Abeler V
Am Heart J. 1979 Jun;97(6):701-7. doi: 10.1016/0002-8703(79)90004-8.
In a consecutive series of 2.950 routine autopsies two of 13 cases with sarcoidosis had cardiac involvement, one of which showed extensive granulomatous lesions in the sinus node. It is suggested that sudden death in this 52-year-old woman was caused by cardiac sarcoid involvement, possibly by leading to sinus arrest with cardiac standstill. However, because of the lack of electrocardiographic evidence, sudden death from ventricular fibrillation can not be excluded. As sudden death is a well-known complication in sarcoidosis, all such patients should be regularly screened for cardiac involvement in order to prevent fatal arrhythmias.
在连续2950例常规尸检中，13例结节病患者中有2例累及心脏，其中1例窦房结有广泛的肉芽肿病变。提示该52岁女性的猝死是由心脏结节病累及所致，可能是导致窦性停搏和心脏停跳。然而，由于缺乏心电图证据，不能排除心室颤动导致的猝死。由于猝死是结节病的一种众所周知的并发症，所有此类患者都应定期筛查心脏受累情况，以预防致命性心律失常。
