This event is an accredited group learning activity under Section 1 as defined by the Royal College of Physicians & Surgeons of Canada for the Maintenance of Certification program. This program is approved by the Canadian Cardiovascular Society (CCS) for a maximum of 12 hours credit. This event is also CME accredited by the College of Family Physicians of Canada and the BC Chapter for up to 10 Mainpro+ credits.
VanSCAD2023 Conference will be held on May 6-7/2023 in-person and virtually. You must be registered to obtain CME accreditation. The conference will be recorded and post-conference online streaming of the meeting will be available for registrants only.
Agenda for 2023
| Saturday May 6/2023: | |
| 1:00pm-2:00pm | Registration & Lunch |
| 2:00-2:05pm | Welcome & Opening Remarks (Saw) |
| Introduction & Overview of Heart Disease in Women: Chair – Saw | |
| 2:05-2:20pm | Keynote: Spectrum of heart disease in women (Gulati) |
| 2:20-2:35pm | Keynote: What have we learnt from MI histopathology in women (Virmani) |
| 2:35-2:45pm | Overview of COVID-19 impact on MI outcomes (Henry) |
| 2:45-2:55pm | Causes of MINOCA & investigation algorithm (Sedlak) |
| 2:55-3:05pm | Causes of INOCA, investigation & management (Toleva) |
| 3:05-3:25pm | Panel/Audience Q&A: Saw, Gulati, Virmani, Henry, Sedlak, Toleva |
| SCAD: Epidemiology & Predisposing Causes: Chair – Gulati | |
| 3:25-3:35pm | History and epidemiology of SCAD (Mulvagh) |
| 3:35-3:45pm | Update on the genetic basis of SCAD (Ganesh) |
| 3:45-3:55pm | Rapid fire overview and update of FMD (Kim) |
| 3:55-4:05pm | Link between FMD and SCAD (Kim) |
| 4:05-4:15pm | Link between hereditary connective tissue disorders & SCAD (Ganesh) |
| 4:15-4:25pm | Link between pregnancy & SCAD (Wood) |
| 4:25-4:45pm | Panel/Audience Q&A: Saw, Gulati, Mulvagh, Ganesh, Kim, Wood, Virmani |
| 4:45-4:55pm | Coffee Break |
| SCAD: How Do Patients Present? Chair – Wood | |
| 4:55-5:05pm | Emotional stress as a trigger for SCAD (Tulloch) |
| 5:05-5:15pm | Physical activity as a trigger for SCAD (Yang) |
| 5:15-5:25pm | Other triggers like sneezing, retching, hormones, cocaine? (Tremmel) |
| 5:25-5:35pm | Clinical presentation with SCAD, women vs men? (Lavoie) |
| 5:35-5:45pm | Is there a link between inflammation & SCAD? (Scott) |
| 5:45-5:55pm | Acute hospital presentation with SCAD (Chou) |
| 5:55-6:15pm | Panel/Audience Q&A: Saw, Wood, Tulloch, Tremmel, Lavoie, Aymong, Chou, Scott |
| Challenging SCAD Cases Session 1: Chair – Lavoie & Asgar (5min case, 5min discussion) (Session for medical professionals only) | |
| 6:15-6:25pm | Challenging case #1 (Toleva) |
| 6:25-6:35pm | Challenging case #2 (Wood) |
| 6:35-6:45pm | Challenging case #3 (Madan) |
| 6:45-6:50pm | Day 1 Wrap-Up: Saw |
Saturday Afternoon Patient Break-out Sessions: Q&A Discussions
| Saturday May 6/2023 | |
| Genetics in Families with SCAD: Chair – Santhi Ganesh & Jungin Choi | |
| 4:30-5:30pm | Genetic basis of SCAD
Families with SCAD Available genetic studies |
| Cardiac Rehabilitation after SCAD: Chair – Taira Birnie (VGH SCAD Rehab) & Cathevine Yang | |
| 5:30-6:30pm | When can you start exercising post-SCAD?
