Sarkar Kunal
Department of Cardiac Surgery, Medica Superspecialty Hospital, Kolkata, India.
Indian J Thorac Cardiovasc Surg. 2018 Dec;34(Suppl 3):355-361. doi: 10.1007/s12055-018-0764-6. Epub 2018 Nov 16.
The European Society of Cardiology and the European Association for Cardio-Thoracic Surgery as well as the American College of Cardiology and the American Heart association have recognized the "Heart Team" as the best option for a patient centric treatment strategy and has granted a class I recommendation for its formation. The aim of this review is to discuss the evolution, scope and composition, the benefits, and problems inherent in its implementation in the Indian scenario.
A review of articles on Heart Team from cardiac surgery as well as multidisciplinary meetings from other specialties was performed. Advantages of Heart Team formation and its implementation have been critically evaluated and its applicability to the Indian scenario considered in particular.
Heart Team formation is associated with many positives. Concern remains about the implementation of Heart Team approach in its true sense. Heart Team-led decisions are definitely patient centric despite multiple challenges in resource-limited environments.
Despite the challenges, a multidisciplinary team approach in the form of Heart Team is recommended and its implementation possible in India. However, adjustments to the mechanism of implementation are required. Further research needs to focus on creating models for implementation and assessment of these models in terms of cost effectiveness, improved patient outcomes, and patient satisfaction in the process.
欧洲心脏病学会、欧洲心胸外科学会以及美国心脏病学会和美国心脏协会都认可“心脏团队”是患者为中心治疗策略的最佳选择，并对其组建给予了 I 类推荐。本综述的目的是讨论其在印度情况下的演变、范围和组成、益处以及实施中固有的问题。
对心脏外科关于心脏团队的文章以及其他专业的多学科会议进行了综述。对心脏团队组建及其实施的优势进行了严格评估，并特别考虑了其在印度情况下的适用性。
心脏团队的组建有诸多积极意义。对心脏团队方法的真正实施仍存在担忧。尽管在资源有限的环境中存在多重挑战，但由心脏团队主导的决策绝对是以患者为中心的。
尽管存在挑战，但仍建议采用心脏团队形式的多学科团队方法，并且在印度是可行的。然而，需要对实施机制进行调整。进一步的研究需要专注于创建实施模型，并在成本效益、改善患者结局以及过程中的患者满意度方面对这些模型进行评估。
