[A heart insufficiency treated by glucocorticoids].
Arrhythmogenic right ventricular dysplasia was diagnosed in 2000 in this 44-year-old male patient with a history of syncope. An internal defibrillator was implanted. Six years later the patient was readmitted with severe heart failure, and cardiac sarcoidosis was diagnosed by myocardial biopsy. Response to a course of glucorticoids was favourable. We herein review diagnostic strategies and therapeutic options in this rare disorder.
Froidevaux
L
L
Service de médecine interne, Département de médecine interne, Centre hospitalier universitaire vaudois, Lausanne. Laurent.Froidevaux@chuv.ch
Levotanec
I
I
Waeber
G
G
D000328:Adult; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000628:therapy; D001706:Biopsy; D009202:Cardiomyopathies / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D017147:Defibrillators, Implantable; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use*; D006333:Heart Failure / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D009206:Myocardium / Q000473:pathology; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D008727:Methotrexate