwaruddin2, Dee Dee Wang3
1ACC Interventional Cardiology Section Leadership Council, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
Insights
Cardiovascular multidisciplinary heart teams (MDHTs) are crucial for treating complex heart conditions. Defining best practices and evidence for MDHT effectiveness remains essential for optimal patient care.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Heart Failure Management
Background:
- Cardiovascular multidisciplinary heart teams (MDHTs) have evolved significantly.
- These teams are central to treating diverse cardiovascular diseases.
Purpose of the Study:
- To review the evolution, composition, and role of cardiovascular MDHTs.
- To discuss operational tenets and future challenges for cardiovascular MDHTs.
Main Methods:
- Expert panel review.
- Discussion of historical evolution and current practices.
- Analysis of roles across various cardiovascular disciplines.
Main Results:
- Cardiovascular MDHTs have adapted to patient and program needs.
- Lessons from cancer care inform but do not fully define cardiovascular MDHT best practices.
- Evidence supporting cardiovascular MDHT effectiveness is currently limited.
Conclusions:
- Cardiovascular MDHTs are integral to modern cardiovascular care.
- Further research is needed to establish best practices and evidence for cardiovascular MDHTs.
- Defining operational tenets is crucial for future success.
Abstract:
Cardiovascular multidisciplinary heart teams (MDHTs) have evolved significantly over the past decade. These teams play a central role in the treatment of a wide array of cardiovascular diseases affecting interventional cardiology, cardiac surgery, interventional imaging, advanced heart failure, adult congenital heart disease, cardio-oncology, and cardio-obstetrics. To meet the specific needs of both patients and heart programs, the composition and function of cardiovascular MDHTs have had to adapt and evolve. Although lessons have been learned from multidisciplinary cancer care, best practices for the operation of cardiovascular MDHTs have yet to be defined, and the evidence base supporting their effectiveness is limited. This expert panel review discusses the history and evolution of cardiovascular MDHTs, their composition and role in treating patients across a broad spectrum of disciplines, basic tenets for successful operation, and the future challenges facing them.
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