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10.1002/ehf2.12095

http://scihub22266oqcxt.onion/10.1002/ehf2.12095
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C5107975!5107975 !27867531
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suck abstract from ncbi


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pmid27867531
      ESC+Heart+Fail 2016 ; 3 (4 ): 288-292
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  • Steroid pulse therapy was effective for cardiac sarcoidosis with ventricular tachycardia and systolic dysfunction #MMPMID27867531
  • Okabe T ; Yakushiji T ; Hiroe M ; Oyama Y ; Igawa W ; Ono M ; Kido T ; Ebara S ; Yamashita K ; Yamamoto MH ; Saito S ; Hoshimoto K ; Kisaki A ; Isomura N ; Araki H ; Ochiai M
  • ESC Heart Fail 2016[Dec]; 3 (4 ): 288-292 PMID27867531 show ga
  • A 32-year-old man presented with palpitation. He was diagnosed with pulmonary sarcoidosis by lung biopsy. The electrocardiogram showed first-degree atrioventricular block and complete right bundle branch block (CRBBB). We planned to examine laboratory data, echocardiography, Holter monitoring, and gallium-67 scintigraphy. Before he went through all these exams, he developed ventricular tachycardia. After defibrillation was performed, his electrocardiogram revealed complete atrioventricular block. We observed elevation of serum angiotensin-converting enzyme levels. In addition, both of gallium-67 scintigraphy and (18)F-fluorodeoxyglucose positron emission tomography showed abnormal uptake in the ventricular septum. We diagnosed the patient with cardiac sarcoidosis associated with these arrhythmias. We started treatment with methylprednisolone pulse therapy (1?g daily). After 3?days of steroid pulse therapy, we administered prednisolone 30?mg daily. On day 15, electrocardiogram changed from complete atrioventricular block to first-degree atrioventricular block and CRBBB. He was discharged with no progression with cardiac sarcoidosis for 2?years.
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