Leonardi S, et al. - This study dealt with the examination of the appropriateness of indication, adherence to guideline recommendations and mode of selection for coronary revascularisation. A limitation was revealed with regard to the use of heart team approaches and adherence to guideline recommendations on coronary revascularisation in a real-world setting. The feasibility of estimating appropriateness and guideline adherence in clinical practice was documented in this study. Furthermore, the data determined significant opportunities for quality improvement.