Cardiac Sarcoidosis Presenting With Complete Atrioventricular Block and Sustained Monomorphic Ventricular Tachycardia.
10.4070/kcj.2012.42.8.571
- Author:
Joo Myung LEE
1
;
Il Young OH
;
Dong Ju CHOI
Author Information
1. Cardiovascular Center and Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Sarcoidosis;
Heart failure;
Magentic resonance imaging;
Tachycardia, ventricular
- MeSH:
Atrioventricular Block;
Defibrillators, Implantable;
Heart Failure;
Humans;
Positron-Emission Tomography;
Sarcoidosis;
Tachycardia, Ventricular
- From:Korean Circulation Journal
2012;42(8):571-574
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sarcoidosis is a rare but potentially fatal multisystem granulomatous disease of unknown etiology. While a number of clinical manifestations may develop, cardiac involvement (prior to or coincident with sarcoidosis of other organs) is an important prognostic factor. Recently, we encountered a patient with cardiac sarcoidosis who presented with complete atrioventricular (AV) block and sustained ventricular tachycardia. An implantable cardioverter-defibrillator was inserted as a precautionary measure for ventricular tachycardia and symptomatic complete AV block. 18F-fluoro-2-deoxyglucose positron emission tomography confirmed a dramatic response to high-dose steroid at four weeks, as demonstrated by a marked decrease in cardiac sarcoid activity from baseline status.
