International Spontaneous Coronary Artery Dissection (SCAD) "iSCAD" Registry
Purpose
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.
Condition
- Spontaneous Coronary Artery Dissection
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Participants with a new diagnosis of SCAD or a history of confirmed or suspected SCAD will be prospectively recruited from either: 1. Inpatient wards of the enrolling medical centers during the acute presentation of SCAD, or 2. Outpatient cardiovascular clinics of enrolling medical centers. Participants must be: - 18 years of age or older - Diagnosis of SCAD or history of SCAD based on coronary angiography, either catheter-based or coronary CTA - Suspected SCAD by coronary angiography
Exclusion Criteria
- Coronary dissection in association with atherosclerosis or as a result of iatrogenic injury 2. Inability to provide informed consent 3. Inability to complete study-related patient questionnaires 4. Inability to understand and complete patient questionnaires independently
Study Design
- Phase
- Study Type
- Observational [Patient Registry]
- Observational Model
- Cohort
- Time Perspective
- Other
Recruiting Locations
Los Angeles, California 90048
Los Angeles, California 93003
San Francisco, California 94115
Hartford, Connecticut 06106
Tampa, Florida 33602
Boston, Massachusetts 02114-2696
Kansas City, Missouri 64111
Lebanon, New Hampshire 03756
Manchester, New Hampshire 03102
New York, New York 10029-6574
New York, New York 10032
Charlotte, North Carolina 28204
Cleveland, Ohio 44106
Philadelphia, Pennsylvania 19104
Pittsburgh, Pennsylvania 15212
Pittsburgh, Pennsylvania 15213
Nashville, Tennessee 37232
Dallas, Texas 75390
Charlottesville, Virginia 22908
Fairfax, Virginia 22031
Seattle, Washington 98195
More Details
- NCT ID
- NCT04496687
- Status
- Recruiting
- Sponsor
- SCAD Alliance
Detailed Description
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.