[Cardiac sarcoidosis: a diagnostic and therapeutic challenge].

Rev Med Suisse

Service d'allergologie et d'immunologie clinique, Département de médecine, Hôpitaux universitaires de Genève, 1211 Genève 14.

Published: April 2024

The diagnosis of cardiac sarcoidosis, particularly in its isolated cardiac form, represents a major challenge due to non-specific symptoms and the limited sensitivity and specificity of basic cardiac investigations. MRI and metabolic PET-CT are important elements in the diagnostic process. Corticosteroids remain the cornerstone for the treatment of the inflammatory phase, in association with biological agents and steroid-sparing therapies. The goal is to limit the progression of fibrosis, which is a source of malignant arrhythmias and heart failure. The indication for implantation of a cardiac defibrillator must be carefully evaluated to reduce the risk of sudden death. Multidisciplinary collaboration is essential for optimal care.

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http://dx.doi.org/10.53738/REVMED.2024.20.868.682DOI Listing

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