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Vancouver SCAD Conference 2023

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What is SCAD?
Spontaneous Coronary Artery Dissection (SCAD) is a life-threatening condition where a tear occurs in the arterial wall of the heart. This tear blocks blood flow and causes a heart attack, sudden cardiac arrest and sometimes death. SCAD can affect otherwise healthy young to middle-age women. Further research is necessary to understand how to best manage and investigate this disease.

Agenda for 2023

Saturday May 6/2023:
1:00pm-2:00pm Registration & Lunch
2:00-2:05pm Welcome & Opening Remarks (Saw)
Introduction & Overview of Heart Disease in Women: Chair – Saw
2:05-2:20pm Keynote: Spectrum of heart disease in women (Gulati)
2:20-2:35pm Keynote: What have we learnt from MI histopathology in women (Virmani)
2:35-2:45pm Overview of COVID-19 impact on MI outcomes (Henry)
2:45-2:55pm Causes of MINOCA & investigation algorithm (Sedlak)
2:55-3:05pm Causes of INOCA, investigation & management (Toleva)
3:05-3:25pm Panel/Audience Q&A: Saw, Gulati, Virmani, Henry, Sedlak, Toleva
SCAD: Epidemiology & Predisposing Causes: Chair – Gulati
3:25-3:35pm History and epidemiology of SCAD (Mulvagh)
3:35-3:45pm Update on the genetic basis of SCAD (Ganesh)
3:45-3:55pm Rapid fire overview and update of FMD (Kim)
3:55-4:05pm Link between FMD and SCAD (Kim)
4:05-4:15pm Link between hereditary connective tissue disorders & SCAD (Ganesh)
4:15-4:25pm Link between pregnancy & SCAD (Wood)
4:25-4:45pm Panel/Audience Q&A: Saw, Gulati, Mulvagh, Ganesh, Kim, Wood, Virmani
4:45-4:55pm Coffee Break
SCAD: How Do Patients Present? Chair – Wood
4:55-5:05pm Emotional stress as a trigger for SCAD (Tulloch)
5:05-5:15pm Physical activity as a trigger for SCAD (Yang)
5:15-5:25pm Other triggers like sneezing, retching, hormones, cocaine? (Tremmel)
5:25-5:35pm Clinical presentation with SCAD, women vs men? (Lavoie)
5:35-5:45pm Is there a link between inflammation & SCAD? (Scott)
5:45-5:55pm Acute hospital presentation with SCAD (Chou)
5:55-6:15pm Panel/Audience Q&A: Saw, Wood, Tulloch, Tremmel, Lavoie, Aymong, Chou, Scott
Challenging SCAD Cases Session 1: Chair – Lavoie & Asgar (5min case, 5min discussion) (Session for medical professionals only)
6:15-6:25pm Challenging case #1 (Toleva)
6:25-6:35pm Challenging case #2 (Wood)
6:35-6:45pm Challenging case #3 (Madan)
6:45-6:50pm Day 1 Wrap-Up: Saw

 

Saturday Afternoon Patient Break-out Sessions: Q&A Discussions

Saturday May 6/2023
Genetics in Families with SCAD: Chair – Santhi Ganesh & Jungin Choi
4:30-5:30pm Genetic basis of SCAD

Families with SCAD

Available genetic studies

Cardiac Rehabilitation after SCAD: Chair – Taira Birnie (VGH SCAD Rehab) & Cathevine Yang
5:30-6:30pm When can you start exercising post-SCAD?

What exercises can you be involved with post-SCAD?

What activities should you avoid post-SCAD?

