Cardiac Sarcoidosis

被引：30

作者：

Birnie, David ^{[1
]}

Ha, Andrew C. T. ^{[2
]}

Gula, Lorne J. ^{[3
]}

Chakrabarti, Santabhanu ^{[4
]}

Beanlands, Rob S. B. ^{[1
]}

Nery, Pablo ^{[1
]}

机构：

[1] Univ Ottawa, Inst Heart, Div Cardiol, Ottawa, ON K1Y 4W7, Canada

[2] Univ Toronto, Univ Hlth Network, Peter Munk Cardiac Ctr, Dept Med, Toronto, ON M5G 2C4, Canada

[3] London Hlth Sci Ctr, Div Cardiol, London, ON N6A 5A5, Canada

[4] Univ British Columbia, Dept Med, Div Cardiol, Vancouver, BC V6E 1M7, Canada

来源：

CLINICS IN CHEST MEDICINE | 2015年 / 36卷 / 04期

关键词：

Cardiac sarcoidosis; Clinically silent; Clinically manifest; Atrioventricular block; Ventricular arrhythmias; Heart failure; Sudden cardiac death; POSITRON-EMISSION-TOMOGRAPHY; COLLEGE-OF-CARDIOLOGY; VENTRICULAR-TACHYCARDIA; ENDOMYOCARDIAL BIOPSY; CORTICOSTEROID-THERAPY; ATRIOVENTRICULAR-BLOCK; MYOCARDIAL INVOLVEMENT; CONSENSUS STATEMENT; HEART-ASSOCIATION; STEROID-THERAPY;

D O I：

10.1016/j.ccm.2015.08.008

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Studies suggest clinically manifest cardiac involvement occurs in 5% of patients with pulmonary/systemic sarcoidosis. The principal manifestations of cardiac sarcoidosis (CS) are conduction abnormalities, ventricular arrhythmias, and heart failure. Data indicate that a 20% to 25% of patients with pulmonary/systemic sarcoidosis have asymptomatic (clinically silent) cardiac involvement. An international guideline for the diagnosis and management of CS recommends that patients be screened for cardiac involvement. Most studies suggest a benign prognosis for patients with clinically silent CS. Immunosuppression therapy is advocated for clinically manifest CS. Device therapy, with implantable cardioverter defibrillators, is recommended for some patients.

引用

页码：657 / +

页数：13

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