2025 · EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY

Modalities and safety of cardiac rehabilitation in a population managed for spontaneous haematoma or coronary disruption: insights from the READAPT-DISCO study

Ngoc, Clement Nguyen, Combaret, Nicolas, Douard, Herve, Bonnet, Marc, Valy, Yann, Meneveau, Nicolas, le Bivic, Louis, Rioufol, Gilles, Range, Gregoire, Brunel, Philippe, Harbaoui, Brahim, Lattuca, Benoit, Silvain, Johanne, Godin, Matthieu, Lhermusier, Thibault, Fluttaz, Arnaud, Saint-Etienne, Christophe, Ducrocq, Gregory, Benamer, Hakim, Roule, Vincent, Bresson, Didier, Mayaud, Norbert, Souteyrand, Geraud, Nardoux, Julien, Motreff, Pascal, Gerbaud, Edouard

Journal: EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
Année: 2025
Volume: 32
Numéro: 8, SI
Pages: 708-711
Mois: JUN
DOI: 10.1093/eurjpc/zwaf071

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare, non-atherosclerotic cause of acute coronary syndrome (ACS) that predominantly affects young women without traditional cardiovascular risk factors. There is no definitive evidence on the optimal management of SCAD, and the general approach is conservative. In contrast to the well-established evidence-based rehabilitation programmes for atherosclerotic ACS and heart failure, no standardized cardiovascular rehabilitation (CR) protocol currently exists for SCAD. The READAPT-DISCO study is a retrospective observational sub-study of the French DISCO trial, which included data from 373 patients with confirmed SCAD aged >18 years between 2016 and 2018. Detailed information on CR modalities and their potential benefits for patients with SCAD was collected, alongside an evaluation of safety outcomes. Key findings . Cardiac rehabilitation is feasible for patients with SCAD. . There are considerable disparities in referrals to CR programmes and in CR modalities in France.

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