Fulminant isolated cardiac sarcoidosis with pericardial effusion and acute heart failure: Challenging aspects of diagnosis and treatment.

World J Clin Cases

Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.

Published: March 2016

AI Article Synopsis

  • The case report discusses the complexities of diagnosing and treating isolated sarcoid heart disease (SHD), highlighting the effectiveness of cardiovascular magnetic resonance (CMR) imaging.
  • It focuses on a 45-year-old healthy man who presented with pericardial effusion and acute heart failure symptoms, where CMR and a targeted biopsy confirmed SHD.
  • Additionally, the report underscores how CMR is beneficial not only for diagnosis but also for tracking treatment progress and recovery of heart lesions.

Article Abstract

This case report illustrates challenging aspects of diagnosis and treatment of isolated sarcoid heart disease (SHD) and the role of cardiovascular magnetic resonance (CMR) imaging. Here, we present a previously healthy 45-year-old man, who was admitted with pericardial effusion and symptoms of acute heart failure. CMR followed by targeted left ventricular endomyocardial biopsy (EMB) revealed the diagnosis of isolated SHD. The combined use of CMR and EMB was crucial in diagnosing SHD. Furthermore, this case report demonstrates the value of CMR for monitoring response to therapy and lesion healing.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4792168PMC
http://dx.doi.org/10.12998/wjcc.v4.i3.76DOI Listing

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