Heart Team

The Heart Team includes clinical or non-invasive cardiologists, interventional cardiologists and cardiac surgeons and is entrusted the process of balanced decision making in case of interventional or surgical therapies for stable, complex coronary artery disease. The concept of a multidisciplinary Heart Team was developed by the SYNTAX Investigators [1] and endorsed by the European (ESC/EACTS) Guidelines on Myocardial Revascularization 2010 [2]. In an interesting study by Long J and colleagues [3] found that on rediscussion of same patient data one year later yielded a different advice in about a quarter of the cases, suggesting that in certain cases of coronary artery disease, both coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) might be appropriate. A later review on the concept of Heart Team adds on shared decision making with the patient for optimal treatment strategy in stable complex coronary artery disease [4].

References

  1. Guidelines on myocardial revascularization. European Heart Journal Oct 2010, 31 (20) 2501-2555.
  2. Serruys PW et al; SYNTAX Investigators. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. N Engl J Med. 2009 Mar 5;360(10):961-72.
  3. Long J, Luckraz H, Thekkudan J, Maher A, Norell M. Heart Team discussion in managing patients with coronary artery disease: outcome and reproducibility. Interact CardioVasc Thorac Surg 2012;14(5):594–598.
  4. Head SJ, Kaul S, Mack MJ, Serruys PW, Taggart DP, Holmes DRJr., Leon MB, Marco J, Bogers AJ, Kappetein AP. The rationale for Heart Team decision-making for patients with stable, complex coronary artery disease. Eur Heart J 2013;34(32):2510–2518.