After reviewing the results with Rebecca and Andrew, the healthcare provider goes on to discuss the recommended next steps. It is explained to them that spontaneous coronary artery dissection (SCAD) is an uncommon heart condition, and it is not something that Rebecca could have predicted or prevented.
While Rebecca has SCAD, but there was no sign of blockage to the blood flow in her heart. Therefore, the healthcare provider advises conservative management for Rebecca at this point in time.
- Conservative management = A type of medical treatment defined by the avoidance of any invasive measures such as surgery.
- Unless the affected coronary artery is blocked (occluded), current evidence suggests it is better not to perform surgery or an angioplasty (dilation of a narrowed blood vessel, using a balloon, inflated at the affected site) for SCAD.
Rebecca is shocked by the results of her angiogram and Andrew is frustrated that Rebecca wasn’t offered cardiac surgery, or another medical intervention. However, the healthcare provider reassures them both and explains that because SCAD is like a bruise, it can and will heal over time (around 2-6 weeks).
The healthcare provider moves forward by referring Rebecca to be reviewed by the cardiology team.
For more information on SCAD visit CHSS Resources Hub: Spontaneous Coronary Artery Dissection (SCAD)
