Location: Paetzold Auditorium, 1st Floor, Vancouver General Hospital

899 West 12th Ave, Vancouver, BC, V5Z1M9, Canada

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 for a maximum of 13 hours credit.


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)