About this trial
Spontaneous coronary artery dissection (SCAD) is an increasingly recognised cause of non-atherosclerotic acute coronary syndromes (ACS), predominantly afflicting young women without conventional atherosclerotic risk factors. Knowledge of SCAD has advanced considerably in the last few years as a result of data from a number of local and national registries 1-6. Like all rarer diseases however, a better understanding of SCAD will require international collaboration. At present, there is no European or International SCAD registry despite increasing recognition that there are key differences in the diagnosis, interventional and medical management of SCAD compared with conventional atherosclerotic ACS. The ESC-ACCA Study Group on Spontaneous Coronary Artery Dissection supported by the European Observational Research Programme will now build the first pan-European SCAD registry to advance our understanding of current management of this condition, inform guidelines, educate clinical colleagues and advance research.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient having signed an Informed Consent
Patient aged 18 years and over
SCAD clinical diagnosis within the past 10 years and available coronary angiographic imagery
Disqualifiers
Patient unwilling or unable to consent
Patients with iatrogenic or atherosclerotic coronary dissection
Trial population
Patient aged 18 years and over with SCAD clinical diagnosis within the past 10 years and available coronary angiographic imagery.
Trial design
Cohort
Other
Treatments tested in this trial
There are no interventions as the study is purely observational.
Other interventionThere are no interventions as the study is purely observational.
Treatment groups
Trial outcomes
Primary outcomes
Patient Status:
* Measure: Functional health status and clinical condition during follow-up. * Unit of Measure: Categorized as stable, improved, or worsened.
Vital Signs:
-Heart Rate: Measure: Heart rate monitoring. Unit of Measure: Beats per minute (bpm). -Blood Pressure: Measure: Systolic and diastolic blood pressure measurement. Unit of Measure: Millimeters of mercury (mmHg). -Oxygen Saturation: Measure: Oxygen saturation monitoring. Unit of Measure: Percentage (%).
Recurrent SCAD Events:
* Measure: Documentation of recurrent SCAD events, including clinical presentation, diagnosis, management, and procedures. * Unit of Measure: Number of recurrent SCAD events.
Imagery:
* Measure: Coronary angiography anonymized and sent for central review (Corelab) for confirmation and analysis. * Unit of Measure: Yes/No (whether imagery was obtained and sent).
Secondary outcomes
Procedures:
* Measure: Documentation of any medical or surgical procedures related to SCAD during follow-up (e.g., coronary interventions). * Unit of Measure: Number of procedures.
Other Coronary Vascular Events:
* Measure: Occurrence of any other coronary vascular events (e.g., myocardial infarction, ischemia, revascularization). * Unit of Measure: Number of events.
Symptomatology:
* Measure: Patient-reported symptoms related to cardiovascular health (e.g., chest pain, dyspnea, palpitations). * Unit of Measure: Symptom frequency and severity (scale-based or categorical, e.g., mild, moderate, severe).
Pregnancy and Hormonal Therapy (when applicable):
* Measure: Pregnancy status and use of hormonal therapy during follow-up. * Unit of Measure: Categorical variables (e.g., pregnant: Yes/No; hormonal therapy: Yes/No).
Sponsors and contacts
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