Crousillat D, Sarma A, Wood M, Naderi S, Leon K, Gibson CM, Aday A, Grodzinsky A, Izard K, Kovacic JC, Lindsay ME, Phelan D, Rodriguez-Lozano PF, Scott NS, Scherer M, Sharma A, Sweis R, Sumner JA, Kim ES. Spontaneous Coronary Artery Dissection: Current Knowledge, Research Gaps, and Innovative Research Initiatives:
JACC Advances Expert Panel.
JACC. ADVANCES 2024;
3:101385. [PMID:
39635541 PMCID:
PMC11616026 DOI:
10.1016/j.jacadv.2024.101385]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 08/29/2024] [Accepted: 10/01/2024] [Indexed: 12/07/2024]
Abstract
Despite marked advancements in the recognition and diagnosis of spontaneous coronary artery dissection (SCAD) over the past decade, knowledge of the basic pathophysiologic mechanisms of disease, contributing factors, and treatment continue to be poorly understood. We describe significant research gaps in our knowledge of SCAD and introduce strategies including the role of patient advocacy, independent registries, and creation of diverse centers of excellence to bridge the gap in clinical care, research, and outcomes. Lastly, we introduce an innovative patient-centered clinical care and research framework established through the SCAD Alliance and International Spontaneous Coronary Artery Dissection registry as a model for advancing knowledge of SCAD.
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