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The heart team: the multidisciplinary approach to coronary artery disease

Ramon A Riojas1,2, Jennifer S Lawton1, Thomas S Metkus1,3

  • 1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

Vessel Plus
|November 11, 2024
PubMed

Insights

The heart team approach, recommended for over a decade for revascularization, has seen limited adoption despite proven benefits. This review examines its history, success factors, and barriers to implementation.

Area of Science:

  • Cardiology
  • Healthcare Management

Background:

  • The heart team approach for guiding revascularization has been recommended for over 10 years.
  • Evidence supports improved guideline adherence with this multidisciplinary strategy.

Purpose of the Study:

  • To review the historical guidelines and data supporting the heart team approach.
  • To identify attributes of successful heart teams and implementation models.
  • To explore barriers and future considerations for heart team adoption.

Main Methods:

  • Literature review of guidelines and supporting data.
  • Analysis of heart team operational models at academic centers.
  • Discussion of implementation challenges.

Main Results:

  • Despite strong evidence, widespread adoption of the heart team approach remains limited.
  • Key attributes for successful heart teams include clear communication and defined roles.
  • Barriers include logistical challenges, established practices, and interdisciplinary collaboration issues.

Conclusions:

  • The heart team approach is evidence-based but faces adoption hurdles.
  • Addressing identified barriers is crucial for optimizing patient care through collaborative decision-making.

Keywords:
CABGMultidisciplinary teamPCIcomplex coronary artery diseaseheart team

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