Table 1

The pros and cons of heart team decision making

AdvantagesChallenges and disadvantages
  • Unbiased balanced decision making.

  • Broader interpretation of the available diagnostic information.

  • Ability to implement evidence-based, guideline-directed therapy.

  • Clear documentation and improved governance.

  • Better allocation of limited resources.

  • Consideration of novel therapies.

  • Risk of bias depending on team member attendance.

  • Lack of consistent terms of reference.

  • Time delay from referral to treatment decision.

  • Lack of administrative support.

  • Lack of consistency worldwide.

  • Lack of supportive evidence for the benefit.

  • Lack of familiarity of the patient at the centre of discussion.