Clinical and Histopathological Profile of Sarcoidosis of the Heart and Acute Idiopathic Myocarditis Concepts through a study employing endomyocardial biopsy II. Myocarditis : Symposium on Secondary Myocardial Disease

Sekiguchi, Morie; HIROE, MICHIAKI; Take, Machiko; Hirosawa, Koshichiro

doi:10.1253/jcj.44.264

Cited by 70 publications

(29 citation statements)

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“…3,9 For instance, cardiac biopsy has a sensitivity of only ≈20% to 30%, because it often misses areas of cardiac involvement. 5,10 The clinical diagnosis of CS often uses clinical criteria such as the Japanese Ministry of Health and Welfare criteria, which were originally published in 1993 11 and then modified in 2007, 12 and more recently the Heart Rhythm Society (HRS) expert consensus statement.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Known or Suspected Cardiac Sarcoidosis

Blankstein

Waller

2016

Circ: Cardiovascular Imaging

109

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Abstract-Sarcoidosis is a multisystem disorder of unknown cause, and cardiac sarcoidosis affects at least 25% of patients and accounts for substantial mortality and morbidity from this disease. Cardiac sarcoidosis may present with heart failure, left ventricular systolic dysfunction, AV block, atrial or ventricular arrhythmias, and sudden cardiac death. Cardiac involvement can be challenging to detect and diagnose because of the focal nature of the disease, as well as the fact that clinical criteria have limited diagnostic accuracy. Nevertheless, the diagnosis of cardiac sarcoidosis can be enhanced by integrating both clinical and imaging findings. This article reviews the various roles that different imaging modalities provide in the evaluation and management of patients with known or suspected cardiac sarcoidosis. (Circ Cardiovasc Imaging. 2016;9:e000867.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Known or Suspected Cardiac Sarcoidosis

Blankstein

Waller

2016

Circ: Cardiovascular Imaging

109

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“…VT is another common tachyarrhythmia in CS (7). In a previous study by Sekiguchi et al, sudden cardiac death due to ventricular tachyarrhythmia and complete heart block was reported to cause 25-65% of the deaths due to CS, and the study also indicated that sudden death can be the initial presentation in 40% of patients with CS (36). Abnormal automaticity, reentrant circuits due to sarcoid granulomas, or scar tissue can lead VT (1).…”

Section: Diagnosismentioning

confidence: 96%

“…However, the pitfalls of EMB are a low level of sensitivity (19-32%) and sampling and technical errors (36,65,94,95). Biopsies are commonly performed in the right ventricle, but they can be performed in the left ventricle (22).…”

Section: Endomyocardial Biopsymentioning

confidence: 99%

“…Biopsies are commonly performed in the right ventricle, but they can be performed in the left ventricle (22). EMB can reveal some nonspecific findings like myocardial interstitial fibrosis, myofibril disarrangement and fragmentation, and inflammatory mononuclear cell infiltrates (16,36,96). The free wall of the right ventricle and apical interventricular septum are the most common locations where biopsy specimens are obtained, but sarcoid granulomas are mostly located in free wall of the left ventricle or the basal septum (3).…”

Section: Endomyocardial Biopsymentioning

confidence: 99%

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Sarcoidosis and the heart: A review of the literature

İpek

Demirelli

Ermis

et al. 2015

IRDR

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“…We first exclude significant coronary stenosis by coronary angiography and then perform endomyocardial biopsy (Sekiguchi et al, 1980). The endomyocardial biopsy is now the most important and reliable technique for a definitive diagnosis.…”

Section: Cardiac Catheterization and Endomyocardial Biopsymentioning

confidence: 99%