Viewpoints in the diagnosis and treatment of cardiac sarcoidosis: Proposed modification of current guidelines

Clinical Cardiology
Dae-Won SohnYong-Jin Kim

Abstract

Isolated cardiac sarcoidosis is a generally accepted disease condition, and the low yield of endomyocardial biopsy because of patchy involvement is also well known. However, current guidelines still require histologic confirmation of granuloma for the diagnosis of cardiac sarcoidosis, either in myocardial or extra-cardiac tissues. Therefore, only a presumptive diagnosis of chronic multifocal myocarditis of unknown origin can be made in a large number of patients in whom the only considerable diagnosis is cardiac sarcoidosis based on current knowledge. Even if these patients are treated with the same treatment scheme as that for cardiac sarcoidosis, which may not cause harm in the absence of a definite diagnosis, the true spectrum of cardiac sarcoidosis could not be determined for deciding the optimal treatment strategy. In addition, the current recommendations for dose, duration of initial steroid therapy, and treatment in patients who did not respond to initial steroid therapy are not easy to follow in real-world practice. We would like to propose a scoring system for the diagnosis of cardiac sarcoidosis and suggest our adoption or modification of the diverse current recommendations.

References

Sep 12, 2000·Japanese Circulation Journal·A MatsumoriS Sasayama
Nov 13, 2001·The American Journal of Cardiology·Y YazakiUNKNOWN Central Japan Heart Study Group
May 4, 2004·Clinical Cardiology·Hiroshi FurushimaYoshifusa Aizawa
Nov 5, 2004·Medicine·Catherine Chapelon-AbricJean-Charles Piette
Apr 16, 2005·European Heart Journal·Heiko MahrholdtRaymond J Kim
Jan 18, 2006·Heart·Abdul R Doughan, Byron R Williams
Jun 10, 2006·The International Journal of Cardiovascular Imaging·Hideki FutamatsuMitsuaki Isobe
Aug 1, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Bruce A KoplanWilliam G Stevenson
Apr 6, 2007·Surgical Endoscopy·UNKNOWN Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Guidelines Committee
Oct 6, 2007·Postgraduate Medical Journal·Simon W DubreyTarun K Mittal
Nov 23, 2007·The New England Journal of Medicine·Michael C IannuzziAlvin S Teirstein
Nov 20, 2008·Journal of Cardiovascular Electrophysiology·Smit C VasaiwalaDavid J Wilber
Feb 4, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Dane JeficFrank Bogun
Nov 4, 2009·Circulation·Manesh R PatelRaymond J Kim
Sep 23, 2010·AJR. American Journal of Roentgenology·David A Bluemke
Jan 5, 2011·Circulation. Arrhythmia and Electrophysiology·Davendra MehtaAlvin Teirstein
May 4, 2011·Journal of Internal Medicine·R KandolinM Kupari
Oct 6, 2012·International Heart Journal·Yuichi BabaYoshinori L Doi
Oct 17, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Dirk G DecheringLars Eckardt
Dec 19, 2012·The Canadian Journal of Cardiology·Pablo B NeryDavid H Birnie
Apr 30, 2013·The Canadian Journal of Cardiology·Mouhannad M SadekPablo B Nery
Oct 5, 2013·Lancet·Dominique ValeyreJoachim Müller-Quernheim
Oct 22, 2013·Journal of the American College of Cardiology·Ron BlanksteinMarcelo F Di Carli
May 14, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·David H BirnieKyoko Soejima
Jan 13, 2015·International Journal of Cardiology·Mitsuaki Isobe, Daisuke Tezuka
Mar 7, 2015·The American Journal of Cardiology·Yoichi TakayaHiroshi Ito
Apr 17, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Toshiyuki NagaiToshihisa Anzai
May 8, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Nobutaka NaganoToshihisa Anzai
Jul 26, 2015·The American Journal of Cardiology·Riina KandolinMarkku Kupari
Jul 23, 2016·Journal of the American College of Cardiology·David H BirnieRob S B Beanlands
Aug 16, 2016·Circulation. Arrhythmia and Electrophysiology·Daniele MuserFrancis E Marchlinski
Aug 17, 2017·Cardiology·Sophie MavrogeniAthanassios Manginas
Nov 21, 2017·ESC Heart Failure·Jan-Peter SmedemaHarry J G M Crijns

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Citations

Jul 13, 2019·Virchows Archiv : an International Journal of Pathology·Ornella LeoneIacopo Olivotto
Dec 12, 2017·Internal Medicine·Hirotaka WakiKazuomi Kario
Sep 29, 2019·Heart·Lucia Agoston-ColdeaDalma Horvat

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