Chonnam Med J.  2018 Jan;54(1):74-75. 10.4068/cmj.2018.54.1.74.

Recovery of High Degree Atrioventricular Block in a Patient with Cardiac Sarcoidosis by Corticosteroid Therapy

• Park H
• Park JC
• Cho JY
• Yoon HJ
• Kim KH
• Ahn Y
• Jeong MH
• Cho JG

• KMID: 2458589
• DOI: http://doi.org/10.4068/cmj.2018.54.1.74

Abstract

No abstract available.

MeSH Terms

Atrioventricular Block*
Humans
Sarcoidosis*

Figure

• 

  FIG. 1 Changes in electrocardiography (ECG) and imaging studies. (A) Baseline ECG demonstrated 2:1 atrioventricular (AV) block. (B) Baseline cardiac magnetic resonance imaging showed late gadolinium enhancement of the interventricular septum (IVS) (red arrow). (C) 18F-fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) revealed hypermetabolism of the IVS (red arrow). (D) AV block was recovered after 1 month of corticosteroid therapy. (E) Hypermetabolism of the IVS was relieved after corticosteroid therapy.

Reference

1. Birnie DH, Sauer WH, Bogun F, Cooper JM, Culver DA, Duvernoy CS, et al. HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis. Heart Rhythm. 2014; 11:1305–1323.

2. Yodogawa K, Seino Y, Shiomura R, Takahashi K, Tsuboi I, Uetake S, et al. Recovery of atrioventricular block following steroid therapy in patients with cardiac sarcoidosis. J Cardiol. 2013; 62:320–325.

3. Orii M, Hirata K, Tanimoto T, Ota S, Shiono Y, Yamano T, et al. Comparison of cardiac MRI and 18F-FDG positron emission tomography manifestations and regional response to corticosteroid therapy in newly diagnosed cardiac sarcoidosis with complet heart block. Heart Rhythm. 2015; 12:2477–2485.