What exercises can you be involved with post-SCAD? What activities should you avoid post-SCAD? |
| Sunday May 7/2023 | |
| 6:30-7:00am | Breakfast & registration |
| Challenging SCAD Cases Session 2: Chair – Asgar & Toleva (5min case, 5min discussion) (Session for medical professionals only) |
|
| 7:00-7:10am | Challenging case #4 (Henry) |
| 7:10-7:20am | Challenging case #5 (Lavoie) |
| 7:20-7:30am | Challenging case #6 (Tremmel) |
| SCAD: Diagnosis & Acute SCAD Management: Chair – Virmani | |
| 7:30-7:40am | Diagnosis of SCAD on coronary angiography (Saw) |
| 7:40-7:50am | When, which, and how to use intracoronary imaging for SCAD (Fung) |
| 7:50-8:00am | Diagnosis and follow-up of SCAD on cardiac CT (Nicolaou) |
| 8:00-8:10am | Management decisions with SCAD: conservative vs invasive (Madan) |
| 8:10-8:20am | PCI strategies with SCAD (Saw) |
| 8:20-8:30am | CABG strategy with SCAD (Skarsgard) |
| 8:30-8:40am | Cardiogenic shock & use of mechanical support with SCAD (Asgar) |
| 8:40-9:00am | Panel/Audience Q&A: Saw, Virmani, Fung, Nicolaou, Madan, Skarsgard, Asgar, Henry |
| 9:00-9:20am | COFFEE BREAK |
| SCAD: Long-term Management: Chair – Henry | |
| 9:20-9:30am | What are the risks of pregnancy after a SCAD event? (Scott) |
| 9:30-9:40am | Screening for FMD & vascular disorders after SCAD (Kim) |
| 9:40-9:50am | Which SCAD patients should undergo clinical genetic screening? (Ganesh) |
| 9:50-10:00am | In-hospital & long-term outcomes post-SCAD (Lavoie) |
| 10:00-10:10am | Medical management of SCAD patients (Ramanathan) |
| 10:10-10:30am | Panel/Audience Q&A: Saw, Henry, Lavoie, Ramanathan, Ganesh, Kim |
| Controversies in SCAD Management: Chair – Madan | |
| 10:30-10:40am | Left main SCAD, how should we manage? (Henry) |
| 10:40-10:50am | Role of hormonal replacement therapy post-SCAD? (Tremmel) |
| 10:50-11:00am | Recurrent chest pains post-SCAD & how to investigate/manage (Sedlak) |
| 11:00-11:10am | Cardiac arrest presentation with SCAD, when is ICD required? (Andrade) |
| 11:10-11:30pm | Panel/Audience Q&A: Saw, Madan, Andrade, Sedlak, Olin, Tremmel, Toleva |
| 11:30-12:00pm | LUNCH BREAK |
| Improving healthcare delivery for SCAD patients: Chair – Tremmel | |
| 12:00-12:15pm | How should general/nurse practitioners manage SCAD patients after discharge, before they are seen by specialists? (Madan) |
| 12:15-12:30pm | Strategies to raise awareness to mitigate SCAD underdiagnosis (Mulvagh) |
| 12:30-12:40pm | How to test for microvascular dysfunction post-SCAD (Toleva) |
| 12:40-12:50pm | Exercise rehabilitation and physical activities post-SCAD (Birnie) |
| 12:50-1:10pm | Panel/Audience Q&A: Saw, Tremmel, Andrade, Madan, Mulvagh, Toleva |
| Life After SCAD & Patient Perspectives: Chair – Mulvagh | |
| 1:10-1:25pm | Depression, migraines & anxiety in patients with SCAD (Pittman-Wagers) |
| 1:25-1:40pm | Psychosocial issues, challenges and needs post-SCAD (Tulloch) |
| 1:40-1:55pm | Patient experience #1 |
| 1:55-2:10pm | Patient experience #2 |
| 2:10-2:25pm | Patient experience #3 |
| 2:25-2:45pm | Panel/Audience Q&A: Saw, Mulvagh, Pittman-Wagers, Tulloch, Madan, Lavoie, Toleva |
| 2:45-3:00pm | Conference Wrap-Up & Meeting Adjourn: Saw |
Sunday Morning Patient Break-out Sessions: Q&A Discussions
| Sunday May 7/2023 | |
| Fibromuscular Dysplasia Workshop for Patients: Chair - Pam Mace (FMDSA), Kim & Olin | |
| 7:00-7:45am | What is FMD?
Link between FMD and SCAD Living with FMD |
| Chest Pain After SCAD: Chair – Tara Sedlak & Nandita Scott | |
| 8:00-8:45am | How often is chest pain post-SCAD?
