[Sinus node dysfunction associated with cardiac sarcoidosis: A case report].

Abstract

INTRODUCTION:

Sarcoidosis is a multisystemic granulomatous disease of unknown cause occurring in young adults. Cardiac sarcoidosis patients are at increased risk for atrioventricular blocks and ventricular arrhythmias. Sinus node dysfunction is scarcely reported.

OBSERVATION:

We report a case of cardiac sarcoidosis revealed by a sinus node dysfunction and focus on cardiac and thoracic imaging to guide diagnosis.

CONCLUSION:

Sinus node dysfunction may be the first manifestation of cardiac sarcoidosis. In unexplained sinus node dysfunction in young patients, advanced cardiac imaging is a key to cardiac sarcoidosis diagnostic. Early recognition of cardiac sarcoidosis enables to start immunosuppressive treatment and discuss implantable cardioverter defibrillator implantation.

• Authors: L-D Azoulay, D Perrot, A Sharifzadehgan, E Mousseaux, E Marijon, T Lavergne
• Journal: La Revue de medecine interne (Rev Med Interne) Vol. 42 Issue 9 Pg. 654-659 (Sep 2021) ISSN: 1768-3122 [Electronic] France
• Vernacular Title: Dysfonction sinusale au cours de la sarcoïdose cardiaque: à propos d’un cas.
• PMID: 33824044 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

Topics

• Arrhythmias, Cardiac
• Cardiomyopathies (complications, diagnosis)
• Defibrillators, Implantable
• Humans
• Sarcoidosis (complications, diagnosis)
• Sick Sinus Syndrome (complications, diagnosis, therapy)
• Young Adult