The Multidisciplinary Heart Team in Cardiovascular Medicine
Wayne Batchelor, Saif Anwaruddin, Dee Dee Wang, Elizabeth M. Perpetua, Ashok Krishnaswami, Poonam Velagapudi, Janet Wyman, David A. Fullerton, Patricia Keegan, Alistair Phillips, Laura Ross, Brij Maini, Gwen M. Bernacki, Gurusher Panjrath, James Lee, Jeffrey B. Geske, Fred Welt, Prashanth D. Thakker, Anita Deswal, Ki Park, Michael J. Mack, Martin B. Leon, Sandra Lewis, David R. Holmes
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.