Sarcoidosis electrocardiogram
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: : Roshan Dinparasti Saleh M.D.
Overview
Infiltrative cardiomyopathy caused by sarcoidosis, has two major complications: arrhythmias, and reduced ejection fraction. There is no specific and/or sensitive finding on ECG, suggestive of sarcoidosis according to our knowledge, but patients suspected of cardiac sarcoidosis should be screened for ventricular arrhythmias.
Classification
Infiltrative cardiomyopathy caused by sarcoidosis, has two major complications: arrhythmias, and reduced ejection fraction. Therefore echocardiography and 24-48 hour cardiac monitoring are useful tests for screening of cardiac involvement.[1][2]. Ventricular arrhythmias remain a potential cause of death in cardiac sarcoidosis[3]. Thus, patients whom are suspected to have cardiac sarcoidosis, should be screened for ventricular arrhythmias and need for defibrillator implantation[4].
References
- ↑ Hamzeh NY, Wamboldt FS, Weinberger HD: Management of cardiac sarcoidosis in the United States: a Delphi study. Chest 2012, 141(1):154-162.
- ↑ Mehta D, Lubitz SA, Frankel Z, et al: Cardiac involvement in patients with sarcoidosis: diagnostic and prognostic value of outpatient testing. Chest 133(6):1426–1435, 2008.
- ↑ Zipse MM, Sauer WH: Electrophysiologic manifestations of cardiac sarcoidosis. Curr Opin Pulm Med 19(5):485–492, 2013.
- ↑ Schuller JL, Zipse M, Crawford T, et al: Implantable cardioverter deibrillator therapy in patients with cardiac sarcoidosis. J Cardiovasc Electrophysiol 23(9):925–929, 2012.