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Review Article

Cardiac sarcoidosis: a diagnostic and therapeutic challenge

, , , &
Pages 1-6 | Received 18 Dec 2016, Accepted 24 Jan 2017, Published online: 04 Jul 2017
 

Abstract

Objective: Cardiac involvement in sarcoidosis can present in various ways, with atrioventricular (AV) block and ventricular arrhythmias being the most common signs. Because of initial non-specific findings, diagnosis can be a challenge. Very few data can support treatment decisions as cardiac manifestations of this systemic disorder are rare.

Methods and results: We reviewed current guidelines, cohort studies, and expert opinions concerning diagnosis and treatment of cardiac sarcoidosis.

Conclusions: Longitudinal follow-up studies are necessary to improve the diagnostic process and risk stratification of cardiac sarcoidosis. The optimal dose of steroids, indications for internal cardioverter-defibrillator (ICD), and technique and optimal timing of ablation are still under debate.

Disclosure statement

No potential conflict of interest was reported by the authors.

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