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Value of MRI for the diagnosis of cardiac involvement in sarcoidosis
Value of MRI for the diagnosis of cardiac involvement in sarcoidosis
- Source :
-
Revue de Médecine Interne . Mar2003, Vol. 24 Issue 3, p151. 7p. - Publication Year :
- 2003
-
Abstract
- Purpose. – The aim of the study was to assess the place of cardiac Magnetic Resonance Imaging (MRI) in patients with sarcoidosis with or without cardiac involvement.Material and methods. – Fifty patients with histologically-proven sarcoidosis underwent initial cardiac evaluation including MRI, ECG, holter ECG, echocardiography. Seven of them had cardiac involvement (cardiac insufficiency, auriculo-ventricular block, bundle-branch block). Fiveteen patients had a second evaluation at 10-month follow-up. MRI was classified in three stages, on the base of literature data (stage 1 “granulomatous”, stage 2 “exsudative”, stage 3 “fibrotic”).Results. – A good correlation between the type of the sarcoidosis and MRI was observed: patients with cardiac involvement had all stage 2 MRI; patients with quiescent sarcoidosis had normal or stage 3 MRI; patients without cardiac involvement had all stages on MRI. A good correlation was observed between cardiac MRI abnormalities and evolution of sarcoidosis. Patients under corticoid, with or without cardiac involvement all had regression of MRI lesions and sarcoidosis. In 2 cases, MRI was predictive of clinical cardiac involvement.Conclusion. – Cardiac MRI is a useful non-invasive method for the early diagnosis and follow-up of cardiac sarcoidosis. [Copyright &y& Elsevier]
- Subjects :
- *MAGNETIC resonance imaging
*SARCOIDOSIS
*ECHOCARDIOGRAPHY
Subjects
Details
- Language :
- French
- ISSN :
- 02488663
- Volume :
- 24
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Revue de Médecine Interne
- Publication Type :
- Academic Journal
- Accession number :
- 9343092
- Full Text :
- https://doi.org/10.1016/S0248-8663(02)00808-1