AI Article Synopsis
- - A 34-year-old man was diagnosed with complete AV block linked to systemic sarcoidosis affecting his heart, identified through an FDG-PET scan despite a normal cardiac MRI.
- - Treatment began with corticosteroids and monitoring with an implantable loop recorder (ILR), which initially showed improvement in his condition.
- - After 8 months, the ILR detected recurring AV block and new issues in heart function, leading to the initiation of infliximab therapy and the implantation of a dual chamber ICD (implantable cardioverter-defibrillator).
Article Abstract
A 34 year-old young man came to our attention after an occasional finding of complete AV block. We made the diagnosis of systemic sarcoidosis with cardiac involvement through an FDG-PET even with a normal CMR. We started corticosteroid therapy and we decided to follow-up the patient through an implantable loop recorder (ILR). Beyond an initial regression of the AV block, after 8 months the ILR revealed AV block and pauses more than 3 s during the day; a new FDG-PET evidenced FDG uptake in new areas of left ventricle. Hence we started infliximab and implanted a dual chamber ICD.
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| http://dx.doi.org/10.1080/00015385.2022.2030553 | DOI Listing |
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