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Beat SCAD Conference 2023 – What we now know about SCAD

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 2023 – Charity a...   Rapidly advancing SCAD research, Dr David Adlam, lead UK SCAD researcher    • Beat SCAD Conference 2023 – Rapidly a...   What do we know about recovery from SCAD: Physical and mental health, Professor Lis Neubeck    • Beat SCAD Conference 2023 – What do w...   FMD – what SCAD patients need to know, Dr Tina Chrysochou,    • Beat SCAD Conference 2023 – Fibromusc...   Q&A Session, Dr David Adlam, Prof Lis Neubeck, Dr Tina Chrysochou and Dr Anne Scott    • Beat SCAD Conference 2023 – Q&A session   Beat SCAD Co-founder and Chair Trustee Rebecca Breslin concludes the Conference    • Beat SCAD Conference 2023 – Conferenc...   And for more information about SCAD go to our website (beatscad.org.uk)