Document Detail


Reconciling Q waves and late gadolinium enhancement with no angiographic evidence of coronary disease: cardiac sarcoidosis presenting as decompensated heart failure.
MedLine Citation:
PMID:  20532456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac sarcoidosis is rare and subclinical involvement is four to five times more common than clinical involvement. Cardiac sarcoidosis is associated with a poor prognosis. ECG abnormalities are the most common presentation. However, as this case illustrates, it can also present as acute decompensated heart failure. Screening with cardiac positron emission tomography (PET) or magnetic resonance imaging (MRI) is highly suggested in patients with suspected disease. Diagnosis allows for early initiation of corticosteroids. Cardiac sarcoidosis is more common than previously thought. However, with treatment, survival may also be better than previously reported.
Authors:
R P Morrissey; K J Philip; E R Schwarz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  21     ISSN:  1995-1892     ISO Abbreviation:  Cardiovasc J Afr     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-06-09     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  158-63     Citation Subset:  IM    
Affiliation:
Cedars Sinai Heart Institute, Cedars-Sinai Medical Center, and David Geffen School of Medicine, University of California Los Angeles (UCLA), CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Biopsy
Cardiomyopathies / complications,  diagnosis*,  drug therapy
Contrast Media / diagnostic use*
Coronary Angiography
Electrocardiography*
Gadolinium / diagnostic use*
Heart Failure / diagnosis,  drug therapy,  etiology*
Humans
Magnetic Resonance Imaging*
Male
Middle Aged
Predictive Value of Tests
Sarcoidosis / complications,  diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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