Lemery R, McGoon M D, Edwards W D
Mayo Clin Proc. 1985 Aug;60(8):549-54. doi: 10.1016/s0025-6196(12)60574-6.
A 39-year-old woman had a 2-year history of heart block, which had necessitated pacemaker implantation, and a 6-month history of heart failure. Endomyocardial biopsy specimens initially revealed lymphocytic myocarditis but subsequently showed giant cell myocarditis. She died suddenly, and autopsy disclosed extensive cardiac sarcoidosis with minimal extracardiac involvement. Cardiac sarcoidosis may be difficult to diagnose clinically because the extent of cardiac and the extent of extracardiac involvement tend to be inversely related. Endomyocardial biopsy may be helpful in diagnosing such cases.
一名39岁女性有2年心脏传导阻滞病史，因此需要植入起搏器，还有6个月的心力衰竭病史。心内膜心肌活检标本最初显示淋巴细胞性心肌炎，但随后显示巨细胞性心肌炎。她突然死亡，尸检发现广泛的心脏结节病，心脏外受累极少。心脏结节病在临床上可能难以诊断，因为心脏受累程度与心脏外受累程度往往呈负相关。心内膜心肌活检可能有助于诊断此类病例。
