Abstract
The concept of the Heart Team is central to the development, implementation and sustained success of innovative processes of care to ensure access and quality of the treatment of heart valve disease. The objective of a Heart Team approach is to leverage the collective expertise of multiple disciplines to ensure patients have the best possible outcomes and experiences. Throughout patients’ trajectories of care—including their pre-, peri-, and post-procedure and follow-up touchpoints, nurses and allied health professionals play an essential role in the assessment, coordination, intervention and monitoring of this complex patient group. Working in close collaboration with cardiology, cardiac surgery, cardiac imaging and heart function specialists, anesthesiologists, front line nurses and care providers, and administrators, nurses and allied health professionals lead the development of new ways of caring for patients, quality improvement, and patient-centered care. Strategies to strengthen their unique contributions are essential to continue to move programs forward, and make the Heart Team approach a truly effective and patient-centered approach to support the complex needs of people living with heart valve disease.
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References
Boskovski MT, Nguyen TC, McCabe JM, Kaneko T. Outcomes of transcatheter aortic valve replacement in patients with severe aortic stenosis: a review of a disruptive technology in aortic valve surgery. JAMA Surg. 2019;155(1):69. https://doi.org/10.1001/jamasurg.2019.4449.
Asgar AW, Lauck S, Ko D, et al. The transcatheter aortic valve implantation (TAVI) quality report: a call to arms for improving quality in Canada. Can J Cardiol. 2018;34(3):330–2. https://doi.org/10.1016/j.cjca.2017.11.007.
Coylewright M, Mack MJ, Holmes DR, O’Gara PT. A call for an evidence-based approach to the heart team for patients with severe aortic stenosis. J Am Coll Cardiol. 2015;65(14):1472–80. https://doi.org/10.1016/j.jacc.2015.02.033. https://www.clinicalkey.es/playcontent/1-s2.0-S0735109715006701.
Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Circulation (New York, N.Y.). 2017;135(25):e1159–95. https://doi.org/10.1161/cir.0000000000000503. https://search.datacite.org/works/10.1161/cir.0000000000000503.
Hawkey MC, Lauck SB, Perpetua EM, et al. Transcatheter aortic valve replacement program development: recommendations for best practice. Catheter Cardiovasc Interv. 2014;84(6):859–67. https://doi.org/10.1002/ccd.25529. https://onlinelibrary.wiley.com/doi/abs/10.1002/ccd.25529.
Asgar AW, Ouzounian M, Adams C, et al. 2019 Canadian cardiovascular society position statement for transcatheter aortic valve implantation. Can J Cardiol. 2019;35(11):1437–48. https://doi.org/10.1016/j.cjca.2019.08.011. https://search.datacite.org/works/10.1016/j.cjca.2019.08.011.
Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: a report of the American College of Cardiology Task Force on clinical expert consensus documents. J Am Coll Cardiol. 2017;69(10):1313–46. https://doi.org/10.1016/j.jacc.2016.12.006. https://www.ncbi.nlm.nih.gov/pubmed/28063810.
Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2017;38(36):2739–91. https://doi.org/10.1093/eurheartj/ehx391. https://www.ncbi.nlm.nih.gov/pubmed/28886619.
Lauck SB, Wood DA, Baumbusch J, et al. Vancouver transcatheter aortic valve replacement clinical pathway: minimalist approach, standardized care, and discharge criteria to reduce length of stay. Circ Cardiovasc Qual Outcomes. 2016;9(3):312–21. https://doi.org/10.1161/CIRCOUTCOMES.115.002541. https://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/27116975.
Lauck S, Forman J, Borregaard B, et al. Facilitating transcatheter aortic valve implantation in the era of COVID-19: recommendations for programmes. Eur J Cardiovasc Nurs. 2020;19(6):537–44. https://doi.org/10.1177/1474515120934057. https://journals.sagepub.com/doi/full/10.1177/1474515120934057.
Simone A. The heart team approach. In: Hawkey M, Lauck S, Perpetua E, Simone A, editors. Transcatheter aortic valve implantation: a guide for the heart team. Philadelphia: Wolters Kluwer; 2020.
Hawkey M, Højberg KB. The valve program clinician. In: Hawkey M, Lauck S, Perpetua E, Simone A, editors. Transcatheter aortic valve implantation: a guide for the heart team. Philadelphia: Wolters Kluwer; 2020.
Perpetua EM, Clarke SE, Guibone KA, Keegan PA, Speight MK. Surveying the landscape of structural heart disease coordination: an exploratory study of the coordinator role. Struct Heart. 2019;3(3):201–10. https://doi.org/10.1080/24748706.2019.1581962. http://www.tandfonline.com/doi/abs/10.1080/24748706.2019.1581962.