When should testing be done, and which tests? How to manage chest pain post-SCAD? |
| Psychosocial Issues after SCAD: Chair – Heather Tulloch & Pittman-Wagers | |
| 9:00-9:45am | Balancing work, family, life post-SCAD
Social media & web supports with SCAD Psychosocial support after SCAD |
Agenda for 2022
| Saturday Feb 19/2022: | |
| 8:00am-5:00pm | Chair/Moderator - Saw |
| Introduction & Overview of Heart Disease in Women: | |
| 8:00-8:05am | Welcome & Opening Remarks (Saw) |
| 8:05-8:20am | Spectrum of heart disease in women (Mehran) |
| 8:20-8:35am | How COVID-19 has affected management of MI patients (Henry) |
| 8:35-8:50am | Causes of MINOCA & investigation algorithm (Wei) |
| 8:50-9:05am | Causes of INOCA, investigation & management (Smilowitz) |
| 9:05-9:20am | What have we learnt from histopathology of MI in women (Virmani) |
| 9:20-9:50am | Panel/Audience Q&A: Saw, Henry, Wei, Smilowitz, Virmani, Wood, Adlam |
| SCAD: Epidemiology & Predisposing Causes | |
| 9:50-9:55am | My most memorable SCAD case (Adlam) |
| 9:55-10:07am | Epidemiology of SCAD (Hayes) |
| 10:07-10:19am | Epidemiology of FMD & link with SCAD (Olin) |
| 10:19-10:31am | Link between hereditary connective tissue disorders & SCAD (Lindsay) |
| 10:31-10:43am | Relationship between pregnancy & SCAD (Wood) |
| 10:43-10:55am | Relationship between systemic inflammatory diseases & SCAD (Tweet) |
| 10:55-11:07am | Precipitating emotional, physical & hormonal triggers for SCAD (Mulvagh) |
| 11:07-11:37am | Panel/Audience Q&A: Saw, Hayes, Olin, Lindsay, Tweet, Wood, Mulvagh |
| 11:37-12:00pm | LUNCH BREAK – case presentations (Sharkey, Madan, Nestelberger) |
| SCAD: Diagnosis & Investigation | |
| 12:00-12:15pm | Genetics of SCAD, when & what to investigate? (Ganesh) |
| 12:15-12:27pm | Clinical presentation with SCAD (Samuel) |
| 12:27-12:39pm | Angiographic Diagnosis of SCAD (Saw) |
| 12:39-12:51pm | Intracoronary imaging with SCAD: indications & findings (Alfonso) |
| 12:51-1:03pm | How and when to use CTA to diagnose SCAD (Gohshhajra) |
| 1:03-1:15pm | Screening for FMD & vascular disorders after SCAD (Kim) |
| 1:15-1:45pm | Panel/Audience Q&A: Saw, Ganesh, Sharkey, Alfonso, Gohshhajra, Kim |
| SCAD: Acute Management | |
| 1:45-1:57pm | Indications for PCI and strategies (Tremmel) |
| 1:57-2:09pm | Indications for CABG and strategies (Skarsgard) |
| 2:09-2:21pm | Medical management with SCAD (Zaman) |
| 2:21-2:33pm | Chest pain after SCAD, how/when to investigate (Sedlak) |
| 2:33-2:45pm | How to manage VT/VF after SCAD (Andrade) |
| 2:45-3:15pm | Panel/Audience Q&A: Saw, Tremmel, Skarsgard, Zaman, Madan, Andrade |
| SCAD: Long-term Management | |
| 3:15-3:27pm | Long-term outcomes post-SCAD (McAlister) |
| 3:27-3:39pm | Exercise rehabilitation and physical activities post-SCAD (Birnie) |
| 3:39-3:51pm | Psychosocial issues & management post-SCAD (Pittman-Wagers) |
| 3:51-4:03pm | Managing women with heart disease in the COVID era (Gulati) |
| 4:03-4:33pm | Faculty/Audience Q&A on future directions on SCAD research & management: Saw, Alfonso, Ganesh, Gulati, Hayes, Henry, Kim, Tremmel, Madan, Mulvagh, Smilowitz, Sharkey, Wood, Zaman |
| 4:33-4:58pm | Audience Online Q&A |
| 4:58-5:00pm | Conference Wrap-Up & Meeting Adjourn: Saw |
