Management of cardiac sarcoidosis A clinical consensus statement of the Heart Failure Association, the European Association of Cardiovascular Imaging, the ESC Working Group on Myocardial & Pericardial Diseases, and the European Heart Rhythm Association of the ESC

European Heart Journal

26 June 2024
Organised by: Logo
ESC Journals ARRHYTHMIAS AND DEVICE THERAPY CARDIOVASCULAR DISEASE IN SPECIFIC POPULATIONS Arrhythmias, General HEART FAILURE Chronic Heart Failure IMAGING Cardiac Magnetic Resonance (CMR) Cross-Modality and Multi-Modality Imaging Topics Echocardiography Nuclear Imaging Syncope and Bradycardia

Abstract

Abstract

Cardiac sarcoidosis (CS) is a form of inflammatory cardiomyopathy associated with significant clinical complications such as high-degree atrioventricular block, ventricular tachycardia, and heart failure as well as sudden cardiac death. It is therefore important to provide an expert consensus statement summarizing the role of different available diagnostic tools and emphasizing the importance of a multidisciplinary approach. By integrating clinical information and the results of diagnostic tests, an accurate, validated, and timely diagnosis can be made, while alternative diagnoses can be reasonably excluded. This clinical expert consensus statement reviews the evidence on the management of different CS manifestations and provides advice to practicing clinicians in the field on the role of immunosuppression and the treatment of cardiac complications based on limited published data and the experience of international CS experts. The monitoring and risk stratification of patients with CS is also covered, while controversies and future research needs are explored.

Contributors

Rakesh Sharma
Rakesh Sharma

Author

Royal Brompton Hospital London , United Kingdom of Great Britain & Northern Ireland

Marco Metra
Marco Metra

Author

IRCCS San Raffaele Scientific Institute Milan , Italy

Karin Klingel
Karin Klingel

Author

Institute for Pathology and Neuropathology Tuebingen , Germany

Massimo Imazio
Massimo Imazio

Author

University Hospital Santa Maria della Misericordia Udine , Italy

Steffen E Petersen
Steffen E Petersen

Author

Queen Mary University of London London , United Kingdom of Great Britain & Northern Ireland

ESC 365 is supported by