抄録
Sarcoidosis has been recognized as a systemic disease that may involve the lung, lymph nodes and some other organs, and death is frequently caused by cardiac involvement. There have been only a few cases of cardiac sarcoidosis diagnosed by transvenous endomyocardial biopsy.
We experienced a case with secondary cardiomyopathy of sarcoidosis diagnosed by this method and which responded well to treatment with corticosteroids.
The case was a 68 year-old male suffering from iritis. The chest roentgenogram demonstrated slight enlargement of hilar lymph nodes, but no abnormal findings in the lung field or in the cardiac shilhouette. ECG showed first degree A-V block, complete RBBB and left axis deviation. The specimen was obtained by transvenous right ventricular endomyocardial biopsy and showed noncaseating granuloma with giant cells.
He responded well to corticosteroid and first degree A-V block and complete RBBB disappeared.
