Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis

Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart fa...

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Main Authors: Nagham Saeed Jafar, Warkaa Al Shamkhani, Sunil Roy Thottuvelil Narayanan, Anil Kumar Rajappan
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2014/372936
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author Nagham Saeed Jafar
Warkaa Al Shamkhani
Sunil Roy Thottuvelil Narayanan
Anil Kumar Rajappan
author_facet Nagham Saeed Jafar
Warkaa Al Shamkhani
Sunil Roy Thottuvelil Narayanan
Anil Kumar Rajappan
author_sort Nagham Saeed Jafar
collection DOAJ
description Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-14b2127e45ec4f09b31ef46d7158d2b72025-08-20T03:54:29ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/372936372936Rapidly Progressive Atrioventricular Block in a Patient with SarcoidosisNagham Saeed Jafar0Warkaa Al Shamkhani1Sunil Roy Thottuvelil Narayanan2Anil Kumar Rajappan3Department of Cardiology, Belhoul Speciality Hospital, P.O. Box 5527, Dubai, UAEDepartment of Cardiology, Belhoul Speciality Hospital, P.O. Box 5527, Dubai, UAEDepartment of Cardiology, Belhoul Speciality Hospital, P.O. Box 5527, Dubai, UAEDepartment of Cardiology, Belhoul Speciality Hospital, P.O. Box 5527, Dubai, UAECardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis.http://dx.doi.org/10.1155/2014/372936
spellingShingle Nagham Saeed Jafar
Warkaa Al Shamkhani
Sunil Roy Thottuvelil Narayanan
Anil Kumar Rajappan
Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
Case Reports in Cardiology
title Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
title_full Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
title_fullStr Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
title_full_unstemmed Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
title_short Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis
title_sort rapidly progressive atrioventricular block in a patient with sarcoidosis
url http://dx.doi.org/10.1155/2014/372936
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