McDougall N I, Purvis J A, Wilson C M, Adgey A A
Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, UK.
Int J Cardiol. 1994 Dec;47(2):165-7. doi: 10.1016/0167-5273(94)90184-8.
A 41-year-old man who presented with a history of sudden loss of consciousness suffered two further episodes during which asystole was documented. Subsequent investigations included exercise stress testing, thallium scintigraphy, electrophysiological studies, CT-scan of chest, Kveim test and a gallium-67 scan, which led to a presumptive diagnosis of averted sudden death as a first presentation of sarcoidosis with primary cardiac involvement.
一名41岁男性,有突发意识丧失病史,之后又发生了两次心脏停搏事件。后续检查包括运动负荷试验、铊闪烁扫描、电生理检查、胸部CT扫描、克维姆试验和镓-67扫描,这些检查结果初步诊断该患者为结节病首次累及心脏导致的濒死状态。