Table 3: Open in new tab Studies...

Study

Year

Pathology

Cases discussed

Team composition

Meeting frequency

Presence of a structured template for discussion

Risk scores considered

Case review process

Bonzel et al.

2016

All adult cardiac coronary and valvular disease

All comers

At least 1 interventional cardiologist, 1 cardiac surgeon and 1 non-interventional cardiologist

Weekly +-emergency meeting

No mention of structured template

Yes—SYNTAX and STS

Patients received comprehensive clinical and catheterization data presentations
Presentations included large-screen projections of still images and cine-angiograms

Domingues et al.

2018

CAD

All-comers CAD

A cardiothoracic surgeon, a clinical cardiologist and an interventional cardiologist

Daily

Yes—structured template for patient discussion

Yes—SYNTAX score

The Heart Team evaluates patient details and risk assessments provided in institutional briefings
They analyse coronary images and compute SYNTAX scores for intricate CAD cases during their meetings

Patterson et al.

2019

CAD

CAD patients >18 years old

At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist

Once a week

No mention of template. HT coordinator present

SYNTAX score

The Heart Team’s treatment decisions were informed by comprehensive clinical data, patient functionality and characteristics, with open, evidence-based discussions shaping the choice of treatment
Risk evaluations included SYNTAX score calculations, and left ventricular dysfunction was classified by an ejection fraction under 50%

Abdulrahman et al.

2019

CAD

Isolated multivessel CAD

At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist

Once a day (during weekdays)

Yes—Proforma mentioned

Yes—SYNTAX and EuroSCORE II considered

For patients with single or 2-vessel disease undergoing diagnostic coronary angiography, immediate stent placement is common, but significant left main or 3-vessel disease prompts discussion at the day’s later HT meeting
An HT proforma is prepped before these meetings to compile patient demographics, comorbidities, angiographic findings and pertinent scores, ensuring efficient and informed HT discussions

Tsang et al.

2020

CAD

Multivessel CAD

One interventional cardiologist, 1 cardiovascular surgeon and 1 non-invasive cardiologist

N/A

Yes—structured online case presentation and a virtual heart team interface

EuroSCORE II, SYNTAX score, STS score

Eight trios of heart team members assessed patient cases via a virtual platform, making independent, blind treatment recommendations
These recommendations were then contrasted with the original decisions of the treating interventional cardiologists

Young et al.

2020

CAD

Complex CAD and deemed high risk for surgical or percutaneous revascularization

One referring team physician, 1 primary cardiologist, at least 2 interventional cardiologists and at least 2 cardiothoracic surgeons

Upon request by referring cardiology

Yes—“CAD Heart Team Decision Aid”

STS-PROM, SYNTAX score

Patient evaluations encompassed lab results, coronary angiography, echocardiography, potential right heart haemodynamic and when necessary, non-invasive functional tests, alongside a thorough risk assessment using established tools

Study

Year

Pathology

Cases discussed

Team composition

Meeting frequency

Presence of a structured template for discussion

Risk scores considered

Case review process

Bonzel et al.

2016

All adult cardiac coronary and valvular disease

All comers

At least 1 interventional cardiologist, 1 cardiac surgeon and 1 non-interventional cardiologist

Weekly +-emergency meeting

No mention of structured template

Yes—SYNTAX and STS

Patients received comprehensive clinical and catheterization data presentations
Presentations included large-screen projections of still images and cine-angiograms

Domingues et al.

2018

CAD

All-comers CAD

A cardiothoracic surgeon, a clinical cardiologist and an interventional cardiologist

Daily

Yes—structured template for patient discussion

Yes—SYNTAX score

The Heart Team evaluates patient details and risk assessments provided in institutional briefings
They analyse coronary images and compute SYNTAX scores for intricate CAD cases during their meetings

Patterson et al.

