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SCAD Guide
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Living with SCAD

Physical Activity: SCAD symptoms have been associated with physical activity in 32% of patients. There are no strict recommendations to guide physical activity in SCAD patients. Physical activity recommendations should be individualized and take into consideration the patient’s baseline physical activity and fitness level.

  • Regular moderate-intensity exercise likely outweighs the theoretical risk of recurrent SCAD. Strenuous exercise and straining associated with heavy lifting can result in a sudden increase in your blood pressure and stress on your blood vessels causing recurrent SCAD. It is recommended that patients avoid lifting or carrying heavy objects that require prolonged straining, extreme endurance training and elite competitive sports.

Mental Health: Many SCAD patients find it hard to adjust to a new diagnosis of ‘heart attack’. SCAD often happens to younger people, in their early to mid-career, and for some women during their childbearing years, or while raising a young family. High rates of anxiety (41%), depression (32%), and posttraumatic stress disorder (28%) have been reported among SCAD patients. The prevalence of anxiety diminishes over time, but posttraumatic stress disorder (PTSD) and depression remained time independent. We recommend seeking support from a mental health professional, to help manage these symptoms, as needed.

Smoking: Quitting smoking is recommended to protect your heart and cardiovascular system.

Diet: There is no known association between diet and SCAD. It is recommended that patients avoid excess caffeine and caffeinated energy drinks.

Driving: The Ontario Ministry of Transportation does not allow a person to drive after a heart attack for a minimum of one month for private driving and three months for commercial driving. Fitness to drive depends on many factors including the amount of heart damage and other medical conditions. You should discuss with your cardiologist when it is safe for you to drive again.

Sexual Activity: Most people can return to sexual activity four to six weeks after a heart attack. Speak with your doctor about when it would be safe for you to resume sexual activity.

Cardiac Rehabilitation: Cardiac rehabilitation is a program of exercise, education and counselling designed to help you recover after a heart attack in a safe environment. This personalized program will help you regain your strength and reduce your risk of having heart problems in the future. Your rehabilitation team may include a physician, nurse, occupational therapist, physiotherapist, physical educator, dietician, psychologist or psychiatrist, and social worker. It has been reported that women are only half as likely as men to attend and follow a rehabilitation program due to a variety of reasons. Take an active role in your recovery and speak to your doctor about cardiac rehabilitation options.