Utility of cardiac magnetic resonance in assessing right-sided heart failure in sarcoidosis

被引：1

作者：

Lonborg, Jacob ^{[1
,2
]}

Ward, Michael ^{[1
,3
]}

Gill, Anthony ^{[5
]}

Grieve, Stuart M. ^{[1
,4
]}

Figtree, Gemma A. ^{[1
,3
]}

机构：

[1] Univ Sydney, Kolling Inst Med Res, North Shore Heart Res Grp, Sydney, NSW 2006, Australia

[2] Rigshosp, Dept Cardiol, DK-2100 Copenhagen, Denmark

[3] Royal N Shore Hosp, Dept Cardiol, St Leonards, NSW 2065, Australia

[4] Royal Prince Alfred Hosp, Dept Cardiol, Sydney, NSW, Australia

[5] Royal N Shore Hosp, Dept Pathol, Sydney, NSW, Australia

来源：

BMC MEDICAL IMAGING | 2013年 / 13卷

关键词：

Myocardial sarcoidosis; Cardiac magnetic resonance; Heart failure; Cardiomyopathy; MANAGEMENT; DIAGNOSIS;

D O I：

10.1186/1471-2342-13-2

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Background: Cardiac involvement in sarcoidosis is associated with a poor prognosis. In patients with right sided heart failure, differentiating between cor-pulmonale, or cardiac sarcoidosis has important implications to management. Case presentation: We present the case of a patient with severe but stable pulmonary sarcoidosis and new onset right sided heart failure despite only mild elevations of pulmonary artery pressure. CMR demonstration of extensive right ventricular fibrosis with associated dilatation and hypokinesis was a key finding for prognosis and management of the patient. Conclusion: Cardiac magnetic resonance (CMR) is the preferred investigation in the diagnosis of cardiac sarcoidosis, allowing assessment of myocardial inflammation and fibrosis, as well as function, in a manner not matched by other technologies.

引用

页数：5

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