 

Sunday May 7/2023
6:30-7:00am Breakfast & registration
Challenging SCAD Cases Session 2: Chair – Asgar & Toleva (5min case, 5min discussion)
(Session for medical professionals only)
7:00-7:10am Challenging case #4 (Henry)
7:10-7:20am Challenging case #5 (Lavoie)
7:20-7:30am Challenging case #6 (Tremmel)
SCAD: Diagnosis & Acute SCAD Management: Chair – Virmani
7:30-7:40am Diagnosis of SCAD on coronary angiography (Saw)
7:40-7:50am When, which, and how to use intracoronary imaging for SCAD (Fung)
7:50-8:00am Diagnosis and follow-up of SCAD on cardiac CT (Nicolaou)
8:00-8:10am Management decisions with SCAD: conservative vs invasive (Madan)
8:10-8:20am PCI strategies with SCAD (Saw)
8:20-8:30am CABG strategy with SCAD (Skarsgard)
8:30-8:40am Cardiogenic shock & use of mechanical support with SCAD (Asgar)
8:40-9:00am Panel/Audience Q&A: Saw, Virmani, Fung, Nicolaou, Madan, Skarsgard, Asgar, Henry
9:00-9:20am COFFEE BREAK
SCAD: Long-term Management: Chair – Henry
9:20-9:30am What are the risks of pregnancy after a SCAD event? (Scott)
9:30-9:40am Screening for FMD & vascular disorders after SCAD (Kim)
9:40-9:50am Which SCAD patients should undergo clinical genetic screening? (Ganesh)
9:50-10:00am In-hospital & long-term outcomes post-SCAD (Lavoie)
10:00-10:10am Medical management of SCAD patients (Ramanathan)
10:10-10:30am Panel/Audience Q&A: Saw, Henry, Lavoie, Ramanathan, Ganesh, Kim
Controversies in SCAD Management: Chair – Madan
10:30-10:40am Left main SCAD, how should we manage? (Henry)
10:40-10:50am Role of hormonal replacement therapy post-SCAD? (Tremmel)
10:50-11:00am Recurrent chest pains post-SCAD & how to investigate/manage (Sedlak)
11:00-11:10am  Cardiac arrest presentation with SCAD, when is ICD required? (Andrade)
11:10-11:30pm Panel/Audience Q&A: Saw, Madan, Andrade, Sedlak, Olin, Tremmel, Toleva
11:30-12:00pm LUNCH BREAK
Improving healthcare delivery for SCAD patients: Chair – Tremmel
12:00-12:15pm How should general/nurse practitioners manage SCAD patients after discharge, before they are seen by specialists? (Madan)
12:15-12:30pm Strategies to raise awareness to mitigate SCAD underdiagnosis (Mulvagh)
12:30-12:40pm How to test for microvascular dysfunction post-SCAD (Toleva)
12:40-12:50pm Exercise rehabilitation and physical activities post-SCAD (Birnie)
12:50-1:10pm Panel/Audience Q&A: Saw, Tremmel, Andrade, Madan, Mulvagh, Toleva
Life After SCAD & Patient Perspectives: Chair – Mulvagh
1:10-1:25pm Depression, migraines & anxiety in patients with SCAD (Pittman-Wagers)
1:25-1:40pm Psychosocial issues, challenges and needs post-SCAD (Tulloch)
1:40-1:55pm Patient experience #1
1:55-2:10pm Patient experience #2
2:10-2:25pm Patient experience #3
2:25-2:45pm Panel/Audience Q&A: Saw, Mulvagh, Pittman-Wagers, Tulloch, Madan, Lavoie, Toleva
2:45-3:00pm Conference Wrap-Up & Meeting Adjourn: Saw

 

Sunday Morning Patient Break-out Sessions: Q&A Discussions

Sunday May 7/2023
Fibromuscular Dysplasia Workshop for Patients: Chair – Pam Mace (FMDSA), Kim & Olin
7:00-7:45am What is FMD?

Link between FMD and SCAD

Living with FMD

Chest Pain After SCAD: Chair – Tara Sedlak & Nandita Scott
8:00-8:45am How often is chest pain post-SCAD?

When should testing be done, and which tests?

How to manage chest pain post-SCAD?

Psychosocial Issues after SCAD: Chair – Heather Tulloch & Pittman-Wagers
9:00-9:45am Balancing work, family, life post-SCAD

Social media & web supports with SCAD

Psychosocial support after SCAD

Vancouver SCAD Conference 2023

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