Cardiac sarcoidosis: a diagnostic and therapeutic challenge
Autor: | Geert De Hondt, Marijke Timmers, Marc J. Claeys, Bert Vanhauwaert, Maximo Rivero-Ayerza |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Sarcoidosis Diagnostic Techniques Cardiovascular Electric Countershock Cardiac sarcoidosis 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Immunosuppression Therapy business.industry Arrhythmias Cardiac General Medicine medicine.disease Risk stratification Catheter Ablation Cardiology cardiovascular system Treatment decision making Human medicine Cardiomyopathies Cardiology and Cardiovascular Medicine business Cohort study |
Zdroj: | Acta cardiologica |
ISSN: | 0001-5385 |
Popis: | Objective: Cardiac involvement in sarcoidosis can present in various ways, with atrioventricular (AV) block and ventricular arrhythmias being the most common signs. Because of initial non-specific findings, diagnosis can be a challenge. Very few data can support treatment decisions as cardiac manifestations of this systemic disorder are rare.Methods and results: We reviewed current guidelines, cohort studies, and expert opinions concerning diagnosis and treatment of cardiac sarcoidosis.Conclusions: Longitudinal follow-up studies are necessary to improve the diagnostic process and risk stratification of cardiac sarcoidosis. The optimal dose of steroids, indications for internal cardioverter-defibrillator (ICD), and technique and optimal timing of ablation are still under debate. |
Databáze: | OpenAIRE |
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