A Case Study - CRT-P or CRT-D? - 2021 Quality Summit presentation (Non-CE)-A Case Study - CRT-P or CRT-D?

Video Transcription

Video Summary

In this video, Dr. Slott Weiner discusses the importance of shared decision-making in the context of cardiac resynchronization therapy (CRT) with or without a defibrillator (CRTD). He presents a case study of an 80-year-old man with advanced heart failure and explains the decision-making process with the patient and his family. Dr. Slott Weiner emphasizes the need for patient-centered care and the use of decision aids to help patients understand the underlying evidence and make decisions that align with their values and goals.<br /><br />He introduces a shared decision-making tool developed by the Colorado Program for Patient-Centered Decisions and discusses its use in explaining the potential benefits, risks, and trade-offs of different treatment options to patients. Dr. Slott Weiner also highlights the challenges of incorporating shared decision-making in clinical practice, such as time constraints and patient preferences for a more directive approach.<br /><br />He provides insights into the implications of choosing between CRT-P and CRT-D and addresses questions about patient comprehension, conflicting evidence, and patient preferences. Dr. Slott Weiner emphasizes the importance of understanding patient values and involving the patient and their family in the decision-making process.<br /><br />This summary is based on the transcript of a video presented by Dr. Slott Weiner at the 2021 Quality Summit.

Keywords

shared decision-making

cardiac resynchronization therapy

CRT

defibrillator

patient-centered care

decision aids

treatment options

patient values