The Multidisciplinary Heart Team in Cardiovascular Medicine: Current Role and Future Challenges

Wayne B Batchelor; Saif Anwaruddin; Dee Dee Wang; Elizabeth M Perpetua; Ashok Krishnaswami; Poonam Velagapudi; Janet F Wyman; David Fullerton; Patricia Keegan; Alistair Phillips; Laura Ross; Brij Maini; Gwen Bernacki; Gurusher S Panjrath; James Lee; Jeffrey B Geske; Fred Welt; Prashanth D Thakker; Anita Deswal; Ki Park; Michael J Mack; Martin Leon; Sandra Lewis; David Holmes

doi:10.1016/j.jacadv.2022.100160

The Multidisciplinary Heart Team in Cardiovascular Medicine: Current Role and Future Challenges

JACC Adv. 2023 Jan 11;2(1):100160. doi: 10.1016/j.jacadv.2022.100160. eCollection 2023 Jan.

Authors

Wayne B Batchelor¹, Saif Anwaruddin², Dee Dee Wang³, Elizabeth M Perpetua^{4

5}, Ashok Krishnaswami^{6

7}, Poonam Velagapudi⁸, Janet F Wyman⁹, David Fullerton¹⁰, Patricia Keegan¹¹, Alistair Phillips¹², Laura Ross¹³, Brij Maini¹⁴, Gwen Bernacki^{15

16}, Gurusher S Panjrath¹⁷, James Lee³, Jeffrey B Geske¹⁸, Fred Welt¹⁹, Prashanth D Thakker²⁰, Anita Deswal²¹, Ki Park²², Michael J Mack²³, Martin Leon²⁴, Sandra Lewis²⁵, David Holmes²⁶

Affiliations

¹ ACC Interventional Cardiology Section Leadership Council, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
² Division of Cardiology, ACC Interventional Section Leadership Council, St. Vincent Hospital, Worcester, Massachusetts, USA.
³ ACC Cardiovascular Imaging Section Leadership Council, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, Michigan, USA.
⁴ ACC Cardiovascular Team Section Leadership Council, Empath Health Services, Seattle, Washington, USA.
⁵ Seattle Pacific University, School of Health Sciences and School of Nursing, Seattle, Washington, USA.
⁶ Division of Cardiology, ACC Geriatric Cardiology Section Leadership Council, Kaiser Permanente San Jose Medical Center, San Jose, California, USA.
⁷ Division of Geriatrics, Stanford University School of Medicine, Stanford, California, USA.
⁸ Division of Cardiology, ACC Early Career Professionals Section Leadership Council, University of Nebraska Medical Center, Omaha, Nebraska, USA.
⁹ ACC Cardiovascular Team Section Leadership Council, Center for Structural Heart Disease, Henry Ford Health System, Detroit, Michigan, USA.
¹⁰ Division of Cardiothoracic Surgery, Department of Surgery, ACC Cardiac Surgery Team Section Leadership Council, University of Colorado School of Medicine, Aurora, Colorado, USA.
¹¹ Division of Cardiology, ACC Cardiovascular Team Section Leadership Council, Emory Structural Heart and Valve Center, Emory University Hospital Midtown, Atlanta, Georgia, USA.
¹² ACC Cardiac Surgery Team Section Leadership Council, The Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
¹³ ACC Interventional Cardiology Section Leadership Council, Park Nicollet Heart and Vascular Center, St. Louis Park, Massachusetts, USA.
¹⁴ Charles E. Schmidt College of Medicine, Florida Atlantic University, Delray Medical Center, Delray Beach, Florida, USA.
¹⁵ Cardiovascular Division, Department of Medicine, ACC Geriatric Section Leadership Council, Cambia Palliative Care Center of Excellence, University of Washington, Seattle, Washington, USA.
¹⁶ Veterans Administration of Puget Sound, University of Washington School of Medicine, Seattle, Washington, USA.
¹⁷ ACC Heart Failure and Transplant Section Leadership Council, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
¹⁸ Department of Cardiovascular Medicine, ACC Cardiovascular Imaging Section Leadership Council, Mayo Clinic, Rochester, Minnesota, USA.
¹⁹ Division of Cardiovascular Medicine, ACC Interventional Cardiology Leadership Council, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
²⁰ Cardiovascular Division, Department of Medicine, ACC Fellows in Training Section Leadership Council, Washington University, Saint Louis, Missouri, USA.
²¹ Division of Internal Medicine, Department of Cardiology, ACC Cardio-Oncology Leadership Council, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
²² Division of Cardiovascular Medicine, ACC Interventional Cardiology Section Leadership Council, University of Florida College of Medicine, Malcom Randall VA Medical Center, Gainesville, Florida, USA.
²³ Division of Cardiothoracic Surgery, Department of Surgery, ACC Cardiac Surgery Team Section Leadership Council, Baylor Scott and White Health, Dallas, Texas, USA.
²⁴ Division of Cardiology, Department of Medicine, ACC Leon Center Leadership Council, Columbia University Irving Medical Center, New York, New York, USA.
²⁵ ACC Section Steering Committee, Legacy Medical Group Cardiology, Portland, Oregon, USA.
²⁶ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Abstract

Cardiovascular multidisciplinary heart teams (MDHTs) have evolved significantly over the past decade. These teams play a central role in the treatment of a wide array of cardiovascular diseases affecting interventional cardiology, cardiac surgery, interventional imaging, advanced heart failure, adult congenital heart disease, cardio-oncology, and cardio-obstetrics. To meet the specific needs of both patients and heart programs, the composition and function of cardiovascular MDHTs have had to adapt and evolve. Although lessons have been learned from multidisciplinary cancer care, best practices for the operation of cardiovascular MDHTs have yet to be defined, and the evidence base supporting their effectiveness is limited. This expert panel review discusses the history and evolution of cardiovascular MDHTs, their composition and role in treating patients across a broad spectrum of disciplines, basic tenets for successful operation, and the future challenges facing them.

Keywords: multidisciplinary heart team; structural heart disease; team-based care.

Publication types

Review