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Cardiac Sarcoidosis
Robert C. Groves, MD; John D. Grizzard, MD; Raymond J. Kim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Cardiac sarcoidosis (CS)
          • Definitions

            • Sarcoidosis: Chronic, multisystemic disease of unknown etiology characterized by presence of noncaseating granulomas in affected organs, most commonly lungs
              • Cardiac involvement occurs in 5% of patients clinically, but much higher percentage (~ 25%) is found at autopsy
                • Isolated CS (limited to only the heart) is estimated to make up ~ 25-30% of cases

          IMAGING

          • General Features

            • Imaging Recommendations

              • Image-Guided Biopsy

                • Radiographic Findings

                  • Echocardiographic Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Vita T et al: Complementary value of cardiac magnetic resonance imaging and positron emission tomography/computed tomography in the assessment of cardiac sarcoidosis. Circ Cardiovasc Imaging. 11(1):e007030, 2018
                                          2. Wicks EC et al: Diagnostic accuracy and prognostic value of simultaneous hybrid 18F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging in cardiac sarcoidosis. Eur Heart J Cardiovasc Imaging. 19(7):757-767, 2018
                                          3. Puntmann VO et al: T1 and T2 mapping in recognition of early cardiac involvement in systemic sarcoidosis. Radiology. 285(1):63-72, 2017
                                          4. Hulten E et al: Cardiac sarcoidosis-state of the art review. Cardiovasc Diagn Ther. 6(1):50-63, 2016
                                          5. Okada DR et al: Isolated cardiac sarcoidosis: A focused review of an under-recognized entity. J Nucl Cardiol. ePub, 2016
                                          6. Birnie DH et al: HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis. Heart Rhythm. 11(7):1305-23, 2014
                                          7. Steckman DA et al: Utility of cardiac magnetic resonance imaging to differentiate cardiac sarcoidosis from arrhythmogenic right ventricular cardiomyopathy. Am J Cardiol. 110(4):575-9, 2012
                                          8. Patel MR et al: Detection of myocardial damage in patients with sarcoidosis. Circulation. 120(20):1969-77, 2009
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Cardiac sarcoidosis (CS)
                                                  • Definitions

                                                    • Sarcoidosis: Chronic, multisystemic disease of unknown etiology characterized by presence of noncaseating granulomas in affected organs, most commonly lungs
                                                      • Cardiac involvement occurs in 5% of patients clinically, but much higher percentage (~ 25%) is found at autopsy
                                                        • Isolated CS (limited to only the heart) is estimated to make up ~ 25-30% of cases

                                                  IMAGING

                                                  • General Features

                                                    • Imaging Recommendations

                                                      • Image-Guided Biopsy

                                                        • Radiographic Findings

                                                          • Echocardiographic Findings

                                                            • MR Findings

                                                              • Nuclear Medicine Findings

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Vita T et al: Complementary value of cardiac magnetic resonance imaging and positron emission tomography/computed tomography in the assessment of cardiac sarcoidosis. Circ Cardiovasc Imaging. 11(1):e007030, 2018
                                                                                  2. Wicks EC et al: Diagnostic accuracy and prognostic value of simultaneous hybrid 18F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging in cardiac sarcoidosis. Eur Heart J Cardiovasc Imaging. 19(7):757-767, 2018
                                                                                  3. Puntmann VO et al: T1 and T2 mapping in recognition of early cardiac involvement in systemic sarcoidosis. Radiology. 285(1):63-72, 2017
                                                                                  4. Hulten E et al: Cardiac sarcoidosis-state of the art review. Cardiovasc Diagn Ther. 6(1):50-63, 2016
                                                                                  5. Okada DR et al: Isolated cardiac sarcoidosis: A focused review of an under-recognized entity. J Nucl Cardiol. ePub, 2016
                                                                                  6. Birnie DH et al: HRS expert consensus statement on the diagnosis and management of arrhythmias associated with cardiac sarcoidosis. Heart Rhythm. 11(7):1305-23, 2014
                                                                                  7. Steckman DA et al: Utility of cardiac magnetic resonance imaging to differentiate cardiac sarcoidosis from arrhythmogenic right ventricular cardiomyopathy. Am J Cardiol. 110(4):575-9, 2012
                                                                                  8. Patel MR et al: Detection of myocardial damage in patients with sarcoidosis. Circulation. 120(20):1969-77, 2009