What is SCAD?
Spontaneous Coronary Artery Dissection (SCAD) is a life-threatening condition where a tear occurs in the arterial wall of the heart. This tear blocks blood flow and causes a heart attack, sudden cardiac arrest and sometimes death. SCAD can affect otherwise healthy young to middle-age women. Further research is necessary to understand how to best manage and investigate this disease.
Agenda for 2023
Saturday May 6/2023: | |
1:00pm-2:00pm | Registration & Lunch |
2:00-2:05pm | Welcome & Opening Remarks (Saw) |
Introduction & Overview of Heart Disease in Women: Chair – Saw | |
2:05-2:20pm | Keynote: Spectrum of heart disease in women (Gulati) |
2:20-2:35pm | Keynote: What have we learnt from MI histopathology in women (Virmani) |
2:35-2:45pm | Overview of COVID-19 impact on MI outcomes (Henry) |
2:45-2:55pm | Causes of MINOCA & investigation algorithm (Sedlak) |
2:55-3:05pm | Causes of INOCA, investigation & management (Toleva) |
3:05-3:25pm | Panel/Audience Q&A: Saw, Gulati, Virmani, Henry, Sedlak, Toleva |
SCAD: Epidemiology & Predisposing Causes: Chair – Gulati | |
3:25-3:35pm | History and epidemiology of SCAD (Mulvagh) |
3:35-3:45pm | Update on the genetic basis of SCAD (Ganesh) |
3:45-3:55pm | Rapid fire overview and update of FMD (Kim) |
3:55-4:05pm | Link between FMD and SCAD (Kim) |
4:05-4:15pm | Link between hereditary connective tissue disorders & SCAD (Ganesh) |
4:15-4:25pm | Link between pregnancy & SCAD (Wood) |
4:25-4:45pm | Panel/Audience Q&A: Saw, Gulati, Mulvagh, Ganesh, Kim, Wood, Virmani |
4:45-4:55pm | Coffee Break |
SCAD: How Do Patients Present? Chair – Wood | |
4:55-5:05pm | Emotional stress as a trigger for SCAD (Tulloch) |
5:05-5:15pm | Physical activity as a trigger for SCAD (Yang) |
5:15-5:25pm | Other triggers like sneezing, retching, hormones, cocaine? (Tremmel) |
5:25-5:35pm | Clinical presentation with SCAD, women vs men? (Lavoie) |
5:35-5:45pm | Is there a link between inflammation & SCAD? (Scott) |
5:45-5:55pm | Acute hospital presentation with SCAD (Chou) |
5:55-6:15pm | Panel/Audience Q&A: Saw, Wood, Tulloch, Tremmel, Lavoie, Aymong, Chou, Scott |
Challenging SCAD Cases Session 1: Chair – Lavoie & Asgar (5min case, 5min discussion) (Session for medical professionals only) | |
6:15-6:25pm | Challenging case #1 (Toleva) |
6:25-6:35pm | Challenging case #2 (Wood) |
6:35-6:45pm | Challenging case #3 (Madan) |
6:45-6:50pm | Day 1 Wrap-Up: Saw |
Saturday Afternoon Patient Break-out Sessions: Q&A Discussions
Saturday May 6/2023 | |
Genetics in Families with SCAD: Chair – Santhi Ganesh & Jungin Choi | |
4:30-5:30pm | Genetic basis of SCAD
Families with SCAD Available genetic studies |
Cardiac Rehabilitation after SCAD: Chair – Taira Birnie (VGH SCAD Rehab) & Cathevine Yang | |
5:30-6:30pm | When can you start exercising post-SCAD?
