[A heart insufficiency treated by glucocorticoids]

Praxis (Bern 1994). 2007 Oct 17;96(42):1643-7. doi: 10.1024/1661-8157.96.42.1643.
[Article in German]

Abstract

Arrhythmogenic right ventricular dysplasia was diagnosed in 2000 in this 44-year-old male patient with a history of syncope. An internal defibrillator was implanted. Six years later the patient was readmitted with severe heart failure, and cardiac sarcoidosis was diagnosed by myocardial biopsy. Response to a course of glucorticoids was favourable. We herein review diagnostic strategies and therapeutic options in this rare disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arrhythmogenic Right Ventricular Dysplasia / therapy
  • Biopsy
  • Cardiomyopathies / complications
  • Cardiomyopathies / diagnosis
  • Cardiomyopathies / drug therapy
  • Cardiomyopathies / pathology
  • Defibrillators, Implantable
  • Diagnosis, Differential
  • Echocardiography
  • Electrocardiography
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / therapeutic use*
  • Heart Failure / diagnosis
  • Heart Failure / diagnostic imaging
  • Heart Failure / drug therapy*
  • Heart Failure / etiology
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Magnetic Resonance Imaging
  • Male
  • Methotrexate / therapeutic use
  • Myocardium / pathology
  • Sarcoidosis / complications
  • Sarcoidosis / diagnosis
  • Sarcoidosis / drug therapy
  • Sarcoidosis / pathology
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Glucocorticoids
  • Immunosuppressive Agents
  • Methotrexate