The challenging management of cardiac involvement in systemic sarcoidosis

Autor: Chiara Andreoli, Emilia Biscottini, Gianluca Savarese, Federico Fortuni, Johny Helou, Cristina Tutarini, Elisa Quintavalle, Federico Crusco, Francesco Marchetti, Maurizio Scarpignato
Rok vydání: 2022
Předmět:
Zdroj: Acta cardiologica.
ISSN: 1784-973X
Popis: A 34 year-old young man came to our attention after an occasional finding of complete AV block. We made the diagnosis of systemic sarcoidosis with cardiac involvement through an FDG-PET even with a normal CMR. We started corticosteroid therapy and we decided to follow-up the patient through an implantable loop recorder (ILR). Beyond an initial regression of the AV block, after 8 months the ILR revealed AV block and pauses more than 3 s during the day; a new FDG-PET evidenced FDG uptake in new areas of left ventricle. Hence we started infliximab and implanted a dual chamber ICD.
Databáze: OpenAIRE