The Heart Team

Summary

The heart team employs a collaborative, multidisciplinary approach to cardiac care, uniting cardiologists, cardiac surgeons, and imaging experts to enhance patient outcomes. Emerging from trials on coronary artery disease treatment and transcatheter aortic valve replacement, the concept was formalised in 2014 by European guidelines. The team’s primary roles involve diagnosing complex cases through advanced imaging, creating personalised treatment plans, engaging patients in shared decision-making, and ensuring coordinated care during procedures. This approach improves outcomes, minimises bias, and boosts patient satisfaction by aligning treatments with individual preferences. It is especially advantageous for high-risk cases, such as advanced coronary disease, complex valvular disorders, and heart failure. Successful implementation depends on clear protocols for case selection, regular feedback, and open communication. Emerging technologies like telemedicine and artificial intelligence are anticipated to enhance decision-making, broaden access to care, and improve diagnostic accuracy.

Introduction

Modern cardiac care requires a collaborative approach to diagnosis and treatment. The increasing complexity of conditions such as coronary artery disease, heart valve disorders, heart failure, and arrhythmias, as well as the increasing proportion of cardiac patients with multiple comorbidities, necessitates a team of specialists working together to achieve optimal outcomes. This is where the heart team plays a pivotal...