Modalities And Safety Of Cardiac Rehabilitation In A Population Managed For Spontaneous Hematoma Or Coronary Disruption

Study Overview
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Brief Summary
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Spontaneous Coronary Artery Dissection (SCAD) is a rare and often misdiagnosed cause of Acute Coronary Syndrome (ACS) affecting predominantly young women without cardiovascular risk factors. There is no definitive evidence on the optimal management of SCAD, but the general approach is conservative. Unlike established evidence-based rehabilitation programs for ACS and heart failure, no cardiac rehabilitation protocol exists for SCAD. The aim of the study is to report and detail the cardiac rehabilitation program which was proposed to patients previously included in The Study of the Prevalence Fibromuscular Dysplasia in Patient With Haematoma or Spontaneous Coronary Artery Dissection. (DISCO trial - NCT02799186).

Detailed Description
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The cardiac rehabilitation program was proposed to the patients presenting with SCAD in each interventional cardiology department, according physician's in charge of the patient decision. The patient who has undergone a cardiac rehabilitation program following the ACS is included in a retrospective way. The patients are informed about this study by the investigator. After a reflection period, the patient is included. Details regarding the entrance psychosocial evaluation, the entrance exercise treadmill test, the medications changes during rehabilitation, the training program modalities, the exit exercise treadmill test, and the left ventricular ejection fraction evolution (evaluated by echocardiography) were recorded. The safety for each cardiac rehabilitation program was also assessed.

Official Title
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Modalities And Safety Of Cardiac Rehabilitation In A Population Managed For Spontaneous Hematoma Or Coronary Disruption (DISCO): Data From The DISCO Study

Conditions
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Cardiac Rehabilitation Program Following the Management of ACS in Patients Presenting With SCAD

Intervention / Treatment
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* Other: Data collection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient previously recruited in The Study of the Prevalence Fibromuscular Dysplasia in Patient With Haematoma or Spontaneous Coronary Artery Dissection. (DISCO trial - NCT02799186) : Patient over 18 years old Patient with a possible diagnosis of spontaneous coronary dissection defined by: ACS presentation Angiographic signs compatible with a SCAD More or less confirmed by intracoronary imaging (OCT/IVUS) or remote angiographic control (upper to 1 month). Patient with signed informed consent to participate in the DISCO study Subject agreeing to the use of his or her personal data in the form of anonymous coding, including in scientific publications. patient who has undergone cardiac rehabilitation following the management of acute coronary syndrome. Exclusion Criteria: o Exclusion criteria for the DISCO study : Minor patient Patients of legal age under protective supervision (guardianship, trusteeship) Non affiliation to the French social security system Coronary dissection of iatrogenic or traumatic origin.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Recruited patient .<br>Patient previsouly recruited in the DISCO Registry (Study of the Prevalence Fibromuscular Dysplasia in Patient With Haematoma or Spontaneous Coronary Artery Dissection. (DISCO trial - NCT02799186)) with cardiac rehabilitation following the management of acute coronary syndrome | Other: Data collection<br>* Specific Readapt -DISCO complementary questionnaire rehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety of the cardiac rehabilitation program | absence/presence of chest pain during cardiac rehabilitation, hospitalization for a cardiac complication during the rehabilitation program | day 0 (inclusion) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Training program modalities | Medications changes during cardiac rehabilitation program | day 0 (inclusion) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiac rehabilitation, Spontaneous Coronary Artery Dissection