Abstract
Clinical signs of heart involvement are present in about 5% of patients with sarcoidosis. The most common manifestations are arrythmias, arying in severity from benign extrasystoles to atrioventricular blocks and to sudden cardiac death.
The electrocardiogram (ECG) is usually normal and, therefore, 24-hour Holter monitoring is recommended. Echocardiography is also helpful to diagnose diastolic dysfunction and valvular diseases.
Granulomatous myocardial infiltration is detected by magnetic resonance imaging (MRI( or positron emission tomography - computed tomography (PET/CT) scans.A definite diagnosis of cardiac sarcoidosis is based on endomyocardial biopsy and histologically confirmed granulomas. Presented is a case study of a patient with cardiac sarcoidosis.
A 44-year-old female was admitted to hospital for acute perimyocarditis..