Cardiac Sarcoidosis Mimicking Hypertrophic Cardiomyopathy : Clinical Utility of Radionuclide Imaging for Differential Diagnosis

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概要

• 論文の詳細を見る

• A 62-year-old woman with skin sarcoidosis was admitted to our hospotal to ascertain whether she had cardiac involvement.Although she displayed no cardiac signs or symptoms, the electrocardiogram showed firstdegree atrioventricular block, right bundle branch block with left anterior fascicular block, and giant negative T waves in the V_3 lead.Echocardiography revealed marked hypertrophy localized in the basal portion of the interventricular septum(IVS)without systolic dysfunction, mimicking hypertrophic cardiomypathy(HCM).Exercise thallium-201 myocardial imaging revealed redistribution in the anteroseptal region.Both gallium-67(^<67>Ga)and technetium-99m pyrophosphate(^<99m>Tc-PYP)scintigraphy revealed abnormal uptake in the myocardium.These findings disappeared after 2 months of steroid treatment.Reports of cardiac sarcoidosis mimicking HCM are rare.However, hypertrophy in the basal protion of the IVS is an important sign of early cardiac involvement in sarcoidosis.^<67>Ga and ^<99m>Tc-PYP scintigraphy were useful and necessary to differentiate this type of cardiac sarcoidosis from HCM.

• 社団法人日本循環器学会の論文
• 1998-05-20

著者

• YAZAKI Yoshikazu

  First Department of Internal Medicine, Shinshu University School of Medicine, Nagano, Japan.

• TANAKA MASAO

  First Department of Surgery Kyushu University Faculty of Medicine

• Sekiguchi Morie

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Isobe Mitsuaki

  Japanese Circulation Society Guideline Preparation Group Myocarditis

• Sekiguchi Morie

  Saiseikai Kumamoto Hospital

• Sekiguchi Morie

  International Cardiomyopathy Study Section Japan Research Promotion Society For Cardiovascular Disea

• HAYASAKA Muneharu

  First Department of Internal Medicine, Shinshu University Hospital

• Isobe Mitsuaki

  First Department of Internal Medicine

• Sekiguchi Morie

  First Department Of Internal Medicine School Of Medicine Shinshu University

• Fujii Tadashige

  First Department of Internal Medicine, Shinshu University School of Medicine

• Sekiguchi Morie

  The 1st Department Of Internal Medicine Shinshu University

• Yazaki Yoshikazu

  Division Of Cardiology Nho Matsumoto Medical Center Matsumoto Hospital

• Isobe Mitsuaki

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Fujii Tadashige

  The First Department Of Internal Medicine Shinshu University School Of Medicine

• Fujii Tadashige

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Sekiguchi Morie

  The Heart Institute Of Japan Tokyo Women 's Medical College Tokyo

• Yazaki Yoshikazu

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Tanaka Masao

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Sekiguchi Morie

  Dept. Of Cardiovascular Surqery The Heart Institute Of Japan Tokyo Women's Medical College

• Sekiguchi Morie

  The Heart Institute Of Japan

• Hayasaka Muneharu

  First Department Of Internal Medicine Shinshu University School Of Medicine

• Isobe Mitsuaki

  The First Department Of Internal Medicine Shinshu University School Of Medicine

• Sekiguchi Morie

  International Cardiomyopathy Study Section Japan Research Promotion Society For Cardiovascular Disea

• Sekiguchi Morie

  Dept. Of Cardiology The Heart Institute Japan Tokyo Women's Medical College.

• Isobe Mitsuaki

  Department Of Cardiovascular Medicine Graduate School Of Medical And Dental Science Tokyo Medical An

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