Cardiac sarcoidosis diagnosed by multimodality imaging

Kana Fujikura, Mario J. Garcia

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 66-year-old woman presented with frequent premature ventricular contractions (PVC) and akinesis of the basal septum on echocardiography. Coronary angiography was normal. Cardiac magnetic resonance showed mid-wall enhancement. Positron emission tomography showed a perfusion defect at the same location using 13N-ammonia, but increased 18-fluorodeoxyglucose uptake. These findings supported the diagnosis of cardiac sarcoidosis. High-dose steroids initially reduced frequency of PVCs but had to be withdrawn due to severe side effects. An ICD was implanted. Our case demonstrates the utility of multimodality imaging to diagnose and guide management of this entity.

Original languageEnglish (US)
Pages (from-to)1374-1375
Number of pages2
JournalEchocardiography
Volume34
Issue number9
DOIs
StatePublished - Sep 1 2017

Keywords

  • B-mode echocardiography
  • cardiac magnetic resonance imaging
  • positron emission tomography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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