Arrhythmias in Cardiac Sarcoidosis Bench to Bedside

Author:

Rosenfeld Lynda E.1ORCID,Chung Mina K.2ORCID,Harding Clifford V.3ORCID,Spagnolo Paolo4ORCID,Grunewald Johan5,Appelbaum Jason6,Sauer William H.7,Culver Daniel A.2,Joglar Jose A.8ORCID,Lin Ben A.9,Jellis Christine L.2ORCID,Dickfeld Timm-Michael6,Kwon Deborah H.2,Miller Edward J.1ORCID,Cremer Paul C.2,Bogun Frank10,Kron Jordana11ORCID,Bock Ashley2,Mehta Davendra12,Leis Paul12,Siontis Konstantinos C.13ORCID,Kaufman Elizabeth S.14ORCID,Crawford Thomas10,Zimetbaum Peter15ORCID,Zishiri Edwin T.16ORCID,Singh Jagmeet P.17,Ellenbogen Kenneth A.11ORCID,Chrispin Jonathan18ORCID,Quadri Syed19ORCID,Vincent Logan L.20,Patton Kristen K.20ORCID,Kalbfleish Steven21,Callahan Thomas D.2ORCID,Murgatroyd Francis22,Judson Marc A.23ORCID,Birnie David24ORCID,Okada David R.18ORCID,Maulion Christopher1,Bhat Pavan2ORCID,Bellumkonda Lavanya1ORCID,Blankstein Ron7,Cheng Richard K.20,Farr Maryjane A.25,Estep Jerry D.2

Affiliation:

1. Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT (L.E.R., E.J.M., C.M., L.B.).

2. Cleveland Clinic, OH (M.K.C., D.A.C., C.L.J., D.H.K., P.C.C., A.B., T.D.C., P.B., J.D.E.).

3. Department of Pathology, Case Western Reserve University, Cleveland, OH (C.V.H.).

4. Respiratory Disease Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Italy (P.S.).

5. Karolinska Institute, Stockholm, Sweden (J.G.).

6. University of Maryland School of Medicine, Baltimore (J.A., T.-M.D.).

7. Brigham and Women’s Hospital (W.H.S., R.B.), Harvard Medical School, Boston, MA.

8. University of Texas-Southwestern Medical Center, Dallas (J.A.J.).

9. Keck School of Medicine, University of Southern California, Los Angeles (B.A.L.).

10. University of Michigan Medical School, Ann Arbor (F.B., T.C.).

11. Virginia Commonwealth University School of Medicine, Richmond (J.K., K.A.E.).

12. Icahn School of Medicine Mount Sinai, New York City, NY (D.M., P.L.).

13. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (K.C.S.).

14. Metro Health Campus, Case Western Reserve University, Cleveland, OH (E.S.K.).

15. Beth Israel Deaconess Medical Center (P.Z.), Harvard Medical School, Boston, MA.

16. Michigan Heart and Vascular Institute, Ypsilanti, MI (E.T.Z.).

17. Massachusetts General Hospital (J.P.S.), Harvard Medical School, Boston, MA.

18. Johns Hopkins University School of Medicine, Baltimore, MD (J.C., D.R.O.).

19. George Washington University School of Medicine, Washington DC (S.Q.).

20. University of Washington School of Medicine, Seattle (L.L.V., K.K.P., R.K.C.).

21. Ohio State University Wexner Medical Center, Columbus (S.K.).

22. Kings College Hospital, London, United Kingdom (F.M.).

23. Albany Medical Center, NY (M.A.J.).

24. University of Ottawa Heart Institute, ON, Canada (D.B.)

25. Columbia University Irving Medical Center, New York City, NY (M.A.F.).

Abstract

Cardiac sarcoidosis is a component of an often multiorgan granulomatous disease of still uncertain cause. It is being recognized with increasing frequency, mainly as the result of heightened awareness and new diagnostic tests, specifically cardiac magnetic resonance imaging and 18 F-fluorodeoxyglucose positron emission tomography scans. The purpose of this case-based review is to highlight the potentially life-saving importance of making the early diagnosis of cardiac sarcoidosis using these new tools and to provide a framework for the optimal care of patients with this disease. We will review disease mechanisms as currently understood, associated arrhythmias including conduction abnormalities, and atrial and ventricular tachyarrhythmias, guideline-directed diagnostic criteria, screening of patients with extracardiac sarcoidosis, and the use of pacemakers and defibrillators in this setting. Treatment options, including those related to heart failure, and those which may help clarify disease mechanisms are included.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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