Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Cardiac Sarcoidosis: A Case With Unusual Manifestation

Cardiac Sarcoidosis: A Case With Unusual Manifestation Abstract • A 26-year-old woman was hospitalized with new-onset congestive heart failure. M-mode and two-dimensional echocardiography revealed abnormal motion involving the apex and posterolateral wall of the left ventricle. Cardiac catheterization was performed. The left ventriculogram demonstrated apical akinesis and an apical filling defect. The diagnosis of cardiac sarcoidosis was made from an open myocardial biopsy. (Arch Intern Med 1983;143:142-144) References 1. Wynne J, Braunwald E: Sarcoidosis , in Braunwald E (ed): Heart Disease: A Textbook of Cardiovascular Medicine . Philadelphia, WB Saunders Co, 1980, p 1464. 2. Roberts WC, McAllister HA, Ferrans VJ: Sarcoidosis of the heart: Clinicopathologic study of 35 necropsy patients (group I) and review of 78 previously described necropsy patients (group II). Am J Med 1977;63:86-108.Crossref 3. Matsui Y, Iwai K, Tachibana T, et al: Clinicopathological study on fetal myocardial sarcoidosis. Ann NY Acad Sci 1976;278:455-469.Crossref 4. Lorell B, Alderman EL, Mason JW: Cardiac sarcoidosis: Diagnosis with endomyocardial biopsy and treatment with corticosteroids. Am J Cardiol 1978;42:143-146.Crossref 5. Mitchell DN, Scadding JG, Heard BE, et al: Sarcoidosis: Histopathological definition and clinical diagnosis. J Clin Pathol 1977;30:395-408.Crossref 6. Longcope WT, Freiman DG: A study of sarcoidosis. Medicine 1952;31: 1-132.Crossref 7. Silverman KJ, Hutchins GM, Bulkley BH: Cardiac sarcoid: A clinicopathologic study of 84 unselected patients with systemic sarcoidosis. Circulation 1978;58:1204-1211.Crossref 8. Stein E, Jackler I, Stimmel B, et al: Asymptomatic electrocardiographic alterations in sarcoidosis. Am Heart J 1973;86:474-477.Crossref 9. Stein E, Stammel B, Siltzback LE: Clinical course of cardiac sarcoidosis. Ann NY Acad Sci 1976;278:470-474.Crossref 10. Bulkley BH, Rouleau JR, Whitaker JQ, et al: The use of 201 thallium for myocardial perfusion imaging in sarcoid heart disease. Chest 1977;72:27-32.Crossref 11. Kinney EL, Jackson GL, Reeves WC, et al: Thallium-scan myocardial defects and echocardiographic abnormalities in patients with sarcoidosis without clinical cardiac dysfunction: An analysis of 44 patients. Am J Med 1980;68:497-503.Crossref 12. Berger BC, Watson DD, Burwell L, et al: Redistribution of thallium at rest in patients with stable and unstable angina and the effect of coronary artery bypass surgery. Circulation 1979;60:1114-1125.Crossref 13. Makler PT, Lavine SJ, Denenberg BS, et al: Redistribution on the thallium scan in myocardial sarcoidosis: Concise communication. J Nucl Med 1981;22:428-432. 14. Sekiguichi M, Konno S: Histopathological differentiation employing endomyocardial biopsy in the clinical assessment of primary myocardiac disease. Jpn Heart J 1969;10:30-46.Crossref 15. Duvernoy WF, Garcia R: Sarcoidosis of the heart presenting with ventricular tachycardia and atrioventricular block. Am J Cardiol 1971;28: 348-352.Crossref 16. Lull RJ, Dunn BE, Gregoratos G: Ventricular aneurysm due to cardiac sarcoidosis with surgical cure of refractory ventricular tachycardia. Am J Cardiol 1972;30:282-287.Crossref 17. James TN: De Subitaneis Mortibus: Sarcoid heart disease. Circulation 1977;56:320-326.Crossref 18. Porter G: Sarcoid heart disease. N Engl J Med 1960;263:1350-1357.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Cardiac Sarcoidosis: A Case With Unusual Manifestation

Loading next page...
 