Shahian DM, Gleason TG, Shemin RJ, Carroll JD, Mack MJ. TAVR 2.0: professional societies collaborating to measure, assure, and improve quality. Ann Thorac Surg. 2019;107(2):329–30. https://doi.org/10.1016/j.athoracsur.2018.07.004.
Hamm CW, Arsalan M, Mack MJ. The future of transcatheter aortic valve implantation. Eur Heart J. 2016;37(10):803–10. https://doi.org/10.1093/eurheartj/ehv574. https://www.ncbi.nlm.nih.gov/pubmed/26578195.
Hirji SA, McCarthy E, Kim D, et al. Relationship between hospital surgical aortic valve replacement volume and transcatheter aortic valve replacement outcomes. JACC Cardiovasc Interv. 2020;13(3):335–43. https://doi.org/10.1016/j.jcin.2019.09.048.
Canadian Nurses Association. Advanced practice nursing: a Pan-Canadian framework. 2019. https://www.cna-aiic.ca/-/media/cna/page-content/pdf-en/apn-a-pan-canadian-framework.pdf. Accessed 26 April 2021.
Horne MP, Estes KR. Implementation of a new cardiology hospital service leveraging nurse practitioners to improve patient access and outcomes. J Am Assoc Nurse Pract. 2020;33(3):231–8. https://doi.org/10.1097/JXX.0000000000000421. https://www.ncbi.nlm.nih.gov/pubmed/32384362.
Willis AJ, Hoerst A, Hart SA, et al. The added value of the advanced practice provider in paediatric acute care cardiology. Cardiol Young. 2021;31(2):248–51. https://doi.org/10.1017/S1047951120003789. https://www.ncbi.nlm.nih.gov/pubmed/33143784.
Lauck S, Gibson J, Baumbusch J, et al. Transition to palliative care when transcatheter aortic valve implantation is not an option: opportunities and recommendations. Curr Opin Support Palliat Care. 2016;10(1):18–23. https://doi.org/10.1097/SPC.0000000000000180. https://www.ncbi.nlm.nih.gov/pubmed/26716394.
Wood DA, Lauck SB, Cairns JA, et al. The Vancouver 3M (multidisciplinary, multimodality, but minimalist) clinical pathway facilitates safe next-day discharge home at low-, medium-, and high-volume transfemoral transcatheter aortic valve replacement centers: the 3M TAVR study. JACC Cardiovasc Interv. 2019;12(5):459–69. https://doi.org/10.1016/j.jcin.2018.12.020. https://www-ncbi-nlm-nih-gov.ezproxy.library.ubc.ca/pubmed/30846085.
Butala NM, Chung M, Secemsky EA, et al. Conscious sedation versus general anesthesia for transcatheter aortic valve replacement: variation in practice and outcomes. JACC Cardiovasc Interv. 2020;13(11):1277–87. https://doi.org/10.1016/j.jcin.2020.03.008. https://www.ncbi.nlm.nih.gov/pubmed/32499018.
Keegan P, Lisko JC, Kamioka N, et al. Nurse led sedation: the clinical and echocardiographic outcomes of the 5-year Emory experience. Struct Heart. 2020;4(4):302–9. https://doi.org/10.1080/24748706.2020.1773591. http://www.tandfonline.com/doi/abs/10.1080/24748706.2020.1773591.
Lauck S, Wood DA, Sathananthan J, Forman J, Webb JG. Anesthesia for TAVR patients: should we focus on goals of care? Struct Heart. 2020;4(4):310–1. https://doi.org/10.1080/24748706.2020.1774950. Accessed 10 April 2021.
Lauck SB, Sathananthan J, Park J, et al. Post-procedure protocol to facilitate next-day discharge: results of the multidisciplinary, multimodality but minimalist TAVR study. Catheter Cardiovasc Interv. 2020;96(2):450–8. https://doi.org/10.1002/ccd.28617. https://onlinelibrary.wiley.com/doi/abs/10.1002/ccd.28617.
Grube E, Sinning J. The “Big five” complications after transcatheter aortic valve replacement: do we still have to be afraid of them? JACC Cardiovasc Interv. 2019;12(4):370–2. https://doi.org/10.1016/j.jcin.2018.12.019.
Carroll JD, Mack MJ, Vemulapalli S, et al. STS-ACC TVT registry of transcatheter aortic valve replacement. J Am Coll Cardiol. 2020;76(21):2492–516. https://doi.org/10.1016/j.jacc.2020.09.595.
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Lauck, S.B., Smith, A. (2022). The Heart Team: A Gold Standard of Care. In: Hawkey, M.C., Lauck, S.B. (eds) Valvular Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-86233-6_3
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DOI: https://doi.org/10.1007/978-3-030-86233-6_3
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