Tuesday, February 17, 2015

Cardiac sarcoid versus ARVD

The distinction can be difficult even when the accepted ARVD criteria are applied. Based on the Hopkins experience there are some clues though:

Conclusions—The 2010 diagnostic criteria for ARVD/C have limited discrimination in distinguishing between ARVD/C and CS. Despite the overlay in clinical presentation, older age of symptom onset, presence of cardiovascular comorbidities, nonfamilial pattern of disease, PR interval prolongation, high-grade atrioventricular block, significant left ventricular dysfunction, myocardial delayed enhancement of the septum, and mediastinal lymphadenopathy should raise the suspicion for CS.

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