• Medicine · Aug 2018

    Case Reports

    Diagnostic value of cardiac magnetic resonance and fluorodeoxyglucose-positron emission tomography for cardiac sarcoidosis with previous myocardial infarction: A case report.

    • Masakazu Yasuda, Yoshitaka Iwanaga, Takayuki Kawamura, Takashi Nakamura, Salvatore De Rosa, Ciro Indolfi, and Shunichi Miyazaki.
    • Division of Cardiology, Department of Internal Medicine, Kindai University Faculty of Medicine, Ono-Higashi, Osakasayama, Osaka, Japan Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University URT CNR of IFC, Magna Graecia University, Viale Europa Localita' Germaneto, Catanzaro, Italy.
    • Medicine (Baltimore). 2018 Aug 1; 97 (35): e11938e11938.

    RationaleDiagnostic difficulty due to overlapped clinical findings exists in cardiac sarcoidosis (CS) patients who also have coronary artery disease. Since cardiac magnetic resonance (CMR) and fluorodeoxyglucose-positron emission tomography (FDG-PET) evaluate different pathological processes, that is, fibrosis and inflammation respectively, the combination may be useful in such a case.Patient ConcernsA 77-year-old man was admitted due to heart failure and advanced atrioventricular block who was previously diagnosed with cutaneous sarcoidosis and old myocardial infarction (MI) with angiographical evidence.DiagnosisHe was finally diagnosed with CS using CMR and FDG-PET by specifying the myocardial lesion of sarcoidosis.InterventionsHe was treated with corticosteroids based on the diagnosis.OutcomesThe focal high uptake on FDG-PET was improved and he had a better clinical course without further cardiac events.LessonsOur case suggests that CMR and FDG-PET are complimentary, and the combination is useful for diagnosis of CS, particularly in cases that have previous MI.

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