The aim of "iSCAD," the International Spontaneous Coronary Artery Dissection (SCAD) Registry, is to serve as an internationally collaborative, multicenter registry coordinated by an experienced and centralized coordinating center in an effort to increase the pace of participant recruitment, and thereby increase statistical power of studies related to SCAD. The ultimate goal of iSCAD Registry is to facilitate the development of best practices and clinical guidelines for preventing SCAD or its recurrence. This observational study will be prospective and retrospective in its recruitment and will collect clinical information to better understand the natural history and prognosis for SCAD.
Spontaneous Coronary Artery Dissection (SCAD) is an under-diagnosed cause of acute coronary syndrome (ACS), myocardial infarction (MI) and sudden cardiac arrest. The inner lining of the coronary artery splits and allows blood to seep into the adjacent layer, forming a blockage (hematoma), or the artery continues to tear, creating a flap of tissue that blocks blood flow in the artery. SCAD strikes generally healthy, younger individuals (average age 42) who do not have traditional cardiac risk factors. Warning signs of SCAD encompass the full range of ACS and MI symptoms, from vague to classic. The cause of SCAD is currently unknown and the psychosocial impact of SCAD is traumatizing. The work of the iSCAD Registry will encompass the physical and psychosocial study of SCAD.
Study Type
OBSERVATIONAL
Enrollment
1,000
Cedars Sinai
Los Angeles, California, United States
RECRUITINGUCLA (University of California, Los Angeles)
Los Angeles, California, United States
RECRUITINGKaiser Permanente Northern California
San Francisco, California, United States
RECRUITINGUniversity of Colorado
Aurora, Colorado, United States
Descriptive Data
Participant demographic, historical, clinical characteristics, and treatment data
Time frame: Continuous time frame following index event for an average of 3 years from study contact date
Clinical Outcomes
Prospectively collected long-term outcomes including recurrent myocardial infarction, hospitalization, heart failure, stroke or transient ischemic attack, arrhythmia, and all cause mortality
Time frame: Continuous time frame following index event for an average of 3 years from study contact date
Psychosocial Outcomes
Prospectively collected data on participant's mental health using validated questionnaires
Time frame: Continuous time frame following index event for an average of 3 years from study contact date
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Hartford Hospital
Hartford, Connecticut, United States
RECRUITINGUniversity of South Florida
Tampa, Florida, United States
RECRUITINGEmory Healthcare System
Atlanta, Georgia, United States
RECRUITINGNorthwestern Medicine
Chicago, Illinois, United States
RECRUITINGUniversity of Kentucky
Lexington, Kentucky, United States
TERMINATEDJohns Hopkins
Baltimore, Maryland, United States
RECRUITING...and 21 more locations