| 000 | 02471nam a22004697a 4500 | ||
|---|---|---|---|
| 008 | 2401116s20232023 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a1757-790X | ||
| 024 | _a10.1136/bcr-2023-256579 [doi] | ||
| 024 | _a16/12/e256579 [pii] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a38087480 | ||
| 245 | _aGreat mimicker: definite isolated cardiac sarcoidosis masquerading as hypertrophic cardiomyopathy. | ||
| 251 | _aBMJ Case Reports. 16(12), 2023 Dec 09. | ||
| 252 | _aBMJ Case Rep. 16(12), 2023 Dec 09. | ||
| 253 | _aBMJ case reports | ||
| 260 | _c2023 | ||
| 260 | _fFY2024 | ||
| 260 | _p2023 Dec 09 | ||
| 265 | _sepublish | ||
| 265 | _tPubMed-not-MEDLINE | ||
| 266 | _d2024-01-16 | ||
| 520 | _aA healthy man in his 50s was hospitalised after presenting with chest pain and dyspnoea. An echocardiogram revealed asymmetrical septal hypertrophy, leading to a diagnosis of hypertrophic cardiomyopathy. Due to progressive conduction abnormalities during his hospitalisation, further evaluation was performed. Cardiac MRI revealed dense late gadolinium enhancement of the septum in the area of hypertrophy. Additionally, fluorodeoxyglucose-positron emission tomography demonstrated increased uptake within the same region, suggestive of active inflammation. Subsequent endomyocardial biopsy showed non-caseating granulomatous inflammation, consistent with cardiac sarcoidosis. Treatment with prednisone and methotrexate was initiated, and an implantable cardioverter-defibrillator was placed following thorough risk stratification. This case highlights the importance of multimodality imaging and the pursuit of a tissue diagnosis in the evaluation of cardiomyopathy. Copyright © BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 546 | _aEnglish | ||
| 650 | _a*Cardiomyopathy, Hypertrophic | ||
| 650 | _a*Myocarditis | ||
| 650 | _a*Sarcoidosis | ||
| 650 | _aCardiomyopathy, Hypertrophic/dg [Diagnostic Imaging] | ||
| 650 | _aContrast Media | ||
| 650 | _aGadolinium | ||
| 650 | _aHumans | ||
| 650 | _aHypertrophy | ||
| 650 | _aInflammation | ||
| 650 | _aMale | ||
| 650 | _aSarcoidosis/pa [Pathology] | ||
| 651 | _aMedStar Heart & Vascular Institute | ||
| 657 | _aCase Reports | ||
| 657 | _aJournal Article | ||
| 700 |
_aSheikh, Farooq H _bMHVI |
||
| 790 | _aPham T, Abraham J, Sheikh FH | ||
| 856 | _uhttps://dx.doi.org/10.1136/bcr-2023-256579 | ||
| 942 |
_cART _dArticle |
||
| 999 |
_c13713 _d13713 |
||