Hirtelen szívhalál sarcoidosis következtében [Sudden cardiac death due to sarcoidosis] case report /

Sarcoidosis is a systemic granulomatous disease of unknown aetiology, which is characterized by bilateral hilar lymphadenopathy and pulmonary disease. Clinically detected cardiac involvement occurs in 5% of sarcoid patients, although cardiac manifestations are discovered in 25% of the cases at autop...

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Bibliographic Details
Main Authors: Sejben István
Som Zoltán
Cserni Gábor
Format: Article
Published: Akadémiai Kiadó 2017
Series:ORVOSI HETILAP 158 No. 27
doi:10.1556/650.2017.30724

mtmt:3247010
Online Access:http://publicatio.bibl.u-szeged.hu/12660
Description
Summary:Sarcoidosis is a systemic granulomatous disease of unknown aetiology, which is characterized by bilateral hilar lymphadenopathy and pulmonary disease. Clinically detected cardiac involvement occurs in 5% of sarcoid patients, although cardiac manifestations are discovered in 25% of the cases at autopsy. Sarcoid heart disease frequently causes atrioventricular block. The authors present the case of a 44-year-old man with bradycardia. On admission, second degree Mobitz II, then third degree atrioventricular block was diagnosed. Coronarography showed normal coronary arteries. 2.5 years following artificial Biotronik Entovis DR type pacemaker implantation, sudden cardiac death occurred. Autopsy revealed sarcoidosis with cardiac, pulmonary, splenic, renal and lymph node involvement. In case of young or middle-aged patients with atrioventricular block, it is best to search for other causes if the most common coronary origin can be excluded. Orv Hetil. 2017; 158(27): 1067-1070.
Physical Description:1067-1070
ISSN:0030-6002