Cardiac involvement in sarcoidosis can be diagnosed if certain features are present.
Requirements:
(1) biopsy-confirmed sarcoidosis
(2) exclusion of other conditions
(3) one or more findings listed below
Parameters:
(1) cardiomyopathy
(2) ECG
(3) cardiac scan
Parameter |
Definite |
Probable |
Possible |
cardiomyopathy |
responsive to sarcoid-directed therapy |
present with absence of other cardiac disease |
diabetes and/or hypertension present |
ECG |
intraventricular conduction defect or nodal block |
ventricular arrhythmia in the absence of other cardiac disease |
ventricular arrhythmia with diabetes and/or hypertension |
cardiac scan |
positive gallium scan; positive PET scan |
positive thallium scan |
NA |
Specialty: Cardiology, Immunology/Rheumatology