1 Heart team assessment is now recommended for clinical use to ensure that patient-centered, evidence-based, multidisciplinary clinical decisions are rendered. The heart team for coronary revascularization is a multidisciplinary team convened to evaluate complex patients for coronary revascularization.
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What are the indications for heart team discussion for coronary revascularization? At this point, the patient was referred for consideration of revascularization options. Coronary angiography ( Figure 1, Videos 1 and 2) demonstrated 90% proximal left main coronary artery stenosis with catheter damping on engagement, an eccentric 70% proximal to middle left anterior descending artery stenosis, 80% first diagonal artery stenosis, 70% ostial circumflex artery stenosis, and 90% posterior descending artery stenosis. Because of symptoms of new dyspnea believed to be an anginal equivalent, as well as a perfusion defect on stress testing, he was referred for coronary angiography. Echocardiography demonstrated a left ventricular ejection fraction (LVEF) of 60%, and a Holter monitor evaluation reported a 12% burden of premature ventricular complexes. Understand how revascularization decisions with the heart teams should weigh risks and benefits of treatments in the context of patient preferences.Ī myocardial single photon-emission computed tomography scan revealed a fixed inferoapical perfusion defect. Understand the indications for heart team decision making for coronary revascularization.ĭescribe the composition and conduct of effective revascularization heart teams.