Effect of an Optimal Heart Team Protocol on Decision-making Stability

Eligibility Criteria for patients: Inclusion Criteria: Patients with stable CAD according to the National Cardiovascular Data Registry (NCDR) CathPCI criteria (stable angina, no or silent myocardial ischemia) and angiographically confirmed 3-vessel disease or left main disease. Exclusion Criteria: 1. prior percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG); 2. cardiac troponin I (CTnI) greater than the local laboratory upper limit of normal or recent myocardial infarction with CTnI levels still elevated; 3. concomitant severe valvular disease, macrovascular disease, or huge ventricular aneurysm requiring surgery; 4. concomitant atrial fibrillation or severe arrhythmia Eligibility Criteria for specialists: Inclusion Criteria for interventional cardiologists: 1. Annual PCI volume ≥200 2. Annual left main PCI volume ≥25 3. Capable of chronic total occlusion(CTO) PCI 4. Clinical researcher experience in coronary revascularization 5. Proficient in clinical guidelines Inclusion Criteria for cardiac surgeons: 1. CABG total volume ≥200 2. Proficient in both on-pump and off-pump CABG 3. Clinical researcher experience in coronary revascularization 4. Proficient in clinical guidelines Inclusion Criteria for non-interventional cardiologists: 1\) Proficient in clinical guidelines