Multi-modal treatment in a pregnant woman with untreated cardiac sarcoidosis complicated by cardiac dysfunction and ventricular arrhythmias: a case report and literature review.

ABSTRACT:

Background

The treatment of cardiac sarcoidosis during pregnancy is inherently challenging owing to its impact on the foetus.

Case summary

We report a case of a 30-year-old pregnant woman with untreated cardiac sarcoidosis. One year prior to admission, she underwent permanent pacemaker implantation for complete atrioventricular block. Left ventricular ejection fraction (EF) showed a declining trend, and ventricular tachycardia (VT) was documented. Following an extensive evaluation, the patient was diagnosed with active cardiac sarcoidosis, and the pregnancy was detected at the same time. Considering the high risk of mortality and cardiovascular complications in pregnant patients with decreased EF and VT, we meticulously discussed the optimal timing of multi-modal treatment,

SUBMITTER: Yoshii T 

PROVIDER: S-EPMC10919920 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature