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一例伪装成伴有室性心律失常的心力衰竭的心脏结节病病例。

A Case of Cardiac Sarcoidosis Masquerading As Heart Failure With Ventricular Arrhythmia.

作者信息

Kim Kain, Marvil Charles, Adhyaru Bhavin B

机构信息

Medicine, Emory University School of Medicine, Atlanta, USA.

Internal Medicine, Emory University School of Medicine, Atlanta, USA.

出版信息

Cureus. 2023 Mar 16;15(3):e36239. doi: 10.7759/cureus.36239. eCollection 2023 Mar.

DOI:10.7759/cureus.36239
PMID:37069872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10105599/
Abstract

Sarcoidosis is a rare cause of cardiomyopathy that can easily be confused for acute heart failure when pulmonary manifestations are absent. We present the case of a 41-year-old female presenting with dyspnea found to have ventricular arrhythmia on arrival at the emergency department. Cardiac magnetic resonance and computed tomography of the chest with contrast were performed, confirming the systemic sarcoidosis diagnosis with cardiac involvement.

摘要

结节病是一种罕见的心肌病病因,当没有肺部表现时,很容易被误诊为急性心力衰竭。我们报告一例41岁女性病例,该患者因呼吸困难就诊于急诊科,就诊时发现有室性心律失常。进行了心脏磁共振成像和胸部增强计算机断层扫描,确诊为系统性结节病累及心脏。

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A Case of Cardiac Sarcoidosis Masquerading As Heart Failure With Ventricular Arrhythmia.一例伪装成伴有室性心律失常的心力衰竭的心脏结节病病例。
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2
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本文引用的文献

1
The cardiac sarcoidosis consortium: elucidating a mysterious disease through collaborative research.心脏结节病联盟:通过合作研究阐明一种神秘疾病。
Eur Heart J. 2022 Oct 21;43(40):3991-3993. doi: 10.1093/eurheartj/ehac358.
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新西兰南岛心脏结节病的流行率、发病率和生存结局。
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Challenges of Sarcoidosis and Its Management.结节病的挑战及其管理
N Engl J Med. 2021 Sep 9;385(11):1018-1032. doi: 10.1056/NEJMra2101555.
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Challenges in Cardiac and Pulmonary Sarcoidosis: JACC State-of-the-Art Review.心脏和肺部结节病的挑战:美国心脏病学会的最新综述
J Am Coll Cardiol. 2020 Oct 20;76(16):1878-1901. doi: 10.1016/j.jacc.2020.08.042.
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JCS 2016 Guideline on Diagnosis and Treatment of Cardiac Sarcoidosis - Digest Version.《日本循环学会2016年心脏结节病诊断与治疗指南 - 摘要版》
Circ J. 2019 Oct 25;83(11):2329-2388. doi: 10.1253/circj.CJ-19-0508. Epub 2019 Oct 9.
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The Utility of Whole Body F-FDG PET-CT in Diagnosing Isolated Cardiac Sarcoidosis: The Western Australian Cardiac Sarcoid Study.全身 F-FDG PET-CT 在诊断孤立性心脏结节病中的效用:西澳大利亚心脏结节病研究。
Heart Lung Circ. 2020 Jan;29(1):e1-e6. doi: 10.1016/j.hlc.2019.07.007. Epub 2019 Aug 23.
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Clinical Manifestations, Diagnosis, and Treatment of Sarcoidosis.结节病的临床表现、诊断与治疗
Mayo Clin Proc Innov Qual Outcomes. 2019 Aug 2;3(3):358-375. doi: 10.1016/j.mayocpiqo.2019.04.006. eCollection 2019 Sep.
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Contemporary optimized practice in the management of pulmonary sarcoidosis.当代肺结节病管理中的优化实践。
Ther Adv Respir Dis. 2019 Jan-Dec;13:1753466619868935. doi: 10.1177/1753466619868935.
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Sudden death in cardiac sarcoidosis: an analysis of nationwide clinical and cause-of-death registries.心脏结节病猝死:全国临床和死因登记分析。
Eur Heart J. 2019 Oct 1;40(37):3121-3128. doi: 10.1093/eurheartj/ehz428.