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Published in: BMC Medical Imaging 1/2013

Open Access 01-12-2013 | Case report

Utility of cardiac magnetic resonance in assessing right-sided heart failure in sarcoidosis

Authors: Jacob Lønborg, Michael Ward, Anthony Gill, Stuart M Grieve, Gemma A Figtree

Published in: BMC Medical Imaging | Issue 1/2013

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Abstract

Background

Cardiac involvement in sarcoidosis is associated with a poor prognosis. In patients with right sided heart failure, differentiating between cor-pulmonale, or cardiac sarcoidosis has important implications to management.

Case presentation

We present the case of a patient with severe but stable pulmonary sarcoidosis and new onset right sided heart failure despite only mild elevations of pulmonary artery pressure. CMR demonstration of extensive right ventricular fibrosis with associated dilatation and hypokinesis was a key finding for prognosis and management of the patient.

Conclusion

Cardiac magnetic resonance (CMR) is the preferred investigation in the diagnosis of cardiac sarcoidosis, allowing assessment of myocardial inflammation and fibrosis, as well as function, in a manner not matched by other technologies.
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Metadata
Title
Utility of cardiac magnetic resonance in assessing right-sided heart failure in sarcoidosis
Authors
Jacob Lønborg
Michael Ward
Anthony Gill
Stuart M Grieve
Gemma A Figtree
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2013
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/1471-2342-13-2

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