Anita W. Asgar MD, FRCPC, FACC Montreal Heart Institute Transcatheter Aortic Valve Implantation: An Example of Patient Centered Decision Making and Focus on QoL Anita W. Asgar MD, FRCPC, FACC Montreal Heart Institute
Aortic Stenosis Degenerative disease of the aortic valve resulting in valvular obstruction and symptoms of shortness of breath and chest pain Requires replacement of the valve to restore function and improve symptoms
Transcatheter Aortic Valve Implantation Current standard of care in high risk patients with aortic stenosis is valve replacement using a percutaneous procedure to implant a new aortic valve by catheter - TAVI
Traditional Medical Approach Disease PATIENT DIAGNOSIS TREATMENT HOSPITAL
Traditional Medical Approach Aortic Stenosis Elderly PATIENT DIAGNOSIS Surgical valve replacement/TAVI HOSPITAL Stay/ convalescence
Patient Centered Approach The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions."
Traditional Medical Approach Disease PATIENT DIAGNOSIS TREATMENT HOSPITAL Patient Centered Approach
Patient Centered Approach DISEASE DIAGNOSIS TREATMENT HOSPITAL QUALITY OF LIFE
Patient Centered Approach Aortic Stenosis DIAGNOSIS TAVI vs. Surgery Short Hospital Stay Quality of LIFE
Panel Dr. Daniel Jackson, Edwards Lifesciences Dr. Sandra Lauck, St. Paul’s Hospital Dr. Rima Styra, UHN Ms. Judy Duffy, Patient