Key result
The multidisciplinary heart team plays an invaluable role in managing patients with severe aortic stenosis by combining scientific evidence, expertise, and patient preferences.
Why the study?
Clinical decision-making for severe aortic stenosis valve replacement mode and prosthesis type has become increasingly complex, with several clinical scenarios still lacking definitive evidence and societal recommendations.
The multidisciplinary heart team is essential for optimizing individualized care and resource usage in patients with severe aortic stenosis, especially when definitive guideline recommendations are lacking.
Supports heart team integration for individualized aortic stenosis care amid guideline gaps; leaves open prospective validation of outcomes.
Transcatheter aortic valve replacement has transformed the paradigm of care for patients with severe aortic stenosis (AS). With transcatheter aortic valve replacement now commercially approved for AS patients of all surgical risk, clinical decision-making regarding the initial mode of valve replacement (e.g. surgical versus transcatheter) and prosthesis type has become even more complex. The updated American College of Cardiology/American Heart Association and European Society of Cardiology/European Association for Cardio-Thoracic Surgery guidelines on valvular heart disease offer a strong foundation from which to address the nuances of the treatment of AS; however, there remain several clinical scenarios for which evidence and thus definitive societal recommendations are lacking. As such, the heart team continues to play an invaluable role in the management of the AS patient by combining available scientific evidence, expertise across disciplines, and the patient's preferences to optimize individualized patient care and healthcare resource usage.
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Khan et al. (2022) conducted a review in Severe aortic stenosis. Multidisciplinary Heart Team was evaluated. The multidisciplinary heart team plays an invaluable role in managing patients with severe aortic stenosis by combining scientific evidence, expertise, and patient preferences.
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