Agenda for 2021
| Saturday Jan 30/2021: | |
| 8:00am-4:00pm | Chair/Moderator - Saw |
| SCAD Introduction, Epidemiology, & Associated Predisposing/Precipitating Conditions: | |
| 8:00-8:10am | Welcome & Opening Remarks (Saw) |
| 8:10-8:20am | History & Epidemiology of SCAD (Hayes) |
| 8:20-8:30am | Histopathology findings in SCAD patients (Virmani) |
| 8:30-8:40am | Link between SCAD & FMD: Deep dive on FMD (Olin) |
| 8:40-8:50am | Connective tissue disorders (non-FMD) associated with SCAD (Lindsay) |
| 8:50-9:00am | Can systemic inflammatory diseases cause SCAD or are bystander? (Tweet) |
| 9:00-9:10am | Relationship between pregnancy and hormonal triggers with SCAD (Mass) |
| 9:10-9:20am | Emotional & physical triggers that can precipitate SCAD (Mulvagh) |
| 9:20-9:40am | Panel Discussion: Saw, Hayes, Virmani, Olin, Lindsay, Tweet, Mass, Mulvagh |
| SCAD Clinical Presentation & Diagnosis: | |
| 9:40-9:50am | Clinical presentation with SCAD: symptoms & hospital features (Alfadhel) |
| 9:50-10:00am | Diagnosis of SCAD on angiography (Saw) |
| 10:00-10:10am | Intracoronary imaging of SCAD with OCT and IVUS (Alfonso) |
| 10:10-10:20am | Diagnosis of SCAD on CTA & MRI (Gohshhajra) |
| 10:20-10:30am | Can SCAD present as MINOCA, how to investigate? (Reynolds) |
| 10:30-10:40am | Takotsubo syndrome & SCAD, can they co-exist? (Samuel) |
| 10:40-10:50am | Can microvascular dysfunction co-exist with SCAD? (Sedlak) |
| 10:50-11:10am | Panel Discussion: Saw, Alfadhel, Alfonso, Gohshhajra, Reynolds, Samuel, Sedlak |
| Management of SCAD: | |
| 11:10-11:20am | In-hospital management of patients with SCAD (pharmacotherapy; patient selection for conservative vs, revascularization) (Adlam) |
| 11:20-11:30am | PCI with SCAD: strategy & outcomes (Henry) |
| 11:30-11:40am | CABG for SCAD: indication, strategy & outcomes (Price) |
| 11:40-11:50am | Outcomes & management of patients presenting with VT/VF and SCAD (Andrade) |
| 11:50-12:00pm | Cardiogenic shock & management in patients with SCAD (Sharkey) |
| 12:00-12:10pm | Long-term management of SCAD patients (medications, lifestyle changes, screening investigations) (Tremmel) |
| 12:10-12:20pm | Pregnancy-associated SCAD, and risks of pregnancy after SCAD (Wood) |
| 12:20-12:40pm | Panel discussion: Saw, Adlam, Henry, Price, Andrade, Sharkey, Tremmel, Wood, Ganesh |
| SCAD Registries Throughout the Globe: | |
| 12:40-12:50pm | Canadian SCAD Study: current status & plans (Saw) |
| 12:50-1:00pm | Mayo Clinic SCAD Registry: current status & plans (Hayes) |
| 1:00-1:10pm | Spanish SCAD Registry: current status & plans (Alfonso) |
| 1:10-1:20pm | UK SCAD Registry: current status & plans (Adlam) |
| 1:20-1:30pm | French SCAD Registry: current status & plans (Combaret) |
| 1:30-1:40pm | New Zealand Registry: current status & plans (Puri) |
| 1:40-1:50pm | Australia SCAD Registry: current status & plans (Zaman) |
| 1:50-2:00pm | SCAD in Japan & other parts of Asia (Inohara) |
| 2:00-2:20pm | Panel discussion: Saw, Hayes, Alfonso, Adlam, Combaret, Puri, Zaman, Inohara |
| Life after SCAD, and during COVID-19 Pandemic: | |
| 2:20-2:30pm | How COVID-19 pandemic has affected care of SCAD patients (Henry) |
