Management of Arrhythmias Associated with Cardiac Sarcoidosis.
Arrhythmias, cardiac
Catheter ablation
Defibrillators, implantable
Immunosuppression
Sarcoidosis
Journal
Korean circulation journal
ISSN: 1738-5520
Titre abrégé: Korean Circ J
Pays: Korea (South)
ID NLM: 101247141
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
30
11
2018
accepted:
24
12
2018
entrez:
30
1
2019
pubmed:
30
1
2019
medline:
30
1
2019
Statut:
ppublish
Résumé
Sarcoidosis is a multisystem granulomatous disorder of unknown etiology. The annual incidence of systemic sarcoidosis is estimated at 10-20 per 100,000 individuals. Owing to the recent advances in imaging modalities, cardiac sarcoidosis (CS) is diagnosed more frequently. The triad of CS includes conduction abnormality, ventricular tachycardia, and heart failure. Atrial and ventricular arrhythmias are caused by either inflammation or scar formation. Inflammation should be treated with immunosuppression and antiarrhythmic agents and scar formation should be treated with antiarrhythmics and/or ablation, in addition to implantable cardioverter defibrillator (ICD) implantation, if necessary. Ablation can provide a good outcome, but it might require bipolar ablation if the critical portion is located mid-myocardium. Late recurrence might be caused by reactivation of sarcoidosis, which would need to be evaluated by positron emission tomography-computed tomography imaging. Risk of sudden cardiac death (SCD) in patients with advanced atrioventricular block is not low, and ICD implantation could be considered instead of a pacemaker. For risk stratification for SCD, late gadolinium enhancement by cardiac magnetic resonance imaging or program stimulation is often used.
Identifiants
pubmed: 30693680
pii: 49.119
doi: 10.4070/kcj.2018.0432
pmc: PMC6351276
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
119-133Informations de copyright
Copyright © 2019. The Korean Society of Cardiology.
Déclaration de conflit d'intérêts
The authors have no financial conflicts of interest.
Références
Circ Arrhythm Electrophysiol. 2016 Oct;9(10):
pubmed: 27733494
Europace. 2013 Mar;15(3):347-54
pubmed: 23002195
JACC Cardiovasc Imaging. 2017 Apr;10(4):411-420
pubmed: 27450877
Int J Cardiovasc Imaging. 2006 Jun-Aug;22(3-4):443-8
pubmed: 16763884
Arch Med Sci. 2011 Aug;7(4):546-54
pubmed: 22291785
Am J Cardiol. 2001 Nov 1;88(9):1006-10
pubmed: 11703997
Circ Arrhythm Electrophysiol. 2016 Jun;9(6):
pubmed: 27301264
Chest. 2005 Sep;128(3):1629-37
pubmed: 16162768
J Cardiovasc Electrophysiol. 2010 Jan;21(1):94-8
pubmed: 19473301
J Thorac Cardiovasc Surg. 2012 Dec;144(6):e127-45
pubmed: 23140976
Circ Cardiovasc Imaging. 2018 Jan;11(1):e007030
pubmed: 29335272
Circ Arrhythm Electrophysiol. 2011 Feb;4(1):43-8
pubmed: 21193539
Circ Arrhythm Electrophysiol. 2014 Apr;7(2):230-6
pubmed: 24585727
Indian Pacing Electrophysiol J. 2012 Nov;12(6):284-9
pubmed: 23233762
Heart Rhythm. 2009 Feb;6(2):189-95
pubmed: 19187909
J Nucl Med. 2004 Dec;45(12):1989-98
pubmed: 15585472
Circ Arrhythm Electrophysiol. 2018 Aug;11(8):e006145
pubmed: 30354309
J Nucl Cardiol. 2014 Oct;21(5):925-39
pubmed: 24879453
Heart Rhythm. 2006 Aug;3(8):924-9
pubmed: 16876741
Ann Noninvasive Electrocardiol. 2011 Apr;16(2):140-7
pubmed: 21496164
Europace. 2017 Mar 1;19(3):335-345
pubmed: 27702851
Am J Cardiol. 2014 May 1;113(9):1556-60
pubmed: 24731652
Europace. 2018 Apr 1;20(4):682-691
pubmed: 28444174
Chest. 2011 Nov;140(5):1261-1266
pubmed: 21565969
Circ Cardiovasc Imaging. 2016 Sep;9(9):e005001
pubmed: 27621357
Heart Rhythm. 2013 Feb;10(2):158-64
pubmed: 23070261
Indian Pacing Electrophysiol J. 2012 Nov;12(6):290-1
pubmed: 23233763
N Engl J Med. 1991 Mar 21;324(12):781-8
pubmed: 1900101
J Cardiovasc Electrophysiol. 2009 May;20(5):578-83
pubmed: 19175448
AJR Am J Roentgenol. 2008 Sep;191(3):862-9
pubmed: 18716120
Circ Arrhythm Electrophysiol. 2014 Jun;7(3):407-13
pubmed: 24837644
JACC Cardiovasc Imaging. 2013 Apr;6(4):501-11
pubmed: 23498675
Eur Heart J. 2005 Aug;26(15):1538-43
pubmed: 15809286
Circulation. 2015 Feb 17;131(7):624-32
pubmed: 25527698
JACC Cardiovasc Imaging. 2018 Feb;11(2 Pt 2):336-345
pubmed: 28823747
Heart Rhythm. 2014 Jul;11(7):1305-23
pubmed: 24819193
Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1109-15
pubmed: 25266311
Radiographics. 2009 Jan-Feb;29(1):89-103
pubmed: 19168838
J Cardiovasc Electrophysiol. 2014 Sep;25(9):958-963
pubmed: 24698290
Circ Arrhythm Electrophysiol. 2011 Aug;4(4):526-31
pubmed: 21685298
Heart Rhythm. 2012 Jun;9(6):884-91
pubmed: 22338670
HeartRhythm Case Rep. 2018 Nov 16;5(2):97-100
pubmed: 30820406
Intern Med. 2014;53(5):427-33
pubmed: 24583430
Chest. 2005 Jul;128(1):30-5
pubmed: 16002912
J Cardiovasc Electrophysiol. 2015 Feb;26(2):119-26
pubmed: 25352207
Thorax. 2011 May;66(5):447-8
pubmed: 20837871
Circ Cardiovasc Imaging. 2016 Jan;9(1):e003738
pubmed: 26763280
Circ J. 2003 Feb;67(2):169-71
pubmed: 12548003
JACC Clin Electrophysiol. 2018 Mar;4(3):291-303
pubmed: 30089553
J Cardiovasc Electrophysiol. 2018 Jan;29(1):79-89
pubmed: 28940781
Am J Cardiol. 2005 Jul 15;96(2):276-82
pubmed: 16018857
Can J Cardiol. 2013 Sep;29(9):1034-41
pubmed: 23623644
J Am Coll Cardiol. 2014 Feb 4;63(4):329-36
pubmed: 24140661
Eur Heart J Cardiovasc Imaging. 2018 Jul 1;19(7):757-767
pubmed: 29319785
J Cardiovasc Electrophysiol. 2012 Sep;23(9):925-9
pubmed: 22812589
Circulation. 2009 Nov 17;120(20):1969-77
pubmed: 19884472