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Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart fa...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158278/ https://www.ncbi.nlm.nih.gov/pubmed/25215244 http://dx.doi.org/10.1155/2014/372936 |
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author | Jafar, Nagham Saeed Al Shamkhani, Warkaa Thottuvelil Narayanan, Sunil Roy Rajappan, Anil Kumar |
author_facet | Jafar, Nagham Saeed Al Shamkhani, Warkaa Thottuvelil Narayanan, Sunil Roy Rajappan, Anil Kumar |
author_sort | Jafar, Nagham Saeed |
collection | PubMed |
description | Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis. |
format | Online Article Text |
id | pubmed-4158278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-41582782014-09-11 Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis Jafar, Nagham Saeed Al Shamkhani, Warkaa Thottuvelil Narayanan, Sunil Roy Rajappan, Anil Kumar Case Rep Cardiol Case Report Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis. Hindawi Publishing Corporation 2014 2014-08-21 /pmc/articles/PMC4158278/ /pubmed/25215244 http://dx.doi.org/10.1155/2014/372936 Text en Copyright © 2014 Nagham Saeed Jafar et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Jafar, Nagham Saeed Al Shamkhani, Warkaa Thottuvelil Narayanan, Sunil Roy Rajappan, Anil Kumar Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title | Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title_full | Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title_fullStr | Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title_full_unstemmed | Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title_short | Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis |
title_sort | rapidly progressive atrioventricular block in a patient with sarcoidosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158278/ https://www.ncbi.nlm.nih.gov/pubmed/25215244 http://dx.doi.org/10.1155/2014/372936 |
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