Work

Cardiac sarcoidosis manifesting with atrioventricular block and intracardiac masses: case report and literature review

Year: 2024

Type: article

Abstract: Background: Cardiac sarcoidosis (CS) typically manifests with atrioventricular block (AVB), ventricular arrhythmias, or heart failure. Intracardiac masses due to CS are rare, and there is both a paucity of evidence and guidelines of how manage them. Case summary: We describe a 45-year-old woman who presented with palpitations and dyspnoea on exertion found to have second-degree AVB. Further work-up noted two right atrial masses that, following excision and pathology, were identified as CS. Within several months of immunosuppressive treatment, imaging and device reports demonstrated mass resolution without arrhythmia recurrence. Discussion: Intracardiac masses are a rare manifestation of CS. Immunosuppressive therapy remains the mainstay of treatment, with consideration of mass resection for diagnostic purposes.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytae407

Authors: Noah Newman, Mariana Garcia, Frehiywot Ayele, Prateek Gandiga, Kunal Bhatt

Institution: Emory University

Language: English

Topic: Sarcoidosis and Beryllium Toxicity Research

Subfield: Physiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $819