Riojas Ramon A, Lawton Jennifer S, Metkus Thomas S
Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Malcolm Grow Medical Clinics and Surgery Center, Joint Base-Andrews, MD 20762, USA.
Vessel Plus. 2024;8. doi: 10.20517/2574-1209.2023.122. Epub 2024 Jan 24.
The recommendation to employ a heart team to guide revascularization has persisted for over a decade. Despite evidence for improved adherence to guidelines, widespread adoption of the heart team approach has been limited. This review delves into the history of the guidelines endorsing the use of a heart team and the supporting data. Additionally, it outlines some attributes of a successful heart team, and how the heart team has been run at several large academic centers. Finally, it reviews some of the barriers to a heart team and future considerations.
采用心脏团队来指导血运重建的建议已经持续了十多年。尽管有证据表明对指南的遵循有所改善,但心脏团队方法的广泛采用仍然有限。本综述深入探讨了支持使用心脏团队的指南的历史及相关支持数据。此外,它概述了成功的心脏团队的一些特点,以及几个大型学术中心是如何运作心脏团队的。最后,它回顾了心脏团队面临的一些障碍以及未来的考量。