ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2019
Multidisciplinary decision-making in mitral valve disease: the mitral valve heart team.
Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The current state of the multidisciplinary heart team approach: a systematic review.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Pooled it
- Advancing the Contemporary Multidisciplinary Heart Valve Team: Update on Priorities for Clinicians and Programs.Structural heart : the journal of the Heart Team · 2025Review
- Outcomes of Mitral Valve Regurgitation Management after Expert Multidisciplinary Valve Team Evaluation.Journal of clinical medicine · 2024Article
- Incidence of Underreferral to Multidisciplinary Evaluation in Severe Primary Mitral Regurgitation.Annals of thoracic surgery short reports · 2024Article
- Long-term outcomes and quality of life following implementation of dedicated mitral valve Heart Team decisions for patients with severe mitral valve regurgitation in tertiary cardiovascular care center.Cardiology journal · 2024Article
- Mitral valvular surgery outcomes in a centre with a dedicated mitral multi-disciplinary team.The British journal of cardiology · 2024Article
- Minimally Invasive Procedure versus Conventional Redo Sternotomy for Mitral Valve Surgery in Patients with Previous Cardiac Surgery: A Systematic Review and Meta-Analysis.Journal of chest surgery · 2023Review
- An Individualized Approach of Multidisciplinary Heart Team for Myocardial Revascularization and Valvular Heart Disease-State of Art.Journal of personalized medicine · 2022Review
- Improving the heart team: An interdisciplinary team and integrated practice unit.World journal of cardiology · 2021Article
- Article
- Heart teams in the Netherlands: From teamwork to data‑driven decision-making.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2020Review
- Heart team approach in treatment of mitral regurgitation: patient selection and outcome.Open heart · 2020Article
- The mitral paradox of choice.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough decision-making using the heart-team approach is apparently intuitive and has a class I recommendation in most recent guidelines, supportive data is still lacking. The current study aims to demonstrate the individualised clinical pathway for mitral valve disease patients and to evaluate the outcome of all patients referred to the dedicated mitral valve heart team.
methodsAll patients who were evaluated for mitral valve pathology with or without concomitant cardiac disease between 1 January 2016 and 31 December 2016 were prospectively followed and included. Patients were evaluated, and a treatment strategy was determined by the dedicated mitral valve heart team.
resultsOne hundred and fifty-eight patients were included; 67 patients were treated surgically (isolated and concomitant surgery), 20 by transcatheter interventions and 71 conservatively. Surgically treated patients had a higher 30-day mortality rate (4.4%), which decreased when specified to a dedicated surgeon (1.7%) and in primary, elective cases (0%). This was also observed for major adverse events within 30 days. Residual mitral regurgitation >grade 2 was more frequent in the catheter-based intervention group (23.5%) compared to the surgical group (4.8%).
conclusionIn conclusion, the implementation of a multidisciplinary heart team for mitral valve disease is a valuable approach for the selection of patients for different treatment modalities. Our research group will focus on a future comparative study using historical cohorts to prove the potential superiority of the dedicated multidisciplinary heart-team approach.
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