Iatrogenic Complications During the Diagnostic Work-Up of an Inflammatory Cardiomyopathy

Antunes, Hugo; Gil, Júlio; Marmelo, Bruno; Gonçalves, Maria Luísa; Pires, Maria Inês Fiuza Branco; Santos, João; Correia, Miguel; Cabral, José Costa

doi:10.36660/ijcs.20190153

Cited by 1 publication

(3 citation statements)

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“…Although endomyocardial biopsies (EMBs) may provide a definitive SC diagnosis, it presents practical limitations related to the focal nature of the disease and to the method itself, such as poor sensitivity (with diagnostic yield varying from 13 to 35%, among studies), high false negative rates, invasiveness and complications associated with tissues sampling 3,13,14,[16][17][18] .…”

Section: Discussionmentioning

confidence: 99%

“…A recent study showed that sudden cardiac death (SCD) constitutes up to 14% of the presenting manifestations of CS and as many as 80% of all fatalities in that group. It also states that almost 66% of fatalities occur suddenly, due to undiagnosed intracardiac granulomas 13 , thus configuring SCD as one of the most feared clinical implications of this disease.…”

Section: Introductionmentioning

confidence: 99%

“…Although at present there is no specific optimal screening or risk stratification strategy for SC patients 12 , guidelines refer to clinical, radiologic, and immunohistologic criteria for diagnosing cardiac sarcoidosis 1 , which might be established on a histological or clinical basis. Considering iatrogenic risks related to endomyocardial biopsy 13 and its low sensitivity 14…”

Section: Introductionmentioning

confidence: 99%

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Dilated Cardiomyopathy Compatible With Sarcoidosis Presenting with Syncope Due to Torsades de Pointes: a Case Report

Tinoco

Branca

Carvalho

et al. 2021

J Cardiac Arrhtythmias

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Sarcoidosis is a multisystemic noncaseating granulomatous disease of unknown etiology. Cardiac sarcoidosis clinical presentation is diverse, and syncope is one of the possible primary events. Due to its variable natural history and initial presentation associated with lacking sensitive and specific diagnostic tests, it still represents a challenging diagnosis. This article presents the case of a 51-year-old female patient with intermittent syncope events associated with torsades de pointes and dilated cardiomyopathy compatible with sarcoidosis.

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