Conduction disturbances and arrhythmias in cardiac sarcoidosis
Case report
Keywords:
Sarcoidosis/Heart, Arrhythmias, Cardiac, Implantable Cardioverter DefibrillatorAbstract
The isolated cardiac form of sarcoidosis is infrequent. However, cardiac involvement in sarcoidosis is more prevalent and occurs in 5% of these patients. The diagnosis of cardiac sarcoidosis is a challenge because of non-specific manifestations, and the sensitivity and specificity of the diagnostic modalities are limited. This case report aimed to describe the case of a patient without previous diagnosis of sarcoidosis with arrhythmias and ventricular conduction disturbance compatible with cardiac involvement of the disease. A definitive pacemaker implant and corticosteroid therapy were chosen for the treatment.
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References
1. David H. Birnie, Pablo B Nery, Andrew C. Ha and Rob S.B. Beanlands. Cardiac Sarcoidosis. Journal of the American College of Cardiology July 2016 volume 68, Issue 4.
2. Sharma OP, Maheshwari A, Thaker K. Myocardial sarcoidosis. Chest 1993; 103:253.
3. Kandolin R, Lehtonen J, Graner M, et al. Diagnosing isolated cardiac sarcoidosis. J Intern Med 2011; 270:461-469.
4. Caetano F , Candeias R, Almeida I, Barra S, Providência R, Nascimento J, Botelho A, Leitão-Marques. Arritmias na sarcoidose cardíaca: do diagnóstico ao tratamento. Revista Iberoamericana de Arritmología. 2012 ;1(2): 303-7.
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BMJ.1997;314:320-1.
6. Mehta D, Mori N, Goldbarg SH, et al. Primary prevention of sudden cardiac death in silent cardiac sarcoidosis: role of programmed ventricular stimulation. Circ Arrhythm Electrophysiol 2011; 4:43-48.
7. Soejima K, Yada H. The work-up and management of patients with apparent or subclinical cardiac sarcoidosis: with emphasis on the associated heart rhythm abnormalities. J Cardiovasc Electrophysiol 2009; 20:578-583.
8. Roberts WC, McAllister HA, Ferrans VJ. Sarcoidosis of the heart: a clinicopathologic study of 35 necropsy patients and review of 78 previously described necropsy patients. Am J Med. 1997; 63:86-108
9. Silverman KJ, Hutchins GM, Bulkley BH. Cardiac sarcoid: a clinicopathologic study of 84 unselected patients with systemic sarcoidosis. Circulation 1978; 58: 1204-11.
10. Cooper LT Jr, Blauwet LA. When should high-grade heart block trigger a search for a treatable cardiomyopathy? Circ Arrhythm Electrophysiol 2011; 4:260-261.
2. Sharma OP, Maheshwari A, Thaker K. Myocardial sarcoidosis. Chest 1993; 103:253.
3. Kandolin R, Lehtonen J, Graner M, et al. Diagnosing isolated cardiac sarcoidosis. J Intern Med 2011; 270:461-469.
4. Caetano F , Candeias R, Almeida I, Barra S, Providência R, Nascimento J, Botelho A, Leitão-Marques. Arritmias na sarcoidose cardíaca: do diagnóstico ao tratamento. Revista Iberoamericana de Arritmología. 2012 ;1(2): 303-7.
5. Mitchell DN, du Bois RM, Oldershaw PJ. Cardiac sarcoidosis.
BMJ.1997;314:320-1.
6. Mehta D, Mori N, Goldbarg SH, et al. Primary prevention of sudden cardiac death in silent cardiac sarcoidosis: role of programmed ventricular stimulation. Circ Arrhythm Electrophysiol 2011; 4:43-48.
7. Soejima K, Yada H. The work-up and management of patients with apparent or subclinical cardiac sarcoidosis: with emphasis on the associated heart rhythm abnormalities. J Cardiovasc Electrophysiol 2009; 20:578-583.
8. Roberts WC, McAllister HA, Ferrans VJ. Sarcoidosis of the heart: a clinicopathologic study of 35 necropsy patients and review of 78 previously described necropsy patients. Am J Med. 1997; 63:86-108
9. Silverman KJ, Hutchins GM, Bulkley BH. Cardiac sarcoid: a clinicopathologic study of 84 unselected patients with systemic sarcoidosis. Circulation 1978; 58: 1204-11.
10. Cooper LT Jr, Blauwet LA. When should high-grade heart block trigger a search for a treatable cardiomyopathy? Circ Arrhythm Electrophysiol 2011; 4:260-261.
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Published
2018-10-01
How to Cite
Ferreira Araújo Mendes, E., Pachón Mateos, J. C., & Nelson Albornoz Vargas, R. (2018). Conduction disturbances and arrhythmias in cardiac sarcoidosis: Case report. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(4), 138–141. Retrieved from https://jca.emnuvens.com.br/jca/article/view/95
