Table 4.

Strategies to Bridge Gaps in Clinical Care, Research, and Outcomes in SCAD

Clinical care	Encourage the development of expert consensus statements to continually update current practice in the absence of randomized-controlled trial data.
	Collaborate with patient advocacy groups to disseminate the newest research and recommendations.
	Longitudinal and continued clinician education through SCAD presentations at national meetings and SCAD-specific meetings
	Development of SCAD Centers of Excellence (COEs)
Research	Enable regular meetings of experts representing multiple specialties to identify ongoing gaps in clinical care, research, and outcomes and spur research collaborations.
	Multicenter registries (eg, iSCAD) are the current mainstay of data. Multicenter randomized trials are needed.
	Collaborative efforts between diverse specialties (eg, translational scientists, genetic experts, interventionalists, imaging specialists, vascular medicine specialists, sports cardiology specialists, and women’s health specialists)
Outcomes	Dissemination of vetted patient information and resources through online and in-person patient educational conferences
	Advocacy is required to increase awareness of SCAD among clinicians and assist in connecting SCAD patients with clinicians who have SCAD expertise and/or SCAD COE.
	Diversification of geographic location and practice setting of SCAD Centers of Excellence to maximize accessibility to specialty care
	Recruitment and diversification of SCAD clinical providers and investigators
	Inclusivity and retention of women and underrepresented racial and ethnic minority groups in research initiatives

iSCAD = International Spontaneous Coronary Artery Dissection; SCAD = spontaneous coronary artery dissection.