Clinical valuables related to resolution of complete or advanced atrioventricular block after steroid therapy in patients with cardiac sarcoidosis

Background Prediction of atrioventricular block (AVB) resolution after steroid therapy in patients with cardiac sarcoidosis (CS) is difficult. Methods We identified 24 patients with CS and complete or advanced AVB receiving steroid therapy. AVB resolution was assessed by reviewing surface electrocar...

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Veröffentlicht in:Journal of arrhythmia 2021-08, Vol.37 (4), p.1093-1100
Hauptverfasser: Nabeta, Takeru, Hara, Masahiko, Naruke, Takashi, Maemura, Kenji, Oki, Takumi, Yazaki, Mayu, Fujita, Teppei, Ikeda, Yuki, Ishii, Shunsuke, Koitabashi, Toshimi, Ako, Junya
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Sprache:eng
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Zusammenfassung:Background Prediction of atrioventricular block (AVB) resolution after steroid therapy in patients with cardiac sarcoidosis (CS) is difficult. Methods We identified 24 patients with CS and complete or advanced AVB receiving steroid therapy. AVB resolution was assessed by reviewing surface electrocardiogram and the percentage of ventricular pacing required on subsequent device interrogation reports. Results AVB resolution was noted in eight (33%) patients 1 year after receiving steroid therapy. Univariate Cox regression analysis demonstrated that left ventricular ejection fraction (LVEF) (hazard ratio [HR] 1.07, 95% confidence interval [CI] 1.01‐1.14, P = .016), interval from recognized AVB to start of steroid therapy (HR 0.98, 95% CI 0.95‐0.99, P 
ISSN:1880-4276
1883-2148
DOI:10.1002/joa3.12583