Nelson J E, Kirschner P A, Teirstein A S
Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029-6574, USA.
Sarcoidosis Vasc Diffuse Lung Dis. 1996 Sep;13(2):178-82.
It is unusual for sarcoidosis to present with isolated cardiac involvement. We report 3 patients in whom conduction disturbances preceded other clinical or radiographic evidence of sarcoidosis, in 2 cases by several years. The literature of sarcoidosis manifesting solely with cardiac disease is reviewed. Our report is intended to emphasize consideration of sarcoidosis in the diagnostic evaluation of cardiac disease without another obvious cause, particularly in young patients with conduction disturbances, arrhythmias, or cardiomyopathy. We suggest diagnostic strategies and a therapeutic approach.
结节病以孤立性心脏受累为表现较为罕见。我们报告了3例患者，其传导障碍先于结节病的其他临床或影像学证据出现，其中2例早数年出现。本文对仅表现为心脏疾病的结节病文献进行了综述。我们的报告旨在强调在无其他明显病因的心脏病诊断评估中考虑结节病，尤其是在患有传导障碍、心律失常或心肌病的年轻患者中。我们提出了诊断策略和治疗方法。
