Cardiac sarcoidosis concealed by arrhythmogenic right ventricular dysplasia/cardiomyopathy

被引：9

作者：

Greif, Martin ^{[2
]}

Petrakopoulou, Paraskevi ^{[1
]}

Weiss, Max ^{[3
]}

Reithmann, Christopher ^{[2
]}

Reichart, Bruno ^{[2
,4
]}

Nabauer, Michael ^{[2
]}

Steinbeck, Gerhard ^{[2
]}

机构：

[1] St Lukes Hosp, Dept Cardiol, Thessaloniki 55236, Greece

[2] Univ Hosp Munich, Dept Cardiol, Munich, Germany

[3] Univ Hosp Munich, Dept Pathol, Munich, Germany

[4] Univ Hosp Munich, Dept Cardiac Surg, Munich, Germany

来源：

NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE | 2008年 / 5卷 / 04期

关键词：

arrhythmogenic right ventricular dysplasia/cardiomyopathy; cardiac sarcoidosis; corticosteroids; endomyocardial biopsy; heart transplantation;

D O I：

10.1038/ncpcardio1146

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background A 37-year-old male with a history of palpitations and ventricular tachycardia was diagnosed with arrhythmogenic right ventricular dysplasia/cardiomyopathy on the basis of clinical assessment, electrocardiography and echocardiography. Over the following 3 years the patient progressed to end-stage heart failure and eventually underwent heart transplantation. Histological analysis of the explanted heart revealed the presence of numerous noncaseating granulomas. Investigations Electrocardiography, echocardiography, 24h Holter monitoring, cardiac MRI, coronary angiography, endomyocardial biopsy, exercise testing, electrophysiological study, laboratory examinations and histological examination of the explanted heart. Diagnosis Cardiac sarcoidosis. Management Immunosupressive and corticosteroid therapy. Routine endomyocardial biopsy is planned.

引用

页码：231 / 236

页数：6

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