Management of refractory ventricular tachycardia due to cardiac sarcoidosis—A biologic approach Joseph Theodore, MD, DM, Daljeet Kaur Saggu, MD, DM,

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Presentation transcript:

Management of refractory ventricular tachycardia due to cardiac sarcoidosis—A biologic approach Joseph Theodore, MD, DM, Daljeet Kaur Saggu, MD, DM, Sachin Yalagudri, MD, DM, Jugal Kishore, MD, Soumen Devidutta, MD, DM, Calambur Narasimhan, MD, DM HeartRhythm Case Reports Volume 5, Issue 2, Pages 97-100 (February 2019) DOI: 10.1016/j.hrcr.2018.11.004 Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 1 A: Baseline cardiac positron emission tomography and computed tomography (PET-CT) scan showing myocardial and lymph node uptake. B: Eighteen different morphologies of ventricular tachycardia induced in the electrophysiology laboratory. C: 12-lead electrocardiogram of patient showing reversion to sinus rhythm after adalimumab. D: Cardiac PET-CT scan showing myocardial resolution after adalimumab therapy. HeartRhythm Case Reports 2019 5, 97-100DOI: (10.1016/j.hrcr.2018.11.004) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 2 Histopathology from cervical lymph node showing A: noncaseating granuloma and B: metastatic deposit from papillary carcinoma. HeartRhythm Case Reports 2019 5, 97-100DOI: (10.1016/j.hrcr.2018.11.004) Copyright © 2018 Heart Rhythm Society Terms and Conditions

Figure 3 Timeline of treatment modalities and ventricular tachycardia (VT) frequency. AADs = antiarrhythmic drugs; CS = cardiac sarcoidosis; Endo/Epi = endocardial and epicardial; ICD = implantable cardioverter-defibrillator; PCT = papillary carcinoma of thyroid; PET-CT = positron emission tomography and computed tomography; RFA= radiofrequency ablation; RVOT-VT = right ventricular outflow tract VT; TT + RND = total thyroidectomy and radical neck dissection. HeartRhythm Case Reports 2019 5, 97-100DOI: (10.1016/j.hrcr.2018.11.004) Copyright © 2018 Heart Rhythm Society Terms and Conditions