Cardiac sarcoidosis completely mimicking biventricular arrhythmogenic cardiomyopathy

Cardiac sarcoidosis (CS) is a chameleon of cardiology, and it can mimic different cardiac diseases; among them is arrhythmogenic cardiomyopathy (ACM). We admitted a 70‐year‐old female patient with heart failure symptoms in 2015, who fulfilled all major ECG and non‐invasive imaging criteria of bivent...

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Bibliographic Details
Published in:ESC Heart Failure 2022-12, Vol.9 (6), p.4304-4314
Main Authors: Vereckei, András, Katona, Gábor, Révész, Katalin, Vágó, Hajnalka, Müller, Veronika, Nagy, Beáta, Nagy, Péter, Sepp, Róbert, Suvarna, Kim
Format: Article
Language:English
Subjects:
Aged
Akinesia
Aneurysms
arrhythmogenic cardiomyopathy
Cardiac arrhythmia
Cardiology
Cardiomyopathies - diagnosis
Cardiomyopathy
Dyskinesia
Edema
Electrocardiography
Female
Heart
heart failure
Humans
Magnetic resonance imaging
Medical imaging
Morphology
Myocarditis
Positron Emission Tomography Computed Tomography
Pulmonary arteries
Sarcoidosis
Sarcoidosis - diagnosis
Sinuses
Task forces
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Summary:Cardiac sarcoidosis (CS) is a chameleon of cardiology, and it can mimic different cardiac diseases; among them is arrhythmogenic cardiomyopathy (ACM). We admitted a 70‐year‐old female patient with heart failure symptoms in 2015, who fulfilled all major ECG and non‐invasive imaging criteria of biventricular ACM. She was well with the recommended medications for 3 years, showing only isolated cardiac involvement, but in 2018, cervical and mediastinal lymphadenopathy appeared and cervical lymph node core biopsy histology, bronchoalveolar lavage flow cytometry strongly suggested extracardiac sarcoidosis. Therefore, our suspicion was that sarcoidosis is responsible for the cardiac involvement, which was not confirmed by PET‐CT and gallium scintigraphy examinations. At the end of 2018, she died in septicaemia with multiorgan failure, and only autopsy verified her CS. A new ECG algorithm published in 2021 for the differential diagnosis of CS and biventricular ACM, when applied on her ECGs recorded in 2015, suggested the diagnosis of CS.
ISSN:2055-5822
2055-5822
DOI:10.1002/ehf2.14123