Diagnosis of isolated cardiac sarcoidosis based on new guidelines

Isolated primary cardiac sarcoidosis: MRI diagnosis and monitoring of treatment response with cardiac enzymes.

A 48-year-old woman without known cardiovascular disease presented with progressive dyspnea. The ECG showed first-degree heart block. Plasma Troponin I and T were persistently elevated. Chest x-ray was normal. Echocardiography demonstrated asymmetrical left ventricular (LV) hypertrophy with septal predominance and moderately impaired LV systolic function. Coronary angiography demonstrated angio...

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...

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...

Isolated Cardiac Sarcoidosis Presenting with Stroke

https://e-kcj.org A 42-year-old man without past medical history presented to our hospital with temporary right sided hemiparalysis and dysarthria. Brain magnetic resonance imaging (MRI) showed multiple cerebrovascular infarctions (Figure 1). Electrocardiography showed sinus rhythm with frequent premature ventricular contractions (PVCs), but no atrial ventricular block. Echocardiography showed ...

Differential diagnosis between ARVD and cardiac sarcoidosis