Effect of an Optimal Heart Team Protocol on Decision-making Stability
Coronary Artery Disease
About this trial
This is an interventional treatment trial for Coronary Artery Disease focused on measuring Heart Team protocol, Coronary Artery Disease, decision-making agreement
Eligibility Criteria
Eligibility Criteria for patients:
Inclusion Criteria:
Patients with stable CAD according to the National Cardiovascular Data Registry (NCDR) CathPCI criteria (stable angina, no or silent myocardial ischemia) and angiographically confirmed 3-vessel disease or left main disease.
Exclusion Criteria:
- prior percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG);
- cardiac troponin I (CTnI) greater than the local laboratory upper limit of normal or recent myocardial infarction with CTnI levels still elevated;
- concomitant severe valvular disease, macrovascular disease, or huge ventricular aneurysm requiring surgery;
- concomitant atrial fibrillation or severe arrhythmia
Eligibility Criteria for specialists:
Inclusion Criteria for interventional cardiologists:
- Annual PCI volume ≥200
- Annual left main PCI volume ≥25
- Capable of chronic total occlusion(CTO) PCI
- Clinical researcher experience in coronary revascularization
- Proficient in clinical guidelines
Inclusion Criteria for cardiac surgeons:
- CABG total volume ≥200
- Proficient in both on-pump and off-pump CABG
- Clinical researcher experience in coronary revascularization
- Proficient in clinical guidelines
Inclusion Criteria for non-interventional cardiologists:
1) Proficient in clinical guidelines
Sites / Locations
- National Clinical Research Center for Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
optimal heart team group
conventional heart team group
Heart teams in this group will be established according to the optimal heart team protocol. Each team consists of two interventional cardiologists and two cardiac surgeons. Team members will be trained systematically before the heart team meeting.
Heart teams in this group will be established according to the basic elements recommended by guidelines. Each team consists of an interventional cardiologist, a cardiac surgeon, and a non-interventional cardiologist. No team training will be held before the heart team meeting.