Editorial
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Dec 26, 2021; 13(12): 650-653
Published online Dec 26, 2021. doi: 10.4330/wjc.v13.i12.650
Improving the heart team: An interdisciplinary team and integrated practice unit
Elinthon Tavares Veronese, Pablo Maria Alberto Pomerantzeff, Fábio Biscegli Jatene
Elinthon Tavares Veronese, Pablo Maria Alberto Pomerantzeff, Fábio Biscegli Jatene, Department of Cardiovascular Surgery, Heart Institute - University of São Paulo Medical School, São Paulo 05403-900, SP, Brazil
Author contributions: All authors contributed to this paper; Veronese ET designed the overall concept and outline of the manuscript; Pomerantzeff PMA and Jatene FB contributed to the discussion and design of the manuscript; Veronese ET, Pomerantzeff PMA, and Jatene FB contributed to the writing and editing the manuscript, review of literature and the final approval of this paper.
Conflict-of-interest statement: The authors declare no conflicts of interest
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Elinthon Tavares Veronese, MD, Medical Assistant, Surgeon, Department of Cardiovascular Surgery, Heart Institute - University of São Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 44 Bloco 2 - Sala 7 - 2o Andar Cerqueira César, São Paulo 05403-900, SP, Brazil. veronese@outlook.com.br
Received: March 17, 2021
Peer-review started: March 17, 2021
First decision: July 18, 2021
Revised: September 2, 2021
Accepted: December 7, 2021
Article in press: December 7, 2021
Published online: December 26, 2021
Abstract

Heart Team emerged as an important tool in the cardiovascular care, improving the efficiency of decision-making process. In addition to the benefits in patient care, it symbolizes a new culture and mindset. However, beyond the clinical condition, in low/middle-income countries other concerns arise regarding patient's background and these demands are, usually, as challenging as the medical treatment. New models have been proposed face these demands and to assure a holistic care by Integrated Practice Units. Optimization and reorganization of already existing resources and promotion of interdisciplinary and holistic care may be an effective manner to improve outcomes despite socioeconomic barriers.

Keywords: Heart team, Interdisciplinary, Integrated practice units, Cardiovascular, Perioperative, Surgery

Core Tip: Despite emerging technologies and advanced devices, the real-world situation of low- to middle-income countries presents several socioeconomic concerns that jeopardize patients and, consequently, resources and outcomes. Our pioneer project "interdisciplinary heart team and integrated practice unit" emerged as a means by which to address these demands by prioritizing the management of existing resources.