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Spontaneous coronary artery dissection (SCAD), is an underdiagnosed pathology, affecting predominantly young women without traditional cardiovascular risk factors and is associated with major adverse outcomes including myocardial infarction, cardiac arrest, or death.
Timely diagnosis of SCAD as well as clinical follow-up are of the essence in this pathology associated with major cardiac adverse outcomes. Despite recent improvements in diagnosis and recognition of the importance of SCAD, it remains poorly studied and understood.
In this context, we designed the SwissSCAD registry, a large, observational, prospective, cohort study, to describe the natural history of SCAD, its outcomes and its treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrospective patients | The investigators will review the hospital records at the investigational site for SCAD events having occurred over the last 5 years. All SCAD patients aged ≥18 years, not presenting atherosclerotic or iatrogenic coronary dissection will be informed about the SwissSCAD study by phone and will be given at least one week to decide if they wish to participate. We plan to include 500 patients in the retrospective arm. | ||
| Prospective patients | Patients presenting at the hospital with newly diagnosed SCAD will be informed of the SwissSCAD study and will be given at least one week to decide if they wish to participate. We plan to include 500 patients in the prospective arm. |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of safety events at 30 days | Incidence of Major cardiovascular outcomes (MACE) at 30 days | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of safety events at 1 year | Incidence of Major cardiovascular outcomes (MACE) at 1 year | 1 year |
| Incidence of safety events at 5 years | Incidence of Major cardiovascular outcomes (MACE) at 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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This observational study will recruit consecutive male and female patients presenting with newly diagnosed SCAD or having been diagnosed with SCAD within the last 5 years.
For the purposes of study inclusion, the definition of SCAD will be based on a central review of the coronary angiographic images confirmed by 2 independent assessors
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sophie Degrauwe, Dr | Contact | +41795530294 | sophie.degrauwe@hcuge.ch | |
| Veronique Menoni, PhD | Contact | +41795530917 | Veronique.Menoni@hcuge.ch |
| Name | Affiliation | Role |
|---|---|---|
| Sophie Degrauwe, Dr | Hopitaux universitaires de Geneve | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geneva University Hospitals | Recruiting | Geneva | 1205 | Switzerland |
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| ID | Term |
|---|---|
| C565153 | Coronary Artery Dissection, Spontaneous |
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| 5 years |