The Multidisciplinary Heart Team in Cardiovascular Medicine

Métodos Contemporâneos De Gestão Dos Aneurismas Da Aorta Torácica: Patologia, Diagnóstico E Opções De Tratamento

“…Devido à fragilidade do tecido e ao alto risco de perfurações e subsequentes complicações hemorrágicas, o tratamento cirúrgico invasivo acarreta um risco aumentado nessa população de pacientes, embora pacientes com rápido crescimento aneurismático arterial devam ser considerados para tratamento 38,56 . Todas as decisões sobre intervenção devem incluir a tomada de decisão compartilhada por meio de uma abordagem multidisciplinar de equipe cardíaca 57,58 .…”

Assessment and Management of Older Adults Undergoing PCI, Part 1

“…The consideration of anatomic and procedural risk represents the third pillar of risk for patients undergoing PCI and begins with a dedicated heart team that considers a patient-centered approach to anatomic and technical risks and optimal revascularization strategies. 40 , 41 An initial assessment involves recognition of certain high-risk anatomic lesions including left main disease and proximal left anterior descending artery disease, increased number of diseased vessels, chronic total occlusion(s), severe calcification requiring advanced techniques, long lesion length (>60 mm), and in-stent thrombosis, all of which confer increased risk of adverse outcomes. 9 , 15 , 42 , 43 Older patients with coronary artery disease often have high-risk coronary anatomic features that should prompt a systematic approach to minimize procedural risks and optimize outcomes.…”

Antibiotic prophylaxis in cardiac surgery: challenges and future perspectives

“…A multidisciplinary team of cardiothoracic surgeons, anesthesiologists, medical microbiologists, pharmacists, and nurses is also important to establish evidence-based protocols for antibiotic prophylaxis in the context of cardiac surgery [40] . The guidelines can incorporate regional bacterial resistance patterns and customize prophylactic measures accordingly.…”

“…The guidelines can incorporate regional bacterial resistance patterns and customize prophylactic measures accordingly. The guidelines can be periodically reviewed and revised by the team to incorporate alterations in bacterial resistance trends and the accessibility of novel antibiotics [40] . The hospital can engage in monitoring antibiotic resistance patterns and formulating preventive strategies to curb the emergence and transmission of antibiotic-resistant bacteria.…”