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Wiener klinische Wochenschrift

, Volume 131, Issue 7–8, pp 186–187 | Cite as

Importance of endomyocardial biopsy in distinguishing between cardiac sarcoidosis and giant cell myocarditis

Need to distinguish between sarcoidosis and giant cell myocarditis
  • Petr Kuchynka
  • Tomas PalecekEmail author
  • Lukas Lambert
  • Antonin Fikrle
  • Ivana Vitkova
  • Martin Masek
  • Sudheera Magage
  • Ales Linhart
images in clinical medicine

Notes

Conflict of interest

P. Kuchynka, T. Palecek, L. Lambert, A. Fikrle, I. Vitkova, M. Masek, S. Magage, and A. Linhart declare that they have no competing interests.

Supplementary material

Video 1: transthoracic echocardiography, apical four-chamber view. The recording shows a non-dilated left ventricle with preserved ejection fraction despite dyskinesis of mildly thickened basal part of interventricular septum. RA right atrium, LA left atrium, RV right ventricle, LV left ventricle

Video 2: transthoracic echocardiography, apical four-chamber view. The recording shows a non-dilated left ventricle with mildly reduced global systolic function with ejection fraction of 45% with thinning and dyskinesis of basal segments of the interventricular septum. Additionally, note the lead of implantable cardioverter defibrillator in the right ventricle. RA right atrium, LA left atrium, RV right ventricle, LV left ventricle

References

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    Shih JA, Shih JA. Small steps for idiopathic giant cell myocarditis. Curr Heart Fail Rep. 2015;12:263–8.CrossRefGoogle Scholar
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    Kandolin R, Lehtonen J, Kupari M. Cardiac sarcoidosis and giant cell myocarditis as causes of atrioventricular block in young and middle-aged adults. Circ Arrhythm Electrophysiol. 2011;4:303–9.CrossRefGoogle Scholar
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    Cooper LT Jr, Berry GJ. Shabetai R. Idiopathic giant-cell myocarditis—natural history and treatment. Multicenter Giant Cell Myocarditis Study Group Investigators. N Engl J Med. 1997;336:1860–6.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.2nd Department of Medicine, Department of Cardiovascular Medicine, First Faculty of MedicineCharles University in Prague and General University Hospital in PraguePragueCzech Republic
  2. 2.Department of Radiology, First Faculty of MedicineCharles University in Prague and General University Hospital in PraguePragueCzech Republic
  3. 3.Institute of Nuclear Medicine, First Faculty of MedicineCharles University and General University Hospital in PraguePragueCzech Republic
  4. 4.Institute of Pathology, First Faculty of MedicineCharles University and General University Hospital in PraguePragueCzech Republic

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