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A 65-Year-Old Male With Classic Cardiac Sarcoidosis: Case Report and Review of the Literature

Natalia Moguillansky1, Ronny Samra2, Peter A Drew3

  • 1Department of Medicine, Division of Pulmonary Critical Care and Sleep Medicine, University of Florida Health, Gainesville, USA.

Cureus
|December 23, 2022
PubMed

Insights

Cardiac sarcoidosis, a difficult-to-diagnose condition, involves granuloma formation in the heart. This review covers its clinical presentation, imaging, and management, referencing 2019 guidelines.

Area of Science:

  • Cardiology
  • Immunology
  • Systemic Inflammatory Diseases

Background:

  • Sarcoidosis is a systemic inflammatory disease characterized by non-necrotizing granulomas.
  • Cardiac involvement is a significant manifestation, posing diagnostic challenges.
  • The Japanese Circulation Society (JCS) published the latest guidelines in 2019.

Observation:

  • This case report details a patient with classic cardiac sarcoidosis.
  • Literature review focuses on clinical presentation, diagnostic imaging, and therapeutic strategies.
  • The diagnostic difficulty of cardiac sarcoidosis is highlighted.

Findings:

  • Cardiac sarcoidosis diagnosis remains challenging despite existing guidelines.
  • Comprehensive review of current literature on presentation, imaging, and management.
  • Case illustration provides practical insight into the disease.

Implications:

  • Improved understanding of cardiac sarcoidosis clinical course.
  • Enhanced diagnostic and management strategies for affected patients.
  • Potential for earlier detection and intervention in cardiac sarcoidosis.

Keywords:
cardiac fdg-petcardiac mricardiac sarcoidosismri cardiactransthoracic echocardiogram

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