Beat SCAD Conference, 14 October 2023: Spontaneous Coronary Artery Dissection - The Power of Patients and Research as a Driver for Change
Dr David Adlam, Professor of Acute and Interventional Cardiology, Department of Cardiovascular Sciences, University of Leicester, Cardiovascular Research Centre at Glenfield General Hospital, Leicester, explains what happens during a SCAD, diagnosis, treatment, recurrence, medication, cardiac rehab, associated conditions, hormones and the psychological impact of SCAD.
00:00:49 - SCAD in 2023 - what is SCAD and what does it look like?
00:04:46 - What happens during a SCAD - the mechanism
00:06:36 - How common is SCAD and who gets it?
00:09:30 - How do SCAD patients present?
00:11:00 - How is SCAD diagnosed? Patient history, ECG, Troponin blood test, angiogram
00:14:30 - Angiogram vs CT scans for diagnosis
00:15:50 - Why diagnosis can be tricky
00:16:49 - Why SCAD treatment is individual
00:17:13 - Healing (right-hand image is the normal artery)
00:19:00 - Why it’s important to use stents for some SCAD patients
00:21:23 - SCAD recurrence - around 90% only have one, 10% have another over a 5-10-year follow-up period - and prognosis
00:22:55 - Medications and SCAD - treatment is individual and clinical trials looking at optimum treatments are starting
00:29:13 - Cardiac Rehab and Exercise
00:29:53 - Checking arteries elsewhere in the body for conditions like Fibromuscular Dysplasia (FMD)
00:31:19 - Contraception, Pregnancy and HRT
00:34:50 - Chest pain after SCAD is normal and doesn’t predict recurrence
00:36:50 - The psychological impact of SCAD
00:38:18 - Returning to work after SCAD
00:38:55 - Avoid the ‘stress-stress’ cycle
00:40:08 - UK SCAD clinical services
00:41:53 - Introducing Dr Anne Scott and the Scottish SCAD clinic
00:45:00 - Welsh and Northern Irish patients can be referred to Leicester. Irish and EU patients for a small administrative fee
00:46:19 - Referrals to Leicester
00:46:42 - Information for clinicians with SCAD patient queries
00:47:00 - Thanks
See other videos from the Conference:
Beat SCAD - now we are 8, Rebecca Breslin • Beat SCAD Conference 2...
Rapidly advancing SCAD research, Dr David Adlam, lead UK SCAD researcher • Beat SCAD Conference 2...
What do we know about recovery from SCAD: Physical and mental health,
Professor Lis Neubeck • Beat SCAD Conference 2...
FMD - what SCAD patients need to know, Dr Tina Chrysochou, • Beat SCAD Conference 2...
Q&A Session, Dr David Adlam, Prof Lis Neubeck, Dr Tina Chrysochou and Dr Anne Scott • Beat SCAD Conference 2...
Beat SCAD Co-founder and Chair Trustee Rebecca Breslin concludes the Conference • Beat SCAD Conference 2...
And for more information about SCAD go to our website (beatscad.org.uk)