Structure and functioning of a multidisciplinary 'Heart Team' for patients with coronary artery disease: rationale and recommendations from a joint BCS/BCIS/SCTS working group

Eur J Cardiothorac Surg. 2015 Oct;48(4):524-9. doi: 10.1093/ejcts/ezv083. Epub 2015 Mar 11.


The decision-making process in the management of patients with ischaemic heart disease has historically been the responsibility of the cardiologist and encompasses medical management, percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG). Currently, there is significant geographical variability in the PCI:CABG ratio. There are now emerging recommendations that this decision-making process should be carried out through a multidisciplinary approach, namely the Heart Team. This work was carried out on behalf of The British Cardiovascular Society (BCS), Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) and British Cardiovascular Intervention Society (BCIS). This manuscript sets out the principles for the functioning of the Heart Team. This work has been approved by the Executive Committees of BCS/BCIS/SCTS.

Keywords: Guidelines; Heart-team meeting; Ischaemic heart disease.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Coronary Artery Bypass / standards*
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / therapy*
  • Decision Making
  • Female
  • Humans
  • Interdisciplinary Communication
  • Ireland
  • Male
  • Patient Care Team / organization & administration*
  • Percutaneous Coronary Intervention / standards*
  • Practice Guidelines as Topic*
  • Quality of Health Care
  • Societies, Medical / standards
  • United Kingdom