Spontaneous Coronary Artery Dissection
Conditions
Brief summary
This study aims to fill knowledge gaps regarding microvascular perfusion and pressor response to stress among patients with history of spontaneous coronary artery dissection (SCAD) using stress contrast echocardiography.
Interventions
Stress Echocardiography with Contrast will be used to assess heart function and blood flow response to stressors.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult \>18 years old * Patient has a history of spontaneous coronary artery dissection (SCAD) OR patient is healthy with no significant medical history
Exclusion criteria
* Unable to give consent * Allergic or have a history of adverse reaction to dobutamine, the Definity® ultrasound enhancing agent, or atropine. * Has a known or suspected hypersensitivity to perflutren and therefore cannot be given Definity®. * Pregnant. * Unable to interrupt breastfeeding. * Within 3 months of a heart attack. * Severe aortic stenosis. * Severe, uncontrolled hypertension (\>200/110 mmHg at baseline).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Microvascular Function | Baseline, immediately after the Stress Echocardiography | Microvascular Function will be determined by Microvascular Blood Flow (Liters/Minute). Microvascular Blood Flow will be measured by a stress echocardiogram with contrast. A higher Microvascular Blood Flow indicated better blood flow circulation. |
| Change in Blood Pressure | Baseline, immediately after the Stress Echocardiography | Change is blood pressure will be measured by a stress echocardiogram with contrast (mmHg). |
| Change in Heart Rate | Baseline, immediately after the Stress Echocardiography | Change in heart rate will be measured by a stress echocardiogram with contrast (beats per minute). |
Countries
United States