MULTIDISCIPLINARY APPROACH IN THE TREATMENT OF PATIENTS WITH VALVULAR HEART DISEASE

Highlights

This article presents the key components of a successful heart valve team model, including the optimal structure of a multidisciplinary team, the main features of the multidisciplinary approach, and the central role of the patient in choosing a personalized treatment strategy for patients with valvular heart disease. This review serves as a methodological framework for implementing a modern, evidence-based model of care for patients with valvular heart disease, aimed at optimizing diagnostics, selecting the appropriate method of valve defect correction, and improving long-term clinical outcomes.

Abstract

This document reflects the current challenges of the multidisciplinary approach in the treatment of patients with valvular heart disease, the basic principles of organizing a heart valve team in cardiac surgery centers, and the difficulties affecting the team's effectiveness. Despite the proven benefits of the multidisciplinary approach in managing patients with valvular pathology, the institutional inadequacy of this model persists within the national healthcare system. The existing organization of care is characterized by the fragmentation of cardiovascular surgeons, cardiologists, and interventional specialists, the absence of unified interaction protocols, and consequently creates uncertainty in selecting the optimal method of correction for patients with valvular heart disease. This discrepancy between global clinical guidelines and real-world clinical practice in our country highlights the necessity of conducting this review.

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