2019

CAD

CAD patients >18 years old

At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist

Once a week

No mention of template. HT coordinator present

SYNTAX score

The Heart Team’s treatment decisions were informed by comprehensive clinical data, patient functionality and characteristics, with open, evidence-based discussions shaping the choice of treatment
Risk evaluations included SYNTAX score calculations, and left ventricular dysfunction was classified by an ejection fraction under 50%

Abdulrahman et al.

2019

CAD

Isolated multivessel CAD

At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist

Once a day (during weekdays)

Yes—Proforma mentioned

Yes—SYNTAX and EuroSCORE II considered

For patients with single or 2-vessel disease undergoing diagnostic coronary angiography, immediate stent placement is common, but significant left main or 3-vessel disease prompts discussion at the day’s later HT meeting
An HT proforma is prepped before these meetings to compile patient demographics, comorbidities, angiographic findings and pertinent scores, ensuring efficient and informed HT discussions

Tsang et al.

2020

CAD

Multivessel CAD

One interventional cardiologist, 1 cardiovascular surgeon and 1 non-invasive cardiologist

N/A

Yes—structured online case presentation and a virtual heart team interface

EuroSCORE II, SYNTAX score, STS score

Eight trios of heart team members assessed patient cases via a virtual platform, making independent, blind treatment recommendations
These recommendations were then contrasted with the original decisions of the treating interventional cardiologists

Young et al.

2020

CAD

Complex CAD and deemed high risk for surgical or percutaneous revascularization

One referring team physician, 1 primary cardiologist, at least 2 interventional cardiologists and at least 2 cardiothoracic surgeons

Upon request by referring cardiology

Yes—“CAD Heart Team Decision Aid”

STS-PROM, SYNTAX score

Patient evaluations encompassed lab results, coronary angiography, echocardiography, potential right heart haemodynamic and when necessary, non-invasive functional tests, alongside a thorough risk assessment using established tools

Table 3:

Open in new tab

Studies focusing on CAD, structure and composition of the HT

Study	Year	Pathology	Cases discussed	Team composition	Meeting frequency	Presence of a structured template for discussion	Risk scores considered	Case review process
Bonzel et al.	2016	All adult cardiac coronary and valvular disease	All comers	At least 1 interventional cardiologist, 1 cardiac surgeon and 1 non-interventional cardiologist	Weekly +-emergency meeting	No mention of structured template	Yes—SYNTAX and STS	Patients received comprehensive clinical and catheterization data presentations Presentations included large-screen projections of still images and cine-angiograms
Domingues et al.	2018	CAD	All-comers CAD	A cardiothoracic surgeon, a clinical cardiologist and an interventional cardiologist	Daily	Yes—structured template for patient discussion	Yes—SYNTAX score	The Heart Team evaluates patient details and risk assessments provided in institutional briefings They analyse coronary images and compute SYNTAX scores for intricate CAD cases during their meetings
Patterson et al.	2019	CAD	CAD patients >18 years old	At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist	Once a week	No mention of template. HT coordinator present	SYNTAX score	The Heart Team’s treatment decisions were informed by comprehensive clinical data, patient functionality and characteristics, with open, evidence-based discussions shaping the choice of treatment Risk evaluations included SYNTAX score calculations, and left ventricular dysfunction was classified by an ejection fraction under 50%
Abdulrahman et al.	2019	CAD	Isolated multivessel CAD	At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist	Once a day (during weekdays)	Yes—Proforma mentioned	Yes—SYNTAX and EuroSCORE II considered	For patients with single or 2-vessel disease undergoing diagnostic coronary angiography, immediate stent placement is common, but significant left main or 3-vessel disease prompts discussion at the day’s later HT meeting An HT proforma is prepped before these meetings to compile patient demographics, comorbidities, angiographic findings and pertinent scores, ensuring efficient and informed HT discussions
Tsang et al.	2020	CAD	Multivessel CAD	One interventional cardiologist, 1 cardiovascular surgeon and 1 non-invasive cardiologist	N/A	Yes—structured online case presentation and a virtual heart team interface	EuroSCORE II, SYNTAX score, STS score	Eight trios of heart team members assessed patient cases via a virtual platform, making independent, blind treatment recommendations These recommendations were then contrasted with the original decisions of the treating interventional cardiologists
Young et al.	2020	CAD	Complex CAD and deemed high risk for surgical or percutaneous revascularization	One referring team physician, 1 primary cardiologist, at least 2 interventional cardiologists and at least 2 cardiothoracic surgeons	Upon request by referring cardiology	Yes—“CAD Heart Team Decision Aid”	STS-PROM, SYNTAX score	Patient evaluations encompassed lab results, coronary angiography, echocardiography, potential right heart haemodynamic and when necessary, non-invasive functional tests, alongside a thorough risk assessment using established tools

