Arrhythmias in a patient with sarcoidosis.

Autor: Serra JL; Cardiovascular Unit, Sanatorio Allende, Córdoba, Argentina. joseluisserra@arnet.com.ar, Figueroa JA, Allende GE, Moreyra E
Jazyk: angličtina
Zdroj: Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2011 Dec; Vol. 22 (12), pp. 1387-90. Date of Electronic Publication: 2011 Jun 10.
DOI: 10.1111/j.1540-8167.2011.02114.x
Abstrakt: Arrhythmias in a Patient With Sarcoidosis. Sarcoidosis is a multisystemic granulomatous disease of unknown etiology; up to 27% of cases entail cardiac involvement. Conduction abnormalities and ventricular tachycardia are the most common arrhythmias and can cause sudden death. We describe a patient who developed cardiac sarcoidosis 9 years after undergoing surgery for neurosarcoidosis. He presented with 2:1 second-degree atrioventricular block. Ventricular tachycardia with 3 morphologies was induced by exercise stress test. A DDD pacer/implantable cardioverter defibrillator (ICD) was implanted, which prevented exercise-induced ventricular tachycardia in a follow-up stress test. Treatment with steroids was initiated. The AVB disappeared, and no further arrhythmias were documented at the 1-year follow-up. 
(© 2011 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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