Fulminant isolated cardiac sarcoidosis with pericardial effusion and acute heart failure: Challenging aspects of diagnosis and treatment

被引：2
|
作者：
Fluschnik, Nina [1 ]
Lund, Gunnar [2 ]
Becher, Peter Moritz [1 ]
Blankenberg, Stefan [1 ]
Muellerleile, Kai [1 ]
机构：
[1] Univ Heart Ctr, Dept Gen & Intervent Cardiol, Martinistr 52, D-20246 Hamburg Eppendorf, Germany
[2] Univ Med Ctr Hamburg Eppendorf, Dept Diagnost & Intervent Radiol, D-20246 Hamburg, Germany
来源：
WORLD JOURNAL OF CLINICAL CASES | 2016年 / 4卷 / 03期
关键词：
Heart failure; Cardiac sarcoidosis; Cardiovascular magnetic resonance imaging; Endomyocardial biopsy; Internal cardiac defibrillator; ENDOMYOCARDIAL BIOPSY; MAGNETIC-RESONANCE; EUROPEAN-SOCIETY; THERAPY; DEFIBRILLATORS; ASSOCIATION; CAPABILITY;
D O I：
10.12998/wjcc.v4.i3.76
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This case report illustrates challenging aspects of diagnosis and treatment of isolated sarcoid heart disease (SHD) and the role of cardiovascular magnetic resonance (CMR) imaging. Here, we present a previously healthy 45-year-old man, who was admitted with pericardial effusion and symptoms of acute heart failure. CMR followed by targeted left ventricular endomyocardial biopsy (EMB) revealed the diagnosis of isolated SHD. The combined use of CMR and EMB was crucial in diagnosing SHD. Furthermore, this case report demonstrates the value of CMR for monitoring response to therapy and lesion healing.
引用
收藏
页码：76 / 80
页数：5
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