n Cardiovascular Journal of Africa - Two cases of cardiac sarcoidosis in pregnant women with supraventricular arrhythmia : case report
|Article Title||Two cases of cardiac sarcoidosis in pregnant women with supraventricular arrhythmia : case report|
|© Publisher:||Clinics Cardive Publishing|
|Journal||Cardiovascular Journal of Africa|
|Affiliations||1 Erasmus University Medical Center, The Netherlands, 2 Erasmus University Medical Center, The Netherlands, 3 2 Military Hospital and 4 University of Cape Town|
|Publication Date||Mar 2015|
|Pages||96 - 100|
|Keyword(s)||Arrhythmia, Cardiac sarcoidosis and Pregnancy|
We present two cases of cardiac sarcoidosis whose first presentation was in pregnancy. All findings confirmed the diagnosis of sarcoidosis with cardiac involvement in both patients.
The first patient, a 37-year-old, presented with dizziness and atrial fibrillation at 16 weeks' gestation. Echocardiography revealed thickened interventricular septum with a speckled pattern. Cardiac MRI after delivery showed myocardial oedema/inflammation corresponding with the same regions with early enhancement and epicardial delayed enhancement in the basal to mid-inferoseptal and basal anterior left ventricular myocardial segments. Transbronchial biopsy revealed histology of scanty fragments of inflamed bronchial mucosa.
The second patient, a 31-year-old, was 17 weeks pregnant when she presented with daily palpitations and shortness of breath. She had prolonged episodes of supraventricular tachycardia. Echocardiography revealed a speckled septal and right ventricular wall pattern. Cardiac MRI after delivery showed basal and mid-ventricular mesocardial and epicardial enhancement, most compatible with sarcoidosis.
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