Cardiac Rehabilitation Program Following the Management of ACS in Patients Presenting With SCAD
Conditions
Keywords
Cardiac rehabilitation, Spontaneous Coronary Artery Dissection
Brief summary
Spontaneous Coronary Artery Dissection (SCAD) is a rare and often misdiagnosed cause of Acute Coronary Syndrome (ACS) affecting predominantly young women without cardiovascular risk factors. There is no definitive evidence on the optimal management of SCAD, but the general approach is conservative. Unlike established evidence-based rehabilitation programs for ACS and heart failure, no cardiac rehabilitation protocol exists for SCAD. The aim of the study is to report and detail the cardiac rehabilitation program which was proposed to patients previously included in The Study of the Prevalence Fibromuscular Dysplasia in Patient With Haematoma or Spontaneous Coronary Artery Dissection. (DISCO trial - NCT02799186).
Detailed description
The cardiac rehabilitation program was proposed to the patients presenting with SCAD in each interventional cardiology department, according physician's in charge of the patient decision. The patient who has undergone a cardiac rehabilitation program following the ACS is included in a retrospective way. The patients are informed about this study by the investigator. After a reflection period, the patient is included. Details regarding the entrance psychosocial evaluation, the entrance exercise treadmill test, the medications changes during rehabilitation, the training program modalities, the exit exercise treadmill test, and the left ventricular ejection fraction evolution (evaluated by echocardiography) were recorded. The safety for each cardiac rehabilitation program was also assessed.
Interventions
OTHERData collection
Specific Readapt -DISCO complementary questionnaire rehabilitation
Sponsors
University Hospital, Bordeaux
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient previously recruited in The Study of the Prevalence Fibromuscular Dysplasia in Patient With Haematoma or Spontaneous Coronary Artery Dissection. (DISCO trial - NCT02799186) : * Patient over 18 years old * Patient with a possible diagnosis of spontaneous coronary dissection defined by: * ACS presentation * Angiographic signs compatible with a SCAD * More or less confirmed by intracoronary imaging (OCT/IVUS) or remote angiographic control (upper to 1 month). * Patient with signed informed consent to participate in the DISCO study * Subject agreeing to the use of his or her personal data in the form of anonymous coding, including in scientific publications. * patient who has undergone cardiac rehabilitation following the management of acute coronary syndrome.
Exclusion criteria
o
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety of the cardiac rehabilitation program | day 0 (inclusion) | absence/presence of chest pain during cardiac rehabilitation, hospitalization for a cardiac complication during the rehabilitation program |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Training program modalities | day 0 (inclusion) | Medications changes during cardiac rehabilitation program |
Countries
France
Contacts
Primary ContactEdouard GERBAUD, Dr
Outcome results
None listed