Clinical ResearchThe First Dedicated Cardiac Rehabilitation Program for Patients With Spontaneous Coronary Artery Dissection: Description and Initial Results
Section snippets
Methods
We designed a cardiac rehabilitation program in 2011 specifically for women after a SCAD event at Vancouver General Hospital (VGH), for patients who live in Vancouver and the surrounding suburbs in British Columbia. This SCAD-CR program (Table 1) was modified from a standard cardiac rehabilitation program after atherosclerotic MI. A dedicated weekly rehabilitation session was scheduled every Friday, and patients were highly encouraged to attend to benefit from peer-group support. When patients
Results
We report our consecutive series of 70 women with SCAD who joined SCAD-CR since the start of the program from November 2011 to April 2015. The average age was 52.3 ± 8.4 years, and other baseline demographic characteristics are described in Table 3. There was no difference in baseline demographic characteristics compared with the SCAD cohort who did not undergo SCAD-CR (n = 145). Of the SCAD-CR cohort, 56 (80.0%) presented with non-ST elevation MI, and 14 (20.0%) presented with ST-elevation MI
Discussion
To our knowledge, this is the first dedicated SCAD-CR program tailored to the unique exercise and psychosocial needs of SCAD survivors. In this prospectively followed cohort, we found our SCAD-CR program to be safe and beneficial. There was an improvement in exercise capacity and a reduction in the proportion of patients with chest pain at the conclusion of the program. There were also improvements in psychosocial well-being, with reduced depression scores and a trend toward improvement in
Disclosures
Dr Saw received research grants for SCAD research (Canadian Institutes of Health Research, University of British Columbia Division of Cardiology, AstraZeneca, Abbott Vascular, St Jude Medical, and Servier), and speaker honorarium for SCAD (AstraZeneca, St Jude Medical, and Sunovion). The other authors have no conflicts of interest to disclose.
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