Ekka Meera, Sinha Sanjeev, Purushothaman Raghunandan, Naik Nitish, Narang Rajiv, Singh Lavleen
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Med Case Rep. 2013 Jul 26;7:196. doi: 10.1186/1752-1947-7-196.
Symptomatic cardiac involvement is seen in less than 5% of all cases of sarcoidosis. Although clinically apparent cardiac sarcoidosis is an uncommon entity, ventricular tachyarrhythmias as the first presenting symptom are very rare.
We discuss the case of a 41-year-old Asian woman who presented to our hospital with intermittent palpitation and on evaluation was diagnosed to have systemic sarcoidosis with cardiac involvement. She was started on multiple antiarrhythmic drugs and corticosteroids without any satisfactory response.
Our case report indicates that sarcoidosis can manifest as ventricular tachycardia without any detectable systemic findings. This makes sarcoidosis an important diagnostic consideration in patients with ventricular tachycardia of unknown origin given the high mortality associated with ventricular tachyarrhythmias.
结节病患者中出现有症状的心脏受累情况不到5%。虽然临床上明显的心脏结节病并不常见，但室性快速心律失常作为首发症状极为罕见。
我们讨论了一名41岁亚洲女性的病例，该患者因间歇性心悸前来我院就诊，经评估被诊断为系统性结节病合并心脏受累。她开始使用多种抗心律失常药物和皮质类固醇，但未获得任何满意疗效。
我们的病例报告表明，结节病可表现为室性心动过速，而无任何可检测到的全身表现。鉴于室性快速心律失常相关的高死亡率，对于不明原因室性心动过速患者，结节病应作为重要的诊断考虑因素。
