Clinics in diagnostic imaging (189). Acute phase cardiac sarcoidosis (CS)

Singapore Med J. 2018 Aug;59(8):407-412. doi: 10.11622/smedj.2018095.

Abstract

A 44-year-old man presented with breathlessness and episodes of palpitations for the last one year. The imaging diagnosis of cardiac sarcoidosis was made based on chest radiography and cardiac magnetic resonance (MR) imaging findings, and was further confirmed by biopsy. Cardiac sarcoidosis is an uncommon entity, yet is potentially fatal with nonspecific clinical manifestations, including sudden cardiac death. Hence, it is important to diagnose and treat this entity at an early stage to improve morbidity and mortality. Cardiac MR imaging plays a pivotal role in facilitating diagnosis and monitoring therapeutic response. We describe the MR imaging features of cardiac sarcoidosis and discuss imaging features of other cardiomyopathies that may mimic cardiac sarcoidosis.

Keywords: cardiac magnetic resonance; cardiac sarcoidosis; cardiomyopathy; radiograph.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Cardiomyopathies / diagnostic imaging*
  • Death, Sudden, Cardiac
  • Electrocardiography
  • Heart / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Radiography, Thoracic
  • Sarcoidosis / diagnostic imaging*
  • Tachycardia, Ventricular / diagnostic imaging
  • Video Recording