Sarcoidosis of the Heart

Myocardial involvement in sarcoidosis occurs in about 27% of patients. Clinical manifestations include ventricular arrhythmias, conduction abnormalities, and sudden death. Diagnosis requires clinical suspicion and may be supported by electrocardiography, echocardiography, thallium imaging, gallium‐6...

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Veröffentlicht in:	Clinical cardiology (Mahwah, N.J.) N.J.), 1993-06, Vol.16 (6), p.462-472
Hauptverfasser:	Shammas, Rony L., Movahed, Assad
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Biopsy Cardiomyopathies - diagnosis Cardiomyopathies - pathology Cardiomyopathies - therapy conduction abnormalities corticosteroids Endocardium - pathology endomyocardial biopsy Humans Medical sciences myocardial sarcoidosis Myocardium - pathology Prognosis Sarcoidosis - diagnosis Sarcoidosis - pathology Sarcoidosis - therapy Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis sudden death thallium scintigraphy ventricular arrhythmias
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Beschreibung
Zusammenfassung:	Myocardial involvement in sarcoidosis occurs in about 27% of patients. Clinical manifestations include ventricular arrhythmias, conduction abnormalities, and sudden death. Diagnosis requires clinical suspicion and may be supported by electrocardiography, echocardiography, thallium imaging, gallium‐67 scanning, and myocardial biopsy. Steroids seem to be beneficial in the treatment of myocardial sarcoidosis. Those who do not respond to medical treatment may benefit from cardiac transplantation.
ISSN:	0160-9289 1932-8737
DOI:	10.1002/clc.4960160603