Key result
Cardiac rehabilitation is safe in SCAD and linked to improved physical and mental health.
Why the study?
Although knowledge of SCAD has expanded, limited evidence exists to guide post-event management and prevention of future adverse events.
Does cardiac rehabilitation improve physical and mental health in patients with spontaneous coronary artery dissection?
Does cardiac rehabilitation improve physical and mental health in patients with spontaneous coronary artery dissection?
This review highlights that cardiac rehabilitation is safe and improves physical and mental health in patients with spontaneous coronary artery dissection, supporting an individualized multidisciplinary framework.
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May support individualized cardiac rehabilitation in SCAD; leaves open need for randomized trials to confirm benefits.
Purpose. Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome predominantly affecting women. Although the knowledge of SCAD has expanded over the past 2 decades, limited evidence exists to guide post-event management and prevention of future adverse events. This review aims to synthesize the current understanding of SCAD and outline considerations for exercise prescription and cardiac rehabilitation (CR) in this unique population. Review Methods. A comprehensive literature review was conducted, incorporating original research articles, systematic reviews, meta-analyses, and current clinical guidelines related to SCAD and CR. Summary. Current literature demonstrates that CR is safe in this population and is associated with improvement in measures of physical and mental health. Expert consensus supports reintroduction of exercise and an individualized multidisciplinary CR framework. Conclusions. This review highlights current evidence and expert recommendations for the multidisciplinary outpatient management of patients with SCAD.
Carey et al. (2026) conducted a review in Spontaneous coronary artery dissection (SCAD). Cardiac rehabilitation (CR) and exercise prescription was evaluated. Cardiac rehabilitation is safe in patients with spontaneous coronary artery dissection and is associated with improvements in physical and mental health measures.
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