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Advanced Diagnosis and Treatment of Cardiac Sarcoidosis

Diagnosis with PET/CT, cardiac MRI and advanced electrophysiology, and management with immunosuppression and device therapy.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Advanced Diagnosis and Treatment of Cardiac Sarcoidosis?

Cardiac sarcoidosis is a systemic disease characterized by myocardial non-caseating granulomas that can cause conduction disease, arrhythmias, heart failure and sudden cardiac death. Up to 25% of patients with sarcoidosis have cardiac involvement.

Diagnosis requires a combination of detailed ECG, echocardiography, Holter monitoring, cardiac MRI (with LGE) and FDG PET/CT. Extracardiac sarcoidosis supports the diagnosis; in some patients endomyocardial biopsy is required.

Treatment combines immunosuppression (corticosteroids, methotrexate, azathioprine, infliximab) with arrhythmia management and ICD evaluation. Transplantation may be considered in advanced heart failure.

Symptoms

Palpitations
Syncope
Dyspnea
Chest discomfort
Signs of heart failure
AV block features
Sudden cardiac death

Risk Factors

Systemic sarcoidosis
Young to middle age
Female sex
African American ancestry
Family history
Pulmonary sarcoidosis
Extracardiac granuloma

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New AV block
  • Non-sustained VT
  • Syncope
  • New heart failure
  • Cardiac symptoms in a patient with sarcoidosis
  • Recurrent arrhythmia

Treatment Methods

01
Cardiac MRI and FDG PET/CT
02
Corticosteroid therapy
03
Methotrexate, azathioprine, infliximab
04
ICD implantation
05
Antiarrhythmic therapy
06
Heart failure management
07
Multidisciplinary follow-up

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.