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Sex differences in secondary prevention needs and recommendations among patients with spontaneous coronary artery

E Stragapede1, K Bouchard1,2, T Coutinho1,2

  • 1Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON, Canada K1Y 4W7.

European Journal of Cardiovascular Nursing
|February 4, 2025
PubMed

Insights

Spontaneous coronary artery dissection (SCAD) affects both sexes, yet cardiac rehabilitation programs lack sex-specific considerations. This study identifies gaps and patient-driven improvements for SCAD recovery.

Area of Science:

  • Cardiology
  • Cardiovascular Disease
  • Rehabilitation Medicine

Background:

  • Spontaneous coronary artery dissection (SCAD) is a significant cause of heart attacks, especially in women, but also affects men.
  • Existing research on SCAD primarily focuses on clinical outcomes and treatment, with limited attention to secondary prevention.
  • Cardiac rehabilitation is crucial for SCAD patient recovery, encompassing physical and mental well-being.

Purpose of the Study:

  • To identify sex-specific gaps in current cardiac rehabilitation programming for SCAD patients.
  • To gather patient-reported suggestions for improving SCAD recovery and rehabilitation.

Main Methods:

  • Literature review on sex differences in SCAD secondary prevention.
  • Analysis of patient feedback and suggestions regarding cardiac rehabilitation experiences.

Main Results:

  • Significant sex-specific disparities exist in current SCAD cardiac rehabilitation programs.
  • Patients provided valuable insights and recommendations for tailoring rehabilitation to their unique needs.

Conclusions:

  • There is a critical need to address sex-based differences in SCAD cardiac rehabilitation.
  • Incorporating patient-centered feedback can enhance the effectiveness of secondary prevention for SCAD survivors.

Keywords:
Cardiac rehabilitationSex differencesSpontaneous coronary artery dissection (SCAD)

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