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Published on: June 30, 2023
Clinics in diagnostic imaging (189). Acute phase cardiac sarcoidosis (CS)
Sumer Nrupendra Shikhare1, Ashish Chawla1, Ree Nee Khoo1
1Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.
Insights
Cardiac sarcoidosis, though rare, can be fatal. Early diagnosis using cardiac magnetic resonance (MR) imaging is crucial for improving patient outcomes and managing this condition effectively.
Area of Science:
- Cardiology
- Radiology
- Pathology
Background:
- Cardiac sarcoidosis is an uncommon but potentially fatal condition.
- Nonspecific clinical manifestations can delay diagnosis.
- Early diagnosis and treatment are vital for improving patient morbidity and mortality.
Observation:
- A 44-year-old man presented with breathlessness and palpitations.
- Imaging diagnosis included chest radiography and cardiac magnetic resonance (MR) imaging.
- Biopsy confirmed the diagnosis of cardiac sarcoidosis.
Findings:
- Cardiac MR imaging is pivotal for diagnosing cardiac sarcoidosis.
- MR imaging aids in monitoring therapeutic response.
- The study describes characteristic MR imaging features of cardiac sarcoidosis.
Implications:
- This work highlights the importance of early diagnosis of cardiac sarcoidosis.
- Cardiac MR imaging is a key tool for diagnosis and management.
- Understanding imaging features helps differentiate cardiac sarcoidosis from other cardiomyopathies.
Abstract:
A 44-year-old man presented with breathlessness and episodes of palpitations for the last one year. The imaging diagnosis of cardiac sarcoidosis was made based on chest radiography and cardiac magnetic resonance (MR) imaging findings, and was further confirmed by biopsy. Cardiac sarcoidosis is an uncommon entity, yet is potentially fatal with nonspecific clinical manifestations, including sudden cardiac death. Hence, it is important to diagnose and treat this entity at an early stage to improve morbidity and mortality. Cardiac MR imaging plays a pivotal role in facilitating diagnosis and monitoring therapeutic response. We describe the MR imaging features of cardiac sarcoidosis and discuss imaging features of other cardiomyopathies that may mimic cardiac sarcoidosis.
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