Yadava O P
National Heart Institute, 49-50 Community Centre, East of Kailash, New Delhi, 110065, India.
Indian Heart J. 2017 Sep-Oct;69(5):681-683. doi: 10.1016/j.ihj.2017.02.005. Epub 2017 Feb 21.
Post Syntax Trial, 'Heart Team' Concept has been ensconsed class I recommendation in both the European and ACC/AHA guidelines and has gained increasing traction in context of complex and multi modality procedures. Despite an arrray of advantages including the much touted - 'the patient is central', there are a plethora of un-addressed issues, some of which sentinel to our country, which threaten to make the 'Heart Team' concept a perfunctory exercise. As it stands today, 'Heart Team' is more of a fictional euphemism, a kind of 'Platonic Illusion' rather than a pragmatic reality.
在心脏手术试验之后,“心脏团队”概念在欧洲和美国心脏病学会/美国心脏协会(ACC/AHA)指南中均被列为I类推荐,并在复杂和多模态手术的背景下越来越受到关注。尽管有一系列优势,包括备受吹捧的“以患者为中心”,但仍有大量未解决的问题,其中一些对我国来说是关键问题,这些问题可能会使“心脏团队”概念沦为一种敷衍了事的做法。就目前的情况而言,“心脏团队”更像是一个虚构的委婉说法,一种“柏拉图式的幻想”,而不是一个切实可行的现实。