Cardiac Sarcoidosis: Clinical Manifestations, Diagnosis, and Treatment
This infographic summarizes key aspects of cardiac sarcoidosis, including clinical presentations, diagnostic tools, and treatment approaches.
- Clinical Manifestations: Cardiac sarcoidosis may present with conduction blocks, ventricular and atrial arrhythmias, non-ischemic cardiomyopathy, sudden cardiac death, and pulmonary hypertension.
- Diagnosis: Primary diagnostic tools include:
- CMR (Cardiac Magnetic Resonance Imaging): Identifies characteristic scarring patterns of sarcoidosis.
- PET (Positron Emission Tomography): Evaluates inflammation and guides therapy.
- Biopsy: Confirms sarcoidosis, cardiac or extra-cardiac, if needed.
- Treatment: Involves both inflammation control and management of cardiac manifestations:
- Immunosuppression with steroids and other agents
- GDMT for heart failure, devices for heart block, and ablation for arrhythmias
2014 HRS Diagnostic Criteria: Diagnostic criteria for cardiac sarcoidosis include cardiac or extra-cardiac evidence of non-caseating granulomas and other associated manifestations.
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