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Review
. 2015 Dec 31;8(4):1288.
doi: 10.4022/jafib.1288. eCollection 2015 Dec.

Atrial Fibrillation in Cardiac Sarcoidosis

Davendra Mehta  1 , Jonathan M Willner  1 , Philippe R Akhrass  1
Affiliations
Review

Atrial Fibrillation in Cardiac Sarcoidosis

Davendra Mehta et al. J Atr Fibrillation. .

Abstract

Sarcoidosis is a systemic granulomatous disease that affects the myocardium. Although ventricular arrhythmias are well known manifestations of cardiac involvement, there is increasing evidence that a significant proportion of patients with cardiac sarcoidosis (CS) also have atrial arrhythmias, atrial fibrillation being the most frequent. The incidence and mechanism of atrial fibrillation in CS is not precisely known. The management of atrial fibrillation in patients with CS is currently done according to the general guidelines for management of atrial fibrillation. Evidence is emerging regarding the additional role of immunosuppression for the treatment of atrial arrhythmias in CS. This paper reviews the incidence, possible mechanisms and treatment strategies of atrial fibrillation in patients with CS.

Keywords: Arrhythmia Control; Atrial Fibrillation; Cardiac Sarcoidosis; Outcomes; Sarcoidosis.

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Figures

Figure 1.
Figure 1.. Postero-anterior and anterior-posterior views of electro-anatomical voltage map of the left atrium (CARTO) in a 45 year old patient with paroxysmal atrial fibrillation prior to ablation. Left atrial appendage is not included. There is extensive atrial scar represented by areas of low voltage. Purple areas had voltage above 0.5 V rest of the left atrium had voltage <0.5V, red areas <0.05 V and thus represent atrial scar
See this image and copyright information in PMC

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