Valvular & structural heart disease
Valvular Heart Disease Care in Pakistan: Impact of the Multidisciplinary Valve Heart Team
Authors' conclusion
The integration of collaborative decision-making through a multidisciplinary HT led to individualized and tailored treatment strategies, with a significant proportion of patients receiving alternative interventions or medical management instead of surgery.
Study context
- Population
- Patients with valvular heart disease (VHD) referred for valve surgery, seen in the outpatient cardiovascular surgery clinic of the National Institute of Cardiovascular Diseases (Karachi, Pakistan) and assessed by a multidisciplinary heart team, over a 20-month period52.8% female, mean age 43.9 ± 14.4 years
- Participants
- 2,003 patients
- Outcome
- Heart team management recommendation
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Deemed suitable for surgery
1,521
76%
Recommended for medical therapy
335
17%
Candidates for transcatheter treatments
147
7%
Management strategy reclassified by heart team (all initially referred for surgery)
24%
Observational data: associations, not effects.
Further findings
Aetiology of VHD
- Rheumatic heart disease the predominant cause of mitral valve disease
- Bicuspid valve the most common cause of significant AS
Original publication
Valvular Heart Disease Care in Pakistan: Impact of the Multidisciplinary Valve Heart Team. JACC Adv. Published 20 November 2024. doi:10.
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