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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

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
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

  1. 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

Cedars Sinai
Los Angeles 5368361, California 5332921 90048
Contact:
Ana Iribarren, MD
310-423-7609
ana.iribarren2@cshs.org

UCLA (University of California, Los Angeles)
Los Angeles 5368361, California 5332921 93003
Contact:
Tim Canan, MD
805-642-6252
tcanan@mednet.ucla.edu

Kaiser Permanente Northern California
San Francisco 5391959, California 5332921 94115
Contact:
Sahar Naderi, MD
415-833-2616
sahar.naderi@kp.org

University of Colorado
Aurora 5412347, Colorado 5417618 80045
Contact:
Connie Hess, MD
connie.hess@ucdenver.edu

Hartford Hospital
Hartford 4835797, Connecticut 4831725 06106
Contact:
Stephanie Saucier, MD
Stephanie.Saucier@hhchealth.org

University of South Florida
Tampa 4174757, Florida 4155751 33602
Contact:
Daniela Crousillat, MD
crousillatd@usf.edu

Emory Healthcare System
Atlanta 4180439, Georgia 4197000 30308
Contact:
Bryan Wells, MD
bjwells@emory.edu

Northwestern Medicine
Chicago 4887398, Illinois 4896861 60611
Contact:
Ranya Sweis, MD
312-664-3278
RSweis@nm.org

Johns Hopkins
Baltimore 4347778, Maryland 4361885 21224
Contact:
Jeff Trost, MD
443-997-0270
jtrost2@jhmi.edu

Massachusetts General Hospital
Boston 4930956, Massachusetts 6254926 02114-2696
Contact:
Nandita Scott, MD
617-643-6988
nsscott@mgh.harvard.edu

St. Luke's Mid America
Kansas City 4393217, Missouri 4398678 64111
Contact:
Anna Grodzinsky, MD
816-931-1883
agrodzinsky@saint-lukes.org

Dartmouth-Hitchcock
Lebanon 5088597, New Hampshire 5090174 03756
Contact:
Hannah Chaudry, MD
603-650-5724
Hannah.I.Chaudry@Hitchcock.org

Catholic Medical Center
Manchester 5089178, New Hampshire 5090174 03102
Contact:
Michelle Ouellette, MD
michelle.ouellette@cmc-nh.org

Mount Sinai
New York 5128581, New York 5128638 10029-6574
Contact:
Daniella Kadian-Dodov, MD
daniella.kadian-dodov@mountsinai.org

Columbia University Medical Center
New York 5128581, New York 5128638 10032
Contact:
Sonia Tolani, MD
st2367@cumc.columbia.edu

Atrium Health Sanger Heart and Vascular Institute
Charlotte 4460243, North Carolina 4482348 28204
Contact:
Esther SH Kim, MD, MPH
704-373-0212
Soo.Kim@atriumhealth.org

University Hospitals--Case Western
Cleveland 5150529, Ohio 5165418 44106
Contact:
Heather Gornik, MD
216-250-9714
heather.gornik@UHHospitals.org

Providence
Portland 5746545, Oregon 5744337 97225
Contact:
Lori Tam, MD
503-216-2229
lori.tam@providence.org

University of Pennsylvania
Philadelphia 4560349, Pennsylvania 6254927 19104
Contact:
Jennifer Lewey, MD
800-789-7366
jennifer.lewey@pennmedicine.upenn.edu

Allegheny General Hospital, Allegheny Health Network
Pittsburgh 5206379, Pennsylvania 6254927 15212
Contact:
Indu Poornima, MD
412-359-6550
Indu.POORNIMA@ahn.org

University of Pittsburgh Medical Center
Pittsburgh 5206379, Pennsylvania 6254927 15213
Contact:
Agnes Koczo, MD
koczoa@upmc.edu

Vanderbilt University Medical Center
Nashville 4644585, Tennessee 4662168 37232
Contact:
Kathryn Lindley, MD
615-322-3218
kathryn.lindley@vumc.org

UT Southwestern
Dallas 4684888, Texas 4736286 75390
Contact:
Dharam Kumbhani, MD
214-645-8300
dharam.kumbhani@utsouthwestern.edu

Intermountain
Murray 5778755, Utah 5549030 84107
Contact:
James Orford, MD
801-507-4701
james.orford@imail.org

University of Virginia
Charlottesville 4752031, Virginia 6254928 22908
Contact:
Patricia Rodriguez Lozano, MD
pr3gg@uvahealth.org

Inova Heart & Vascular Institute
Fairfax 4758023, Virginia 6254928 22031
Contact:
Garima Sharma, MD
571-472-2900
garima.sharma@inova.org

University of Washington Medicine
Seattle 5809844, Washington 5815135 98195
Contact:
Kelley Branch, MD
206-221-4718
kbranch@uw.edu

More Details

NCT ID
NCT04496687
Status
Recruiting
Sponsor
SCAD Alliance

Study Contact

Esther Kim, MD, MPH
704-373-0212
Soo.Kim@atriumhealth.org

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.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.