Study	Year	Pathology	Cases discussed	Team composition	Meeting frequency	Presence of a structured template for discussion	Risk scores considered	Case review process
Bonzel et al.	2016	All adult cardiac coronary and valvular disease	All comers	At least 1 interventional cardiologist, 1 cardiac surgeon and 1 non-interventional cardiologist	Weekly +-emergency meeting	No mention of structured template	Yes—SYNTAX and STS	Patients received comprehensive clinical and catheterization data presentations Presentations included large-screen projections of still images and cine-angiograms
Domingues et al.	2018	CAD	All-comers CAD	A cardiothoracic surgeon, a clinical cardiologist and an interventional cardiologist	Daily	Yes—structured template for patient discussion	Yes—SYNTAX score	The Heart Team evaluates patient details and risk assessments provided in institutional briefings They analyse coronary images and compute SYNTAX scores for intricate CAD cases during their meetings
Patterson et al.	2019	CAD	CAD patients >18 years old	At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist	Once a week	No mention of template. HT coordinator present	SYNTAX score	The Heart Team’s treatment decisions were informed by comprehensive clinical data, patient functionality and characteristics, with open, evidence-based discussions shaping the choice of treatment Risk evaluations included SYNTAX score calculations, and left ventricular dysfunction was classified by an ejection fraction under 50%
Abdulrahman et al.	2019	CAD	Isolated multivessel CAD	At least 1 interventional cardiologist, 1 cardiothoracic surgeon and 1 non-invasive cardiologist	Once a day (during weekdays)	Yes—Proforma mentioned	Yes—SYNTAX and EuroSCORE II considered	For patients with single or 2-vessel disease undergoing diagnostic coronary angiography, immediate stent placement is common, but significant left main or 3-vessel disease prompts discussion at the day’s later HT meeting An HT proforma is prepped before these meetings to compile patient demographics, comorbidities, angiographic findings and pertinent scores, ensuring efficient and informed HT discussions
Tsang et al.	2020	CAD	Multivessel CAD	One interventional cardiologist, 1 cardiovascular surgeon and 1 non-invasive cardiologist	N/A	Yes—structured online case presentation and a virtual heart team interface	EuroSCORE II, SYNTAX score, STS score	Eight trios of heart team members assessed patient cases via a virtual platform, making independent, blind treatment recommendations These recommendations were then contrasted with the original decisions of the treating interventional cardiologists
Young et al.	2020	CAD	Complex CAD and deemed high risk for surgical or percutaneous revascularization	One referring team physician, 1 primary cardiologist, at least 2 interventional cardiologists and at least 2 cardiothoracic surgeons	Upon request by referring cardiology	Yes—“CAD Heart Team Decision Aid”	STS-PROM, SYNTAX score	Patient evaluations encompassed lab results, coronary angiography, echocardiography, potential right heart haemodynamic and when necessary, non-invasive functional tests, alongside a thorough risk assessment using established tools

CAD = coronary artery disease; AVR = Aortic Valve Replacement; COPD = Chronic Obstructive Pulmonary Disease; MHT = Multidisciplinary Heart Team; TAVI = Transcatheter Aortic Valve Implantation; SAVR = Surgical Aortic Valve Replacement.

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