Lanfranchi J, Battesti J P, Marland P, Bersay C
Poumon Coeur. 1979;35(5):247-52.
The authors report 2 observations of auriculoventricular blockage developed during a mediastino-pulmonary sarcoidosis, requiring a heart pacer in the first case and corticosteroid treatment in the second. The frequency of the disorders of intracardiac conduction was evaluated by a retrospective study of 412 cases of mediastino-pulmonary sarcoidosis. Seventy two ECG were considered abnormal, a frequency of 17.2%. The disorders of auriculo-ventricular and intra-ventricular conduction represented a third of cases. What is known on the risk of lethal evolution of cardiac sarcoidosis in which those abnormalities are significant, justifies an electrophysiological investigation. The indications for a definitive cardiac stimulation and corticosteroid treatment are debated. On this final point, it seemed necessary to plan a prospective study to confirm the merits of the treatment and to define its modalities.
作者报告了2例在纵隔-肺结节病期间发生房室传导阻滞的病例，第一例需要心脏起搏器，第二例需要皮质类固醇治疗。通过对412例纵隔-肺结节病病例的回顾性研究，评估了心内传导障碍的发生率。72份心电图被认为异常，发生率为17.2%。房室和室内传导障碍占病例的三分之一。已知这些异常显著的心脏结节病致死性进展风险，这证明了进行电生理检查的合理性。关于确定性心脏刺激和皮质类固醇治疗的指征存在争议。关于这最后一点，似乎有必要计划一项前瞻性研究，以确认治疗的优点并确定其方式。