| 2:30-2:40pm | New genetic discoveries with SCAD, and when should genetic studies be done? (Ganesh) |
| 2:40-2:50pm | Men with SCAD, are they a rarity and are outcomes different? (McAlister) |
| 2:50-3:00pm | Exercise rehabilitation and physical activities post-SCAD (Birnie) |
| 3:00-3:10pm | Depression, migraines & anxiety in patients with SCAD (Pittman-Wagers) |
| 3:10-3:20pm | Saving women’s hearts after SCAD (Gulati) |
| 3:20-3:40pm | Future directions in SCAD research & management panel discussion: Saw, Henry, Ganesh, Hayes, Wood, Tremmel, Adlam, Alfonso, Gulati, Zaman |
| 3:40-4:00pm | Audience Online Q & A |
| 4:00-4:05pm | Conference Wrap-Up & Meeting Adjourn: Saw |
Agenda for 2019
| Friday Aug 30/2019: Main Session (Combined Health Professionals/Patients) | |
| 10:00-11:00am | Registration & Brunch |
| SCAD Introduction, Epidemiology & Pathology & Associated Predisposing/Precipitating Conditions: Chair - Saw | |
| 11:00-11:05am | Welcome & Opening Remarks (Saw) |
| 11:05-11:20am | Women and heart disease: Overview of epidemiology & causes (Mulvagh) |
| 11:20-11:35am | History & Epidemiology of SCAD (Hayes) |
| 11:35-11:50am | Premature CAD in Women (Brunham) |
| 11:50-12:05pm | Link between SCAD & FMD: Deep dive on FMD (Inohara) |
| 12:05-12:20pm | Other SCAD predisposing arteriopathies: CTD, systemic inflammatory diseases (Wood) |
| 12:20-12:40pm | Coffee Break |
| 12:40-12:55pm | SCAD predisposing stressors: emotional & physical triggers (Chou) |
| 12:55-1:10pm | SCAD and association with pregnancy and hormonal triggers (Tremmel) |
| 1:10-1:25pm | Association of SCAD with microvascular dysfunction, Takotsubo syndrome and Vasospasm (Sedlak) |
| 1:25-1:40pm | Genetic predisposition with SCAD and link with FMD/CTD (Ganesh) |
| 1:40-2:00pm | Panel Discussion: Saw, Mulvagh, Inohara, Wood, Tremmel, Ganesh, Chou, Hayes |
| 2:00-2:20pm | Coffee Break |
| SCAD Clinical Presentation & Diagnosis: Chair - Wood | |
| 2:20-2:35pm | Clinical symptoms with SCAD: presentation & post-SCAD (Parsa) |
| 2:35-2:50pm | SCAD and link with depression, migraines & anxiety (Pittman-Wagers) |
| 2:50-3:05pm | Hospital Presentation with SCAD: STEMI/NSTEMI, VF/VT, cardiogenic shock, SCD (Toleva) |
| 3:05-3:20pm | Diagnosis of SCAD on angiography (Saw) |
| 3:20-3:35pm | Diagnosis of SCAD on CTA & MRI (Gohshhajra) |
| 3:35-3:50pm | Intracoronary imaging of SCAD: OCT/IVUS, when to use, how to interpret, risks (Fung) |
| 3:50-4:10pm | Panel Discussion: Wood, Pittman-Wager, Toleva, Gohshhajra, Fung, Saw |
| 4:10-4:30pm | Coffee break |
| Management of SCAD: Chair - Tremmel | |
| 4:30-4:45pm | Medical therapy for SCAD: in-hospital & long-term (Wong) |
| 4:45-5:00pm | Acute Management with SCAD: when to choose conservative therapy versus revascularization (Tremmel) |
| 5:00-5:15pm | PCI with SCAD: strategy & outcomes (Saw) |
| 5:15-5:30pm | CABG for SCAD: indication, strategy & outcomes (Price) |
| 5:30-5:45pm | Management of SCAD patients with cardiogenic shock (hemodynamic support) (D.Kim) |
| 5:45-6:00pm | Role of CTO techniques for SCAD PCI? (Rinfret) |
| 6:00-6:15pm | Management of SCAD patients with VT/VF & when to consider ICD? (Bennett) |
| 6:15-6:35pm | Panel discussion: Tremmel, Rinfret, Saw, Price, Fung, Bennett, D.Kim, Toleva |
