Title

A complete heart block in a young male: a case report and review of literature of cardiac sarcoidosis.

Publication/Presentation Date

11-5-2016

Abstract

Cardiac sarcoidosis is one of the uncommon causes of heart failure. Generally, it presents in the form of varying clinical manifestations ranging from asymptomatic to fatal arrhythmias such as ventricular tachycardia and complete heart block. It is difficult to make a diagnosis strictly based on clinical grounds. However, in the setting of extracardiac sarcoidosis and patients presenting with advanced heart block or ventricular arrhythmia, direct cardiac involvement should be suspected. The definitive diagnosis of cardiac sarcoidosis can be made from endomyocardial biopsy, but it is falling out of favor due to patchy myocardial involvement, considerable procedure-related risks, and advancement in additional imaging modalities. Once cardiac sarcoidosis has been diagnosed, management of the disease remains challenging. Steroids are considered the mainstay of therapy, and implantable cardioverter defibrillator therapy can be considered in a selected group of patients at greater risk for malignant ventricular arrhythmias.

Volume

22

Issue

1

First Page

55

Last Page

64

ISSN

1573-7322

Disciplines

Medical Sciences | Medicine and Health Sciences

PubMedID

27817119

Department(s)

Department of Medicine, Cardiology Division

Document Type

Article