Evaluation and Management of Cardiac Sarcoidosis with Advanced Imaging

Authors

Rishi Shrivastav, Department of Cardiology, Icahn School of Medicine at Mount Sinai/Mount Sinai Morningside Hospital, Cardiovascular Institute, 1111 Amsterdam Avenue, Clark Building, 2nd Floor, New York, NY 10023, USA.
Adrija Hajra, Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, 1825 Eastchester Road, Bronx, NY 10461, USA.
Suraj Krishnan, Department of Internal Medicine, Jacobi Hospital/Albert Einstein College of Medicine, Bronx, NY, USA.Follow
Dhrubajyoti Bandyopadhyay, Department of Cardiology, New York Medical College, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595, USA.
Pragya Ranjan, Department of Cardiology, New York Medical College, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595, USA. Electronic address: pragya.503@gmail.com.
Anthon Fuisz, Department of Cardiology, New York Medical College, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595, USA.Follow

Author Type(s)

Resident/Fellow, Faculty

DOI

10.1016/j.hfc.2023.06.002

Journal Title

Heart Failure Clinics

First Page

475

Last Page

489

Document Type

Article

Publication Date

10-1-2023

Department

Medicine

Abstract

A high clinical suspicion in the setting of appropriate history, physical exam, laboratory, and imaging parameters is often required to set the groundwork for diagnosis and management. Echocardiography may show septal thinning, evidence of systolic and diastolic dysfunction, along with impaired global longitudinal strain. Cardiac MRI reveals late gadolinium enhancement along with evidence of myocardial edema and inflammation on T2 weighted imaging and parametric mapping. 18F-FDG PET detects the presence of active inflammation and the presence of scar. Involvement of the right ventricle on MRI or PET confers a high risk for adverse cardiac events and mortality.

Recommended Citation

Shrivastav, R., Hajra, A., Krishnan, S., Bandyopadhyay, D., Ranjan, P., & Fuisz, A. (2023). Evaluation and Management of Cardiac Sarcoidosis with Advanced Imaging. Heart Failure Clinics, 19 (4), 475-489. https://doi.org/10.1016/j.hfc.2023.06.002