ISSN 1016-5169 | E-ISSN 1308-4488
pdf
Isolated Cardiac Sarcoidosis in a Patient with a Rare Coronary Anomaly Presenting with MINOCA and Heart Block: The Devil Is in the Detail [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2022; 50(5): 374-377 | DOI: 10.5543/tkda.2022.21274

Isolated Cardiac Sarcoidosis in a Patient with a Rare Coronary Anomaly Presenting with MINOCA and Heart Block: The Devil Is in the Detail

A Shaheer Ahmed1, Gautam Sharma2, Ram Manohar1
1Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
2Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

A middle-aged pre-menopausal female presented with shortness of breath and syncope. She had a past history of acute onset chest pain with elevated cardiac enzyme, regional wall motion abnormality on echocardiography, and a coronary anomaly in angiogram. She was being treated as a case of coronary artery disease. On current evaluation, she had right bundle branch block with intermittent 2: 1 AV block on ECG and a hyperechoic and hypo-kinetic interventricular septum with moderate left ventricular systolic dysfunction on echo-cardiography. Coronary angiogram revealed hyperdominant left anterior descending with right coronary artery ostial atresia. The patient was diagnosed to have cardiac sarcoidosis on the basis of epicardial late gadolinium enhancement (LGE) on MRI and increased use of 68-Gallium DOTANOC PET scan. Patient underwent dual-chamber ICD implantation and then steroids were started.

Keywords: Cardiac sarcoidosis, cardiomyopathy, inflammation, left ventricular dysfunction

How to cite this article
A Shaheer Ahmed, Gautam Sharma, Ram Manohar. Isolated Cardiac Sarcoidosis in a Patient with a Rare Coronary Anomaly Presenting with MINOCA and Heart Block: The Devil Is in the Detail. Turk Kardiyol Dern Ars. 2022; 50(5): 374-377

Corresponding Author: A Shaheer Ahmed
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.