Sarcoidosis of the heart.
Myocardial involvement in sarcoidosis occurs in about 27% of patients. Clinical manifestations include ventricular arrhythmias, conduction abnormalities, and sudden death. Diagnosis requires clinical suspicion and may be supported by electrocardiography, echocardiography, thallium imaging, gallium-67 scanning, and myocardial biopsy. Steroids seem to be beneficial in the treatment of myocardial sarcoidosis. Those who do not respond to medical treatment may benefit from cardiac transplantation.
Shammas
R L
RL
Department of Medicine, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.
Movahed
A
A
D001706:Biopsy; D009202:Cardiomyopathies / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D004699:Endocardium / Q000473:pathology; D006801:Humans; D009206:Myocardium / Q000473:pathology; D011379:Prognosis; D012507:Sarcoidosis / Q000175:diagnosis / Q000473:pathology / Q000628:therapy