/lp/american-medical-association/cardiac-sarcoidosis-a-case-with-unusual-manifestation-MpgMikcrkF
Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350010152028
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 26-year-old woman was hospitalized with new-onset congestive heart failure. M-mode and two-dimensional echocardiography revealed abnormal motion involving the apex and posterolateral wall of the left ventricle. Cardiac catheterization was performed. The left ventriculogram demonstrated apical akinesis and an apical filling defect. The diagnosis of cardiac sarcoidosis was made from an open myocardial biopsy. (Arch Intern Med 1983;143:142-144) References 1. Wynne J, Braunwald E: Sarcoidosis , in Braunwald E (ed): Heart Disease: A Textbook of Cardiovascular Medicine . Philadelphia, WB Saunders Co, 1980, p 1464. 2. Roberts WC, McAllister HA, Ferrans VJ: Sarcoidosis of the heart: Clinicopathologic study of 35 necropsy patients (group I) and review of 78 previously described necropsy patients (group II). Am J Med 1977;63:86-108.Crossref 3. Matsui Y, Iwai K, Tachibana T, et al: Clinicopathological study on fetal myocardial sarcoidosis. Ann NY Acad Sci 1976;278:455-469.Crossref 4. Lorell B, Alderman EL, Mason JW: Cardiac sarcoidosis: Diagnosis with endomyocardial biopsy and treatment with corticosteroids. Am J Cardiol 1978;42:143-146.Crossref 5. Mitchell DN, Scadding JG, Heard BE, et al: Sarcoidosis: Histopathological definition and clinical diagnosis. J Clin Pathol 1977;30:395-408.Crossref 6. Longcope WT, Freiman DG: A study of sarcoidosis. Medicine 1952;31: 1-132.Crossref 7. Silverman KJ, Hutchins GM, Bulkley BH: Cardiac sarcoid: A clinicopathologic study of 84 unselected patients with systemic sarcoidosis. Circulation 1978;58:1204-1211.Crossref 8. Stein E, Jackler I, Stimmel B, et al: Asymptomatic electrocardiographic alterations in sarcoidosis. Am Heart J 1973;86:474-477.Crossref 9. Stein E, Stammel B, Siltzback LE: Clinical course of cardiac sarcoidosis. Ann NY Acad Sci 1976;278:470-474.Crossref 10. Bulkley BH, Rouleau JR, Whitaker JQ, et al: The use of 201 thallium for myocardial perfusion imaging in sarcoid heart disease. Chest 1977;72:27-32.Crossref 11. Kinney EL, Jackson GL, Reeves WC, et al: Thallium-scan myocardial defects and echocardiographic abnormalities in patients with sarcoidosis without clinical cardiac dysfunction: An analysis of 44 patients. Am J Med 1980;68:497-503.Crossref 12. Berger BC, Watson DD, Burwell L, et al: Redistribution of thallium at rest in patients with stable and unstable angina and the effect of coronary artery bypass surgery. Circulation 1979;60:1114-1125.Crossref 13. Makler PT, Lavine SJ, Denenberg BS, et al: Redistribution on the thallium scan in myocardial sarcoidosis: Concise communication. J Nucl Med 1981;22:428-432. 14. Sekiguichi M, Konno S: Histopathological differentiation employing endomyocardial biopsy in the clinical assessment of primary myocardiac disease. Jpn Heart J 1969;10:30-46.Crossref 15. Duvernoy WF, Garcia R: Sarcoidosis of the heart presenting with ventricular tachycardia and atrioventricular block. Am J Cardiol 1971;28: 348-352.Crossref 16. Lull RJ, Dunn BE, Gregoratos G: Ventricular aneurysm due to cardiac sarcoidosis with surgical cure of refractory ventricular tachycardia. Am J Cardiol 1972;30:282-287.Crossref 17. James TN: De Subitaneis Mortibus: Sarcoid heart disease. Circulation 1977;56:320-326.Crossref 18. Porter G: Sarcoid heart disease. N Engl J Med 1960;263:1350-1357.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1983

References