CABG appears to be associated with lower risk of mortality than is PCI in most patients with diabetes mellitus and complex Fihn et al 2014 Stable Ischemic Heart Disease Focused Update 1759 multivessel disease, although the Heart Team may identify exceptions. To address the important issue of deciding between PCI and CABG in patients with diabetes mellitus and complex multivessel CAD, a Heart Team approach would be beneficial. This was an integral component of the FREEDOM, SYNTAX, and BARI trials59,68,69 and is therefore emphasized in this set- ting. The Heart Team is a multidisciplinary team composed of an interventional cardiologist and a cardiac surgeon who jointly 1) review the patient s medical condition and coronary anatomy, 2) determine that PCI and/or CABG are technically feasible and reasonable, and, 3) discusses revascularization options with the patient before a treatment strategy is selected. Future research may be facilitated by including a field in the National Cardiovascular Data PCI Registry and the STS database to identify cases turned down for the alternative revascularization strategy. Presidents and Staff American College of Cardiology Patrick T. O Gara, MD, MACC, President Shalom Jacobovitz, Chief Executive Officer William J. Oetgen, MD, MBA, FACC, Executive Vice President, Science, Education, and Quality Amelia Scholtz, PhD, Publications Manager, Clinical Policy and Pathways American College of Cardiology/American Heart Association Lisa Bradfield, CAE, Director, Clinical Policy and Guidelines Ezaldeen Ramadhan III, Project Management Team Leader, Science and Clinical Policy American Heart Association Elliott Antman, MD, FACC, FAHA, President Nancy Brown, Chief Executive Officer Rose Marie Robertson, MD, FAHA, Chief Science Officer Gayle R. Whitman, PhD, RN, FAHA, FAAN, Senior Vice President, Office of Science Operations Marco Di Buono, PhD, Vice President, Science, Research, and Professional Education, Office of Science Operations Jody Hundley, Production Manager, Scientific Publications, Office of Science Operations References 1. 