Variations in clinical decision-making between cardiologists and cardiac surgeons; a case for management by multidisciplinary teams?

Table 1 Clinical details of the six cases as presented

Patient	Age	Presentation	Stress Test	LV function	Severity CAD	Co-morbitity	Drug therapy	NZ score	ACRE score
A	54	Unstable	Positive	Good	3VD	Mild asthma	Oral ×3	69	CABG
B	65	Stable	Positive	Good	3VD incl LMS	Obese	Oral ×2	60	CABG
C	74	Unstable	Not done	Good	3VD excl prox LAD	Rheumatoid	Oralx3	60	CABG or PCI
D	61	Stable	Positive	Good	3VD	Osteoarthritis	Oral ×2	65	CABG
E	64	Stable	Positive	Good	3VD	Obese, HBP	Oral ×2	30	CABG
F	67	Stable	Positive	Moderate	2VD excl prox LAD	None	Oral ×1	43	Uncertain

Key : Stress test – exercise test, positive is defined as >2 mm ST depression, CAD – coronary artery disease, VD – vessel disease, LMS – left main stem, LAD – left anterior descending artery, exc – excluding, prox – proximal, NZ score – New Zealand score (>35 merits revascularisation) [8], HBP – hypertension, Drug therapy – oral – 1,2 or 3 oral anti-anginal drugs, ACRE score (see reference 9), CABG – coronary artery by-pass grafting, PCI – percutaneous coronary intervention.