Doubková Martina, Panovský Roman
Vnitr Lek. 2018 Fall;64(7-8):729-733.
Sarcoidosis is a systemic granulomatous disease of unknown etiology that can affect any organ including the heart. Clinical manifestations of heart disease are seen in about 5 % of patients, but histology shows a higher rate of heart involvement by sarcoidosis. Therefore, heart sarcoidosis is underdiagnosed because of clinically non-symptomatic course in some patients or physicians simply do not think about this heart involvement. Echocardiography, Holter monitoring, magnetic resonance imaging, positron emission tomography/computed tomography, thallium scintigraphy, and endomyocardial biopsy are methods of investigation when suspected of heart involvement by sarcoidosis. In particular, magnetic resonance has gained importance recently in the diagnosis of cardiac sarcoidosis. Key words: cardiac sarcoidosis - diagnostics - therapy.
结节病是一种病因不明的全身性肉芽肿性疾病，可累及包括心脏在内的任何器官。约5%的患者会出现心脏病的临床表现，但组织学检查显示结节病累及心脏的比例更高。因此，心脏结节病常因部分患者临床无症状或医生根本未考虑到心脏受累而被漏诊。当怀疑结节病累及心脏时，超声心动图、动态心电图监测、磁共振成像、正电子发射断层扫描/计算机断层扫描、铊闪烁显像及心内膜活检是检查方法。特别是，磁共振成像最近在心脏结节病的诊断中变得越来越重要。关键词：心脏结节病 - 诊断 - 治疗
