Kullmann Tamás, Baráth Zoltán, Csiszér Eszter
Int J Cardiol. 2009 Jan 9;131(2):e83-4. doi: 10.1016/j.ijcard.2007.07.063. Epub 2007 Oct 23.
Diagnosis and treatment of cardiac sarcoidosis is a challenging task. The presented case illustrates the importance of systemic ECG in the management of patients with pulmonary sarcoidosis and the utility of cardiac MRI in the diagnostic procedure of cardiac involvement of the disease. It is one of the first reports emphasising the recovery of a bundle branch block under treatment for sarcoidosis. The presented case supports the application of steroid-methotrexate combination in the treatment of cardiac sarcoidosis.
心脏结节病的诊断和治疗是一项具有挑战性的任务。本病例说明了系统性心电图在肺结节病患者管理中的重要性以及心脏磁共振成像在该疾病心脏受累诊断过程中的实用性。这是最早强调结节病治疗过程中束支传导阻滞恢复情况的报告之一。本病例支持在心脏结节病治疗中应用类固醇 - 甲氨蝶呤联合疗法。
