Cardiac sarcoidosis: diagnosis and management

Diagnosis and management of cardiac sarcoidosis.

Cardiac sarcoidosis is an underdiagnosed disease that may be present in as many as 25% of patients with systemic sarcoidosis. Although most commonly recognized in patients with other manifestations of sarcoidosis, it may occur in isolation and its presence is often not appreciated. Cardiac sarcoidosis may present as asymptomatic left ventricular dysfunction, congestive heart failure, atrioventr...

Diagnosis and Management of Sarcoidosis.

Sarcoidosis is a systemic disease of unknown etiology characterized by the presence of noncaseating granulomas in any organ, most commonly the lungs and intrathoracic lymph nodes. A diagnosis of sarcoidosis should be suspected in any young or middle-aged adult presenting with unexplained cough, shortness of breath, or constitutional symptoms, especially among blacks or Scandinavians. Diagnosis ...

Differential diagnosis between ARVD and cardiac sarcoidosis

Isolated cardiac sarcoidosis: critical role of cardiac MRI for diagnosis and management.

A 49-year-old female was referred for further evaluation of exercise-induced symptomatic 2nd degree 2 : 1 atrioventricular (AV) block (Mobitz type 2, Panel A). Several days of telemetric surveillance confirmed intermittent AV block but did not reveal evidence of any other arrhythmias. Coronary angiography showed normal coronary arteries. However, despite overall normal left ventricular ejection...

Central nervous system sarcoidosis--diagnosis and management.

A series of 68 patients with neurosarcoidosis is reported, with particular emphasis on clinical aspects, diagnosis and treatment. A classification system based on clinical diagnostic probability is proposed, consisting of probable and definite disease, the latter being dependent on finding sarcoid granulomas on nervous system histology, which was obtained in 12 patients (18%). The role of inves...