What exercises can you be involved with post-SCAD? What activities should you avoid post-SCAD? |
Sunday May 7/2023 | |
6:30-7:00am | Breakfast & registration |
Challenging SCAD Cases Session 2: Chair – Asgar & Toleva (5min case, 5min discussion) (Session for medical professionals only) |
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7:00-7:10am | Challenging case #4 (Henry) |
7:10-7:20am | Challenging case #5 (Lavoie) |
7:20-7:30am | Challenging case #6 (Tremmel) |
SCAD: Diagnosis & Acute SCAD Management: Chair – Virmani | |
7:30-7:40am | Diagnosis of SCAD on coronary angiography (Saw) |
7:40-7:50am | When, which, and how to use intracoronary imaging for SCAD (Fung) |
7:50-8:00am | Diagnosis and follow-up of SCAD on cardiac CT (Nicolaou) |
8:00-8:10am | Management decisions with SCAD: conservative vs invasive (Madan) |
8:10-8:20am | PCI strategies with SCAD (Saw) |
8:20-8:30am | CABG strategy with SCAD (Skarsgard) |
8:30-8:40am | Cardiogenic shock & use of mechanical support with SCAD (Asgar) |
8:40-9:00am | Panel/Audience Q&A: Saw, Virmani, Fung, Nicolaou, Madan, Skarsgard, Asgar, Henry |
9:00-9:20am | COFFEE BREAK |
SCAD: Long-term Management: Chair – Henry | |
9:20-9:30am | What are the risks of pregnancy after a SCAD event? (Scott) |
9:30-9:40am | Screening for FMD & vascular disorders after SCAD (Kim) |
9:40-9:50am | Which SCAD patients should undergo clinical genetic screening? (Ganesh) |
9:50-10:00am | In-hospital & long-term outcomes post-SCAD (Lavoie) |
10:00-10:10am | Medical management of SCAD patients (Ramanathan) |
10:10-10:30am | Panel/Audience Q&A: Saw, Henry, Lavoie, Ramanathan, Ganesh, Kim |
Controversies in SCAD Management: Chair – Madan | |
10:30-10:40am | Left main SCAD, how should we manage? (Henry) |
10:40-10:50am | Role of hormonal replacement therapy post-SCAD? (Tremmel) |
10:50-11:00am | Recurrent chest pains post-SCAD & how to investigate/manage (Sedlak) |
11:00-11:10am | Cardiac arrest presentation with SCAD, when is ICD required? (Andrade) |
11:10-11:30pm | Panel/Audience Q&A: Saw, Madan, Andrade, Sedlak, Olin, Tremmel, Toleva |
11:30-12:00pm | LUNCH BREAK |
Improving healthcare delivery for SCAD patients: Chair – Tremmel | |
12:00-12:15pm | How should general/nurse practitioners manage SCAD patients after discharge, before they are seen by specialists? (Madan) |
12:15-12:30pm | Strategies to raise awareness to mitigate SCAD underdiagnosis (Mulvagh) |
12:30-12:40pm | How to test for microvascular dysfunction post-SCAD (Toleva) |
12:40-12:50pm | Exercise rehabilitation and physical activities post-SCAD (Birnie) |
12:50-1:10pm | Panel/Audience Q&A: Saw, Tremmel, Andrade, Madan, Mulvagh, Toleva |
Life After SCAD & Patient Perspectives: Chair – Mulvagh | |
1:10-1:25pm | Depression, migraines & anxiety in patients with SCAD (Pittman-Wagers) |
1:25-1:40pm | Psychosocial issues, challenges and needs post-SCAD (Tulloch) |
1:40-1:55pm | Patient experience #1 |
1:55-2:10pm | Patient experience #2 |
2:10-2:25pm | Patient experience #3 |
2:25-2:45pm | Panel/Audience Q&A: Saw, Mulvagh, Pittman-Wagers, Tulloch, Madan, Lavoie, Toleva |
2:45-3:00pm | Conference Wrap-Up & Meeting Adjourn: Saw |
Sunday Morning Patient Break-out Sessions: Q&A Discussions
Sunday May 7/2023 | |
Fibromuscular Dysplasia Workshop for Patients: Chair – Pam Mace (FMDSA), Kim & Olin | |
7:00-7:45am | What is FMD?
Link between FMD and SCAD Living with FMD |
Chest Pain After SCAD: Chair – Tara Sedlak & Nandita Scott | |
8:00-8:45am | How often is chest pain post-SCAD?
When should testing be done, and which tests? How to manage chest pain post-SCAD? |
Psychosocial Issues after SCAD: Chair – Heather Tulloch & Pittman-Wagers | |
9:00-9:45am | Balancing work, family, life post-SCAD
Social media & web supports with SCAD Psychosocial support after SCAD |