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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)
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
