Shared Decision-Making in Chronic Stable Angina and Severe Aortic Stenosis

Shared decision-making (SDM) is the process that promotes the agreement between treatment choices based on patient values and medical knowledge. For chronic stable angina, this involves facilitating decision-making between percutaneous coronary intervention and guideline-directed medical therapy according to personalized risks and benefits associated with these 2 treatment options. In severe aortic valve stenosis, SDM again comes to play, this time to select between transcatheter aortic valve implantation and surgical aortic valve replacement. The implementation of SDM in South Korea faces challenges, including limited patient involvement and preference for physician-driven decisions. Structural improvements cover multidisciplinary heart team discussion and patient education tools which integrate SDM well into enhancing patient-centered care by addressing these barriers to improve treatment accessibility and outcome in the South Korean healthcare system.