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. 2022 Nov;77(9):846-847.
doi: 10.1080/00015385.2022.2030553. Epub 2022 Jan 24.

The challenging management of cardiac involvement in systemic sarcoidosis

Chiara Andreoli  1 , Emilia Biscottini  1 , Gianluca Savarese  1 , Federico Fortuni  1 , Johny Helou  1 , Cristina Tutarini  1 , Elisa Quintavalle  1 , Federico Crusco  2 , Francesco Marchetti  2 , Maurizio Scarpignato  1
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The challenging management of cardiac involvement in systemic sarcoidosis

Chiara Andreoli et al. Acta Cardiol. 2022 Nov.

Abstract

A 34 year-old young man came to our attention after an occasional finding of complete AV block. We made the diagnosis of systemic sarcoidosis with cardiac involvement through an FDG-PET even with a normal CMR. We started corticosteroid therapy and we decided to follow-up the patient through an implantable loop recorder (ILR). Beyond an initial regression of the AV block, after 8 months the ILR revealed AV block and pauses more than 3 s during the day; a new FDG-PET evidenced FDG uptake in new areas of left ventricle. Hence we started infliximab and implanted a dual chamber ICD.

Keywords: AV block; ILR; cardiac sarcoidosis.

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