Exercise Support and Rehabilitation for Patients After Spontaneous Coronary Artery Dissection - a Feasibility Study

What this Trial Is About

This research aims to explore how a remote exercise program works for women recovering from spontaneous coronary artery dissection (SCAD), a type of heart attack caused by a tear in the blood vessels. SCAD mostly affects otherwise healthy women and differs from traditional heart attacks. Since cardiac rehabilitation programs are typically designed for older populations, this study seeks to find out if a tailored remote exercise plan can be suitable and beneficial for these women. Participants are randomly assigned to one of two groups: one group will receive a 12-week remote exercise program including a cardiopulmonary exercise test (CPET) and use of a wearable activity monitor; the other group receives usual care along with a blinded wearable activity monitor. The study uses this design to safely prescribe exercise levels and monitor activity. The intervention aims to allow participants to achieve exercises that match their capacity, addressing concerns about exercise safety after SCAD. Women taking part will be monitored throughout the study with assessments at the start, during, and after the 12-week program, and at a 24-week follow-up. Researchers will collect data on recruitment, adherence to the program, acceptability, exercise duration and intensity, and self-efficacy. Additional measures include chest pain, mental wellbeing, anxiety, physical activity, and physical function tests like the 6-minute walk and sit-to-stand tests. The study helps understand recovery better and supports safe exercise practices after SCAD.

Exercise Support and Rehabilitation for Patients After Spontaneous Coronary Artery Dissection