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Cardiac sarcoidosis presenting with syncope and rapidly progressive atrioventricular block: a case report.


ABSTRACT:

Background

Cardiac sarcoidosis (CS) accounts for a substantial morbidity and mortality. Early recognition of CS is important to prevent such detrimental consequences. A definite diagnosis of cardiac sarcoidosis remains challenging. Even after the diagnosis of CS is established, the appropriate dose and duration of corticosteroids in the treatment of CS have not been well-defined.

Case summary

In this report, we discuss a case of a 50-year-old man who presented with recurrent syncope. Electrocardiogram revealed sinus rhythm with left bundle branch block. Telemetry captured high-grade atrioventricular block. Coronary angiogram showed no coronary artery disease. Left ventriculography revealed left ventricular ejection fraction (LVEF) of 35-40%. A dual-chamber pacemaker was impl

SUBMITTER: Tan JL 

PROVIDER: S-EPMC6426016 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature