<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Cardiac sarcoidosis usually occurs in the context of systemic disease; however, isolated cardiac involvement can occur in up to 25% of cases and tends to be clinically silent. When symptoms are present, they are often nonspecific and occasionally fatal, representing a diagnostic challenge. A high index of clinical suspicion and the integration of appropriate imaging, laboratory, and pathologic findings is always required. Treatment aims to control the systemic inflammatory condition while preventing further cardiac damage. However, even with adequate diagnosis and treatment strategies, prognosis remains poor. We describe the case of a patient who presented with cardiac symptoms, whose initial examination was unrevealing. Diagnosis was made retrospectively based on later systemic manifestations that revealed characteristic sarcoidosis findings.</p></abstract>

Cardiac sarcoidosis usually occurs in the context of systemic disease; however, isolated cardiac involvement can occur in up to 25% of cases and tends to be clinically silent. When symptoms are present, they are often nonspecific and occasionally fatal, representing a diagnostic challenge. A high index of clinical suspicion and the integration of appropriate imaging, laboratory, and pathologic findings is always required. Treatment aims to control the systemic inflammatory condition while preventing further cardiac damage. However, even with adequate diagnosis and treatment strategies, prognosis remains poor. We describe the case of a patient who presented with cardiac symptoms, whose initial examination was unrevealing. Diagnosis was made retrospectively based on later systemic manifestations that revealed characteristic sarcoidosis findings.

Cardiac sarcoidosis: Case presentation and Review of the literature

Division of Pulmonary, Allergy and Sleep Medicine

Romanian Journal of Internal Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Cardiac sarcoidosis: Case presentation and Review of the literature"}

Cardiac sarcoidosis usually occurs in the context of systemic disease; however, isolated cardiac involvement can occur in up to 25% of cases and tends to be...

Cardiac sarcoidosis: Case presentation and Review of the literature

Published Online: Mar 28, 2019

Page range: 7 - 13

Received: Sep 11, 2018

DOI: https://doi.org/10.2478/rjim-2018-0030

Keywords
AV block, cardiac sarcoidosis, heart failure, implantable cardioverter-defibrillator, ventricular tachycardia

© 2019 Natalia Chamorro-Pareja et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Cardiac sarcoidosis: Case presentation and Review of the literature

Published Online: Mar 28, 2019

Page range: 7 - 13

Received: Sep 11, 2018

DOI: https://doi.org/10.2478/rjim-2018-0030

KeywordsAV block, cardiac sarcoidosis, heart failure, implantable cardioverter-defibrillator, ventricular tachycardia

© 2019 Natalia Chamorro-Pareja et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
AV block, cardiac sarcoidosis, heart failure, implantable cardioverter-defibrillator, ventricular tachycardia