| 6:35-6:40pm | Wrap-up day 1: Saw |
| 7:00-10:00pm | Faculty dinner in Yaletown (transportation from VGH) |
| Saturday Aug31/2019 | |
| 7:00-8:00am | Breakfast & registration |
| Health Professionals Only Session | |
| Challenging SCAD Case Session: “Share Your Experience”: Chair - Saw | |
| 7:40-7:50am | My worst SCAD case: #1 (Tremmel) |
| 7:50-8:00am | My worst SCAD case: #2 (Wood) |
| 8:00-8:10am | My worst SCAD case: #3 (Rinfret) |
| 8:10-8:20am | My worst SCAD case: #4 (Toleva) |
| 8:20-8:30am | My worst SCAD case: #5 (Gohshhajra) |
| 8:30-8:40am | My worst SCAD case: #6 (D.Kim) |
| 8:40-8:50am | My worst SCAD case: #7 (Hayes) |
| 8:50-9:00am | My worst SCAD case: #8 (Parsa/Aymong) |
| 9:00-9:20am | Panel discussion and best case selection: Saw, Tremmel, Toleva, Wood, Rinfret, Gohshhajra, D.Kim, Hayes |
| 9:20-9:40am | Coffee break |
| Combined Heath Professionals & Patients/Family Session | |
| Post-SCAD Long-term Management: Chair - Mulvagh | |
| 9:40-9:55am | Vancouver SCAD & Cardiac Rehab Program (Starovoytov & Birnie) |
| 9:55-10:10am | iSCAD Registry: current status & future plans (Wood) |
| 10:10-10:25am | Mayo Clinic SCAD Registry: how it started, current status & future plans (Hayes) |
| 10:25-10:40am | In-hospital and Long-term Outcomes with SCAD (Toleva) |
| 10:40-10:55am | Indications for genetic screening after SCAD (Ganesh) |
| 10:55-11:10am | Cardiac Rehab & Exercises Post-SCAD (Alipour) |
| 11:10-11:25am | Imaging & investigation for predisposing arteriopathies (Gohshhajra) |
| 11:25-11:40am | Coffee break |
| Patient Experience & Call for Action: Chair - Hayes | |
| 11:40-11:55am | Pregnancy-associated SCAD, and risks of pregnancy after SCAD (Wood) |
| 11:55-12:10pm | Psychosocial considerations after SCAD (Pittman-Wagers) |
| 12:10-12:20pm | Patient experience #1 (Leon) |
| 12:20-12:30pm | Patient experience #2 |
| 12:30-12:40pm | Patient experience #3 |
| 12:40-12:55pm | Strategies to raise awareness for SCAD (Mulvagh) |
| 12:55-1:15pm | Panel & Audience discussion: Saw, Wood, Pittman-Wagers, Mace, Toleva, Mulvagh, Birnie, Hayes, Starovoytov |
| 1:15-1:20pm | Conference Wrap-Up & Meeting Adjourn: Saw |
| Saturday Aug31/2019: Patient Breakout Interactive Sessions | |
| Cardiac Rehabilitation after SCAD: Moderators - Taira Birnie (VGH SCAD Rehab), Alipour | |
| 7:30-8:25am | When can you start exercising post-SCAD?
What exercises can you be involved with post-SCAD? What activities should you avoid post-SCAD? |
| Fibromuscular Dysplasia Workshop for Patients: Moderators - Mace (FMDSA), Inohara | |
| 8:25-9:20am | What is FMD?
Link between FMD and SCAD Living with FMD |
| 9:20-9:40am | Coffee break |
| Genetics of SCAD Workshop: Moderators – Ganesh, Starovoytov | |
| 9:40-10:35am | What is known about genetics of SCAD
Is there a need to do genetics screening for everyone with SCAD? Opportunity for genetic samples collection for families with SCAD |
| Psychosocial Support after SCAD: Moderators - Leon (SCAD Alliance), Wood, Pittman-Wagers | |
| 10:35-11:30am | Life after SCAD: Balancing work, family, life post-SCAD
Social media & web supports with SCAD Psychosocial support after SCAD |
Saturday Aug 31, 2019: 5k run/walk 2:30-4:30pm (Jericho beach, Vancouver)