Would you consider a secondary prevention ICD in a patient who had a cardiac arrest deemed attributable to a spontaneous coronary artery dissection (SCAD), with no intervention performed?
Would any other testing (CMR?) help influence your decision making?
Answer from: at Academic Institution
In patients who experience a cardiac arrest attributed to spontaneous coronary artery dissection (SCAD), the decision to pursue secondary prevention ICD implantation requires careful consideration of the reversibility of the underlying cause and the presence of any residual arrhythmogenic substrate....