Cases in Cardiac Sarcoidosis
Fig. 14.1 Electrocardiogram (ECG) demonstrating complete heart block After the endomyocardial biopsy results returned indicating myocardial sarcoidosis, he was started on prednisone 60 mg daily which was tapered down to…
Diagnosis II: Imaging of Cardiac Sarcoidosis with Cardiac MRI, PET and SPECT
Fig. 5.1 Typical cardiac MRI protocol/sequences for imaging for cardiac sarcoidosis, including: scout images; dark blood; T2 weighted; inversion recovery; cinematic (cine) short axis (SA), horizontal long axis (HLA), and…
Multimodality Imaging of Cardiac Sarcoidosis
Fig. 7.1 The role of imaging in cardiac sarcoidosis 1. Diagnosis – Establish the presence or absence of cardiac involvement. 2. Prognosis – Identify patients who have a high…
Management of Arrhythmias Related to Cardiac Sarcoidosis
Prevalence in study series (%) Atrioventricular block 26–67 Bundle branch block 12–61 Atrial arrhythmias 23–25 Ventricular arrhythmias 11–73 Sudden cardiac death 12–65 Congestive heart failure 10–30 Conduction System Disease…
Nuclear Imaging (SPECT and PET) in Cardiac Sarcoidosis
Variable Technique What it means in cardiac sarcoidosis? Resting myocardial perfusion imaging Can be performed by either SPECT or PET myocardial perfusion imaging Resting perfusion defects can be due to…
Sarcoidosis-Associated Pulmonary Hypertension
Fig. 13.1 Hematoxylin and eosin stained lung biopsy from a patient with sarcoidosis and severe pulmonary hypertension. (a) A granuloma (black arrow) in the wall of a pulmonary vein (b)…
Management of Sudden Death Risk Related to Cardiac Sarcoidosis
Class I Recommendation ICD implantation is recommended in patients with CS and one or more of the following: 1. Spontaneous sustained ventricular arrhythmias, including prior cardiac arrest. 2. The LVEF…
Immunosuppressive Management of Cardiac Sarcoidosis
Topic Procedure N (% endorsing) Indications for initiation of immunomodulatory therapy (a) Hypermetabolic activity on a cardiac FDG–PET scan 24 (77.4 %) (b) Delayed enhancement on cardiac MRI 19 (61.3 %) (c)…
Patient-Centered Care for Sarcoidosis
© Springer International Publishing Switzerland 2015Andrew M. Freeman and Howard D. Weinberger (eds.)Cardiac Sarcoidosis10.1007/978-3-319-14624-9_15 15. Patient-Centered Care for Sarcoidosis Darlene Kim1 and Howard D. Weinberger1 (1) Division of Cardiology, Department of Medicine, National Jewish Health, 1400 Jackson St.,…
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…
