Document Detail

Successfully treated complete atrioventricular block with corticosteroid in a patient with cardiac sarcoidosis: usefulness of gallium-67 and thallium-201 scintigraphy.
MedLine Citation:
PMID:  10772129     Owner:  NLM     Status:  MEDLINE    
A 71-year-old male with sarcoidosis was followed for 6 years without steroid therapy. He was admitted because of complete atrioventricular block. Chest X-ray showed hilar lymphadenopathy. Echocardiogram showed mild left ventricular hypertrophy without local wall thinning. Cardiac sarcoidosis was diagnosed by a defect of Thallium-201 (Tl-201) imaging and abnormal uptake of Gallium-67 (Ga-67). After the start of corticosteroid therapy, complete atrioventricular block was recovered. Abnormal uptake of Ga-67 was improved. Tl-201 and Ga-67 are useful to diagnose cardiac sarcoidosis, to evaluate the lesion of cardiac involvement and to estimate the efficacy of corticosteroid therapy.
K Umetani; T Ishihara; K Yamamoto; T Sawanobori; I Kohno; H Ijiri; S Komori; K Tamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  39     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-05-25     Completed Date:  2000-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  245-8     Citation Subset:  IM    
Second Department of Internal Medicine, Yamanashi Medical University.
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MeSH Terms
Cardiomyopathies / complications*,  radionuclide imaging
Diagnosis, Differential
Gallium Radioisotopes / diagnostic use*
Glucocorticoids / therapeutic use*
Heart Block / drug therapy*,  etiology,  radionuclide imaging
Prednisolone / therapeutic use*
Radionuclide Ventriculography* / methods
Reproducibility of Results
Sarcoidosis / complications*,  radionuclide imaging
Thallium Radioisotopes / diagnostic use*
Reg. No./Substance:
0/Gallium Radioisotopes; 0/Glucocorticoids; 0/Thallium Radioisotopes; 50-24-8/Prednisolone

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

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