Do We Apply Guidelines During Our Daily Practice in Coronary Revascularization?

• Published in: Kardiyovasküler tıp e dergisi Vol. 7; no. 3; pp. 104 - 108
• Main Authors: Demirsoy, Ergun, Uğur, Murat, Demir, İbrahim
• Format: Journal Article
• Language: English
• Published: Ismir Galenos Yayınevi 01.09.2019; Galenos Publishing House
• Subjects: Angioplasty; Cardiology; Cardiovascular disease; Clinical decision making; Clinical medicine; Clinical trials; Cooperation; Coronary vessels; Decision making; Heart attacks; Hospitals; Intervention; Medical imaging; Mortality; Patients; Surgeons; İstanbul; Türkiye; Coronary artery disease; percutaneous coronary intervention; coronary artery bypass grafting
• ISSN: 2147-1924; 2147-1924
• DOI: 10.32596/ejcm.galenos.2019.03.017

Myocardial revascularization guidelines help cardiologist and cardiovascular surgeons to determine the best treatment option for revascularization of the diseased coronary arteries. However, in daily practice compliance to guidelines are generally insufficient. Cardiologist might prefer ad hoc coronary stent implantation without discussing the patients with the surgeons. Creating a “heart team” and activating it, during the decision-making period is recommended in the guidelines. In addition, the importance of patient participation is emphasized in determining the treatment strategy. In this article we aimed to investigate the compliance of the cardiologist and cardiovascular surgeons to the guidelines, and to determine the factors that interfere with the application in daily practice.