Cardiac sarcoidosis: Difficulties and possibilities of differential diagnosis for acute coronary syndrome without ST segment elevation in real clinical practice
https://doi.org/10.29001/2073-8552-2022-37-1-142-148
Abstract
Here we present a clinical case of cardiac sarcoidosis. The article discusses the difficulties of differential diagnosis in patients emergently hospitalized in the cardiology department with recurrent chest pain, no changes in the electrocardiogram (ECG), and a presumptive diagnosis of acute coronary syndrome without ST segment elevation (NSTE-ACS). A careful history taking, invasive coronary angiography, and contrast-enhanced (gadolinium-based contrast media) cardiac magnetic resonance imaging (CMR) contributed to the correct diagnostic decision in search for and identification of cardiac sarcoidosis in the patient.
About the Authors
Yu. S. Poponina
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences;
Siberian State Medical University
Russian Federation
Russian Federation
Cardiologist, Department of Emergency Cardiology, 111a, Kievskaya str., Tomsk, 634012;
Cand. Sci. (Med.), Associate Professor, Department of Cardiology, 2, Moskovsky tract, Tomsk, 634050
T. M. Poponina
Siberian State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Department of Cardiology,
2, Moskovsky tract, Tomsk, 634050
O. V. Mochula
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Junior Research Scientist, Department of Radiology and Tomography,
111a, Kievskaya str., Tomsk, 634012
G. M. Chernyavskaya
Siberian State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Department of Hospital Therapy with a Course of Physiotherapy, Rehabilitation and Sports Medicine,
2, Moskovsky tract, Tomsk, 634050
V. V. Ryabov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences;
Siberian State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Associate Professor, Deputy Director for Research and Clinical Services, Head of Department of Emergency Cardiology, 111a, Kievskaya str., Tomsk, 634012;
Head of Cardiology Department, 2, Moskovsky tract, Tomsk, 634050
References
1. Roffi M., Patrono C., Collet J.P., Mueller C., Valgimigli M., Andreotti F. et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). Eur. Heart J. 2016;37(3):267–315. DOI: 10.1093/eurheartj/ehv320.
2. Collet J.P., Thiele H., Barbato E., Barthélémy O., Bauersachs J., Bhatt D.L. et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur. Heart J. 2021;42(14):1289–1367. DOI: 10.1093/eurheartj/ehaa575.
3. Vorobeva D.A., Mochula A.V., Baev A.E., Ryabov V.V. Acute coronary syndrome with nonobstructive coronary arteries: The severity of coronary atherosclerosis and myocardial perfusion disorders (pilot study). The Siberian Journal of Clinical and Experimental Medicine. 2019;34(2):71–78. (In Russ.). DOI: 10.29001/2073-8552-2019-34-2-71-78.
4. Vizel A.A., Vizel I.Yu., Amirov N.B., Kolesnikov P.E. Sarcoidosis in the proceedings of European (Paris) and Russian (Moscow) respiratory congresses from 2018. The Bulletin of Contemporary Clinical Medicine. 2019;12(1):85–98. (In Russ.). DOI: 10.20969/VSKM.2019.12(1).85-98.
5. Popova E.N., Strizhakov L.A., Sholomova V.I., Ponomarev A.B., Moiseev S.V., Brovko M.U. et al. Clinical features of heart lesion in patients with generalized sarcoidosis. Ter. Arkh. 2018;90(1):54–59. (In Russ.). DOI: 10.26442/terarkh201890154-59.
6. Kalacheva T.P., Fedosenko S.V., Denisova O.A., Chernyavskaya G.M., Poponina T.M., Naumov A.O. et al. Clinical and functional features of the course of respiratory sarcoidosis in real clinical practice. Pulmonology. 2020;30(2):204–212. (In Russ.). DOI: 10.18093/0869-0189-2020-30-2-204-212.
Review
For citations:
Poponina Yu.S., Poponina T.M., Mochula O.V., Chernyavskaya G.M., Ryabov V.V. Cardiac sarcoidosis: Difficulties and possibilities of differential diagnosis for acute coronary syndrome without ST segment elevation in real clinical practice. Siberian Journal of Clinical and Experimental Medicine. 2022;37(1):142-148. (In Russ.) https://doi.org/10.29001/2073-8552-2022-37-1-142-148
Views:
383
.png)
Email this article 