Sudden death due to sarcoidosis. Case presentation
DOI:
https://doi.org/10.32818/reccmi.a3n2a13Keywords:
sarcoidosis, heart, sudden death.Abstract
Sarcoidosis is a multisystem disease that affects any organ, rarely the heart. Objective: To present the case of a patient with sudden death due to sarcoidosis which is infrequent, although approximately 25% of patients have noncalcified granulomas in different organs, but only 5% have heart diseases. Case report: A 43-year-old patient with severe arterial hypertension with specialized treatment and several admissions with acute coronary insufficiency. In the last admission, he was transferred to our Ward due to an infarct in evolution. We only found a chest x-ray with bilateral hilar adenopathy that was confirmed by axial tomography and mediastinal lymph nodes were also reported. The rest of the exams were normal including abdominal ultrasound. The electrocardiogram showed left ventricular hypertrophy, extensive anterior ischemia, atrial fibrillation and ventricular extrasystoles. He presented cardiac arrest with sudden death. Necropsy showed pulmonary sarcoidosis, lymph node and endomyocardial infiltration. Conclusion: It has been shown that this disease when it affects the heart has an ominous prognosis due to the different cardiac alterations that it causes, but the most terrible thing is sudden death, as it happened in this case.
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Copyright (c) 2018 Rafael Pila-Pérez , Rafael Pila-Peláez , Pedro Rosales-Torres , Javier Artola-González , Pedro León-Acosta
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