Sarcoidosis and the heart: A review of the literature
Intractable and Rare Diseases Research, cilt.4, sa.4, ss.170-180, 2015 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 4 Sayı: 4
- Basım Tarihi: 2015
- Doi Numarası: 10.5582/irdr.2015.01023
- Dergi Adı: Intractable and Rare Diseases Research
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.170-180
- Anahtar Kelimeler: Sarcoidosis, cardiac involvement, diagnosis, treatment
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Sarcoidosis is a chronic multisystem disorder without any defined etiology. Cardiac sarcoidosis (CS) is detected in 2-7% of patients with sarcoidosis and more than 20% of the cases of sarcoidosis are clinically silent. Cardiac involvement in systemic sarcoidosis (SS) and isolated cardiac sarcoidosis (iCS) are associated with arrhythmia and severe heart failure (HF) and have a poor prognosis. Early diagnosis of CS and prompt initiation of corticosteroid therapy with or without other immunosuppressants is crucial. Electrocardiography, Holter monitoring, and Doppler echocardiography with speckle tracking imaging can serve as the initial steps to diagnosis of CS. Cardiac magnetic resonance (CMR) imaging and positron emission tomography (PET) are promising techniques for both diagnosis and follow-up of CS. This review discusses the main aspects of cardiac involvement in sarcoidosis.