Invasive Procedures and Endomyocardial Biopsy

Jul 10, 2016 by in CARDIOLOGY Comments Off on Invasive Procedures and Endomyocardial Biopsy

Major complications   Total <1.0 %  Death None  Tamponade with pericardiocentesis 0.08–0.80 %  Hemothorax or pneumothorax None  Permanent complete AV block with permanent pacemaker needed <0.04 %  Urgent cardiac surgery…

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Acute Management of Cardiac Sarcoidosis

Jul 10, 2016 by in CARDIOLOGY Comments Off on Acute Management of Cardiac Sarcoidosis

  JMHW HRS 2014 Definite diagnosis Histologic evidence of cardiac non-caseating granuloma Histologic evidence of cardiac non- caseating granuloma, with no alternative cause identified (i.e., infection) Probable/clinical diagnosis Histological diagnosis…

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Clinical Presentations

Jul 10, 2016 by in CARDIOLOGY Comments Off on Clinical Presentations

Fig. 3.1 Complete heart block Cardiac sarcoidosis may be mis-diagnosed as arrhythmogenic right ventricular cardiomyopathy (ARVC) [1, 5–7]. Cardiac sarcoidosis should be considered in patients with non-ischemic cardiomyopathy, left ventricular…

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Standard Screening for Cardiac Sarcoidosis

Jul 10, 2016 by in CARDIOLOGY Comments Off on Standard Screening for Cardiac Sarcoidosis

Histologic diagnosis Endomyocardial biopsy demonstrating noncaseating epithelioid granulomas Clinical diagnosis Suspect cardiac sarcoidosis with (a) + one other (a) Complete right bundle branch block, AV block, ventricular tachycardia, ventricular premature…

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High Yield Epidemiology

Jul 10, 2016 by in CARDIOLOGY Comments Off on High Yield Epidemiology

Fig. 1.1 A myocardial biopsy obtained via right heart catheterization showing giant cells consistent with sarcoidosis As sarcoidosis is now more widely recognized and with increased rigor in its diagnosis,…

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Pathophysiology: From Genetics to Viruses and More

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pathophysiology: From Genetics to Viruses and More

Genetics: chromosomal abnormalities, angiotensin-converting enzyme genes T cell abnormalities T cell receptor abnormalities Vitamin D receptor gene abnormalities Viruses: HHV Mycobacterial diseases and acid-fast cell wall-deficient organisms Beryllium exposure Humidity/water…

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Radiotherapy Heart Effects

Jul 10, 2016 by in CARDIOLOGY Comments Off on Radiotherapy Heart Effects

Fig. 3.1 Risk factors for radiotherapy toxicity Interstitial fibrosis is common in the myocardium, from little lesions to very large diffuse infiltrates. The transition from type III collagen to type…

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