Abstract A 53–year–old male patient with no significant past medical history and familiar for cardiac diseases presented to the emergency department asymptomatic bradycardia. The ECG showed complete atrioventricular block in absence of pathological findings on echocardiogram coronary lesions were found angiography. underwent pacemaker (PM) implantation. few months later suffered from arrest sus...

BACKGROUND AND AIM Recently we found that small fiber neuropathy (SFN) occurs frequently in sarcoidosis. Autonomic dysfunction may be a feature of SFN. Since cardiac autonomic dysfunction has been identified as a strong predictor of morbidity and mortality, recognition of cardiac autonomic involvement is of clinical relevance. It was hypothesised that SFN might be related to cardiac sympathetic...

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...

Sarcoidosis is a systemic disease of unknown aetiology characterised by the formation of noncaseating epitheloid cell granulomas, which can occur in virtually any organ. Cardiac involvement is of critical importance, due to the poor prognosis if this organ manifestation is left undiagnosed and untreated. Early initiation of therapy seems to be associated with a good prognosis; therefore, the di...

Cardiac involvement in sarcoidosis is being increasingly noted since it has been recognized in the early 20th century and is associated with poor prognosis. Cardiac sarcoidosis is rare but is potentially fatal with a wide spectrum of clinical manifestations ranging from an incidentally discovered, benign condition to fatal cardiomyopathy, arrhythmias, and even sudden cardiac death.1)2) Cardiac ...

Cardiac sarcoidosis is an uncommon cause of cardiac arrhythmias and cardiomyopathy. We describe a case of cardiac sarcoidosis presenting as an accelerated junctional rhythm and complete atrioventricular (AV) block, without severe left ventricular (LV) dysfunction or pulmonary symptoms. Computer tomography (CT) of the chest and mediastinal lymph node biopsy confirmed the diagnosis. Dual-chamber ...

Giant cell myocarditis, but not cardiac sarcoidosis, is known to cause fulminant myocarditis resulting in severe heart failure. However, giant cell myocarditis and cardiac sarcoidosis are pathologically similar, and attempts at pathological differentiation between the two remain difficult. We are presenting a case of fulminant myocarditis that has pathological features suggestive of cardiac sar...

BACKGROUND In patients with sarcoidosis, sudden death is a leading cause of mortality, which may represent unrecognized cardiac involvement. Delayed-enhancement cardiovascular magnetic resonance (DE-CMR) can detect minute amounts of myocardial damage. We sought to compare DE-CMR with standard clinical evaluation for the identification of cardiac involvement. METHODS AND RESULTS Eighty-one con...

UNLABELLED Cardiac PET using (18)F-FDG under fasting conditions (fasting (18)F-FDG PET) is a promising technique for identification of cardiac sarcoidosis and assessment of disease activity. The aim of this study was to investigate the usefulness of fasting (18)F-FDG PET in detecting inflammatory lesions of cardiac sarcoidosis from a pathophysiologic standpoint. METHODS Twenty-two patients wi...