The coronary heart team

作者：Yanagawa Bobby; Puskas John D; Bhatt Deepak L; Verma Subodh

来源：Current Opinion in Cardiology, 2017, 32(5): 627-632.

DOI：10.1097/HCO.0000000000000432

• complete revascularization
• coronary artery bypass graft
• heart team
• hybrid revascularization
• percutaneous coronary intervention

Purpose of review
The concept of a Coronary Heart Team has generated increased interest, including support from major practice guidelines. Here, we review the rationale and the published experience of Coronary Heart Teams.
Recent findings
A Coronary Heart Team should be led by both cardiology and cardiac surgery with a shared decisionmaking approach. The team should incorporate data from anatomic and clinical risk prediction models to offer individualized care. Most teams focus on management of complex patients and those with indications for both coronary artery bypass graft and percutaneous coronary intervention. The potential benefits of a Coronary Heart Team include balanced decision-making, greater adherence to evidence-based practice guidelines, as well as promoting greater collegiality and exchange of knowledge between specialties. Single-center series have demonstrated consistency in decision-making by Coronary Heart Teams but prospective data demonstrating improved patient outcomes and/or cost effectiveness are necessary.
Summary
The concept of a Coronary Heart Team is gaining traction for patients with complex coronary artery disease. There is a growing literature in support of Coronary Heart Teams but comparative and prospective data demonstrating improved patient outcomes are needed.

• 出版日期2017-9