Dinov Borislav, Tsianakas Nikolaos, Ueberham Laura
Abteilung für Kardiologie, Universitätsklinikum Gießen, Klinikstr. 33, 35392, Gießen, Deutschland.
Universitätsklinikum Gießen, Klinikstraße 33, 35392, Gießen, Deutschland.
Herzschrittmacherther Elektrophysiol. 2024 Sep;35(3):205-210. doi: 10.1007/s00399-024-01032-y. Epub 2024 Aug 8.
Cardiac sarcoidosis (CS) is difficult to diagnose and often requires a careful evaluation of numerous diagnostic findings. Typical features at initial presentation are a high-grade atrioventricular (AV) block and ventricular tachycardias that cannot be explained by other common entities, especially in younger patients. CS is frequently misdiagnosed and inappropriately treated, which may have deleterious consequences for the patients. In this review article, we focus on special features of the arrhythmias typical of sarcoidosis and also discuss the underlying substrate and the approach in special situations. Furthermore, we provide recommendations from our daily clinical experience, discuss open questions, and explain the need for research.
心脏结节病(CS)难以诊断,通常需要对众多诊断结果进行仔细评估。初始表现的典型特征是高度房室(AV)传导阻滞和无法用其他常见病因解释的室性心动过速,尤其是在年轻患者中。CS经常被误诊和不恰当地治疗,这可能对患者产生有害后果。在这篇综述文章中,我们重点关注结节病典型心律失常的特殊特征,并讨论其潜在基质以及特殊情况下的处理方法。此外,我们根据日常临床经验提供建议,讨论未解决的问题,并解释研究的必要性。