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Case Report
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| Primary cardiac sarcoidosis causing persistent ST-segment elevation |
| János Tomcsányi1, András Wettstein1, Béla Bózsik1, Tamás Simor2, János Strausz3, Márta Hubay4 |
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1Department of Cardiology, St John of God Hospital, Budapest, Hungary.
2Heart Institute Medical University Pécs Hungary. 3National Korányi Institute for Pulmonology, Budapest, Hungary. 4Department of Forensic Medicine, Semmelweis University, Budapest Hungary. |
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doi:10.5348/ijcri-2012-04-107-CR-4
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Address correspondence to: János Tomcsányi Department of Cardiology St.John of God Hospital, Budapest, Hungary 023 Árpád fejedelem u. 7 Hungary Phone: 003614388560 Email: tomcsanyi.janos@t-online.hu |
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| How to cite this article: |
| Tomcsányi J, Wettstein A, Bózsik B, Simor T, Strausz J, Hubay M. Primary cardiac sarcoidosis causing persistent ST-segment elevation. International Journal of Case Reports and Images 2012;3(4):15–18. |
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Abstract
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Introduction:
Sarcoidosis is a multisystem, granulomatous disease of unknown origin. In a few cases, cardiac sarcoidosis appears before systemic sarcoidosis. Cardiac sarcoidosis accounts for 25% of deaths from the disease. The antemortem diagnosis of cardiac sarcoidosis can be challenging due to the variable clinical presentations.
Case Report: We report a case of primary cardiac sarcoidosis which involved the epicardial myocardium initially. For quit long, large ST-segment elevation was the only sign of sarcoidosis in the completely symptom-free patient. Conclusion: Persistent ST-segment elevation could be the first sign of cardiac sarcoidosis. | |
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Key Words:
Cardiac sarcoidosis, ST-segment elevation, Acute coronary syndrome, Myocarditis
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Author Contributions:
János Tomcsányi - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published András Wettstein - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Béla Bózsik - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Tamás Simor - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published János Strausz - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Márta Hubay - Substantial contributors to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© János Tomcsányi et. al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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