Heart Team e malattie valvolari: L’importanza di un approccio multidisciplinare

Francesco Burzotta, Piergiorgio Bruno, Carlo Trani, Filippo Crea, Massimo Massetti, Elisa Romagnoli, Cristina Aurigemma, Natalia Pavone, Francesca Graziani

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Valvular heart diseases (VHD) are common in the elderly population and several therapeutic options are available to treat them. When selecting the management strategy for VHD patients, to evaluate the operatory risk, using special scores like STS score, EuroSCORE II and other more specific ones is pivotal. However, the risk scores do not consider some aspects, such as the clinical needs of the single patients, the management of local resources and the expertise of the center. The Heart Team, combining the experience of various specialists, can optimize the decision-making process through a better evaluation of the risk/benefit ratio of the therapeutic choices. The multidisciplinary discussion of the most complex cases is recommended by the international guidelines for the management of VHD and it is part of the clinical practice of many centers. So far, both trials and large clinical studies supporting such multidisciplinary management are lacking. Despite these important limitations, the Heart Team can be actually regarded as a promising tool to locally promote best practices for the treatment of VHD patients.
Titolo tradotto del contributo[Autom. eng. transl.] Heart Team and valve diseases: The importance of a multidisciplinary approach
Lingua originaleItalian
pagine (da-a)561-569
Numero di pagine9
RivistaGiornale Italiano di Cardiologia
Volume22
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • Comorbidity
  • Decision-making
  • Heart Team
  • Multidisciplinary approach
  • Valvular heart disease
  • Risk scores
  • STS score
  • Transcatheter aortic valve implantation
  • Personalized medicine

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