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Sudden failure of ventricular pacing and recovery in a patient with cardiac sarcoidosis.

作者信息

Terui Yosuke, Nakamura Akihiro, Endo Hideaki, Kadosaka Takahide, Nakata Takashi, Watanabe Tasuku, Sato Kenjiro, Kanazawa Masanori, Kondo Masateru, Takahashi Tohru, Nozaki Eiji

机构信息

Department of Cardiology, Iwate Prefectural Central Hospital, Morioka, Iwate 0200066, Japan.

出版信息

J Arrhythm. 2017 Oct;33(5):521-522. doi: 10.1016/j.joa.2017.06.004. Epub 2017 Jul 26.

DOI:10.1016/j.joa.2017.06.004
PMID:29021864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5634719/
Abstract

A 76-year-old woman with sarcoidosis who had an implantable pacemaker for complete atrioventricular block was admitted with syncope. Electrocardiogram revealed ventricular pacing failure, and a marked rise in the ventricular pacing threshold. F-Fluorodeoxyglucose positron emission tomography (FDG-PET) indicated increased uptake of FDG in the ventricular septum. Three days after steroid therapy, the ventricular pacing threshold reverted to normal, and FDG-PET showed decreased FDG uptake in the ventricular septum. In this case report, we demonstrate that a sudden deterioration in the ventricular pacing threshold due to worsening cardiac sarcoidosis can be reversed with early steroid therapy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11af/5634719/768540061328/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11af/5634719/5c6525c2b08f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11af/5634719/768540061328/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11af/5634719/5c6525c2b08f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11af/5634719/768540061328/gr2.jpg

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本文引用的文献

1
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Europace. 2012 Jul;14(7):1061-2. doi: 10.1093/europace/eur435. Epub 2012 Jan 25.
2
Effect of corticosteroid therapy on ventricular arrhythmias in patients with cardiac sarcoidosis.皮质类固醇疗法对心脏结节病患者室性心律失常的影响。
Ann Noninvasive Electrocardiol. 2011 Apr;16(2):140-7. doi: 10.1111/j.1542-474X.2011.00418.x.
3
Sarcoidosis.结节病
N Engl J Med. 2007 Nov 22;357(21):2153-65. doi: 10.1056/NEJMra071714.
4
Relationship between arrhythmogenesis and disease activity in cardiac sarcoidosis.心脏结节病中心律失常发生与疾病活动的关系。
Heart Rhythm. 2007 Oct;4(10):1292-9. doi: 10.1016/j.hrthm.2007.06.006. Epub 2007 Jun 16.
5
Prevention of left ventricular remodeling by long-term corticosteroid therapy in patients with cardiac sarcoidosis.长期皮质类固醇治疗对心脏结节病患者左心室重构的预防作用
Am J Cardiol. 2005 Jan 1;95(1):143-6. doi: 10.1016/j.amjcard.2004.08.083.
6
Usefulness of fasting 18F-FDG PET in identification of cardiac sarcoidosis.禁食状态下18F-FDG PET在心脏结节病诊断中的应用价值
J Nucl Med. 2004 Dec;45(12):1989-98.