Abstract
Sarcoidosis is a systemic granulomatous disease that frequently involves the myocardium. Unfortunately, the sentinel manifestations of cardiac sarcoidosis are often potentially fatal bradyarrhythmia and tachyarrhythmia. Advanced imaging modalities such as cardiac magnetic resonance have allowed for increased diagnosis of cardiac involvement. The current review article explores diagnosis and treatment strategies for arrhythmias in patients with cardiac sarcoidosis.
Highlights
Sarcoidosis is a disease of unknown etiology characterized pathologically by noncaseating granulomas.[1,2] typically involving the lungs, sarcoidosis is a systemic disease that frequently includes other organs in its scope such as the heart, liver, nervous system, and skin.[1]
Six studies have sought to evaluate the efficacy of steroids in the treatment of cardiac sarcoidosis arising from complete heart block
Ventricular arrhythmias are a common manifestation of cardiac sarcoidosis and are more likely to occur in patients with infra-Hisian conduction disease and/or depressed ejection fractions (EFs).[34]
Summary
DEERING, md, facc, fhrs[2]
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