Self-management

Coping and support

Spontaneous coronary artery dissection (SCAD) can be an unexpected and shocking diagnosis. The condition can cause serious and scary symptoms, and it often affects people who may have few risk factors for heart disease.

Each person may find his or her own way of coping with a diagnosis. In time you'll find what works for you. Until then, you might try to:

  • Find out more about your diagnosis. Find out enough about spontaneous coronary artery dissection (SCAD) so that you can feel comfortable participating in decisions about your care. Ask your doctor for the specifics of your situation, such as the location and size of your artery tear and descriptions of the treatments you've received.

    If you're a woman and you have had spontaneous coronary artery dissection (SCAD), your doctor may recommend you avoid pregnancy. Talk to your doctor about his or her recommendations.

    Talk with your health care team about where you can find more information about spontaneous coronary artery dissection (SCAD).

  • Connect with others living with your diagnosis. Spontaneous coronary artery dissection (SCAD) is uncommon, but national organizations can help connect you to others who share your diagnosis. Organizations such as the American Heart Association and WomenHeart: The National Coalition for Women with Heart Disease can provide telephone and online support.
  • Take care of yourself. Help your body recover by taking good care of yourself. For instance, get enough sleep so that you wake feeling rested, choose a healthy diet full of fruits and vegetables, and find healthy ways to cope with stress, such as listening to music or writing down your thoughts.

    If your doctor feels it's safe, try to do moderate physical activity, such as walking, for 30 to 40 minutes most days of the week.

    If you feel depressed or anxious, talk to your doctor. Your doctor may recommend that you talk to a mental health professional (psychologist).

  • Spend time with family and friends. Spending time with your family and friends and discussing your concerns can help you cope with your condition.
Sept. 14, 2016
References
  1. Douglas PS, et al. Spontaneous coronary artery dissection. http://www.uptodate.com/home. Accessed April 29, 2016.
  2. Hayes SN. Spontaneous coronary artery dissection (SCAD): New insights into this not-so-rare condition. Texas Heart Institute Journal. 2014;41:295.
  3. Yip A, et al. Spontaneous coronary artery dissection: A review. Cardiovascular Diagnosis and Therapy. 2015;5:37.
  4. Saw J, et al. Spontaneous coronary artery dissection (SCAD). Circulation. 2015;131:e3.
  5. Goel K, et al. Familial spontaneous coronary artery dissection: Evidence for genetic susceptibility. JAMA Internal Medicine. 2015;175:821.
  6. Tweet MS, et al. Multimodality imaging for spontaneous coronary artery dissection in women. JACC: Cardiovascular Imaging. 2016;9:436.
  7. Warning signs of a heart attack. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/WarningSignsofaHeartAttack/Warning-Signs-of-a-Heart-Attack_UCM_002039_Article.jsp#.VyzuN9j2bIU. Accessed May 6, 2016.
  8. NINDS fibromuscular dysplasia information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/fibromuscular_dysplasia/fibromuscular_dyspldysp.htm. Accessed April 29, 2016.
  9. What is coronary angiography? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/ca. Accessed April 29, 2016.
  10. What is cardiac CT? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/ct. Accessed April 29, 2016.
  11. What is a stent? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/stents. Accessed April 29, 2016.
  12. What is coronary artery bypass grafting? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/cabg. Accessed April 29, 2016.
  13. What is cardiac rehabilitation? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/rehab. Accessed April 29, 2016.
  14. Getting support. American Heart Association. http://www.heart.org/HEARTORG/Caregiver/ReachOut/GettingSupport/Getting-Support_UCM_301847_Article.jsp#.VyzxLNj2bIU. Accessed May 5, 2016.
  15. Your guide to living well with heart disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/resources/heart/living-with-heart-disease-html. Accessed May 5, 2016.
  16. Barbara Woodward Lips Patient Education Center. Spontaneous coronary artery dissection (SCAD). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  17. AskMayoExpert. Spontaneous coronary artery dissection (SCAD): Chronic treatment. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  18. AskMayoExpert. Spontaneous coronary artery dissection (SCAD): Long-term follow-up. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  19. AskMayoExpert. Spontaneous coronary artery dissection (SCAD): Pregnancy and contraception precautions. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  20. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. May 9, 2016.
  21. Hayes SN (expert opinion). Mayo Clinic, Rochester, Minn. May 23, 2016.