Description
The diagnosis that arrives too late
Cardiac sarcoidosis is usually found after a complete heart block in a young patient, or a ventricular arrhythmia, or at post-mortem. It is rarely found from the earlier abnormality that should have raised the question — because that abnormality looks unremarkable unless it is already on your mind.
These 392 pages exist to put it on your mind.
What should prompt suspicion
Unexplained conduction disease in a patient under fifty. Ventricular arrhythmia with no obvious substrate. Regional wall motion abnormality in a non-coronary distribution. Unexplained cardiomyopathy with pulmonary findings nobody connected. None is rare enough to ignore, and each is specific enough to justify looking further.
When the definitive test is not available
FDG-PET is the reference investigation and is unavailable to a large share of clinicians worldwide. The book is unusually practical here: what cardiac MRI can and cannot establish on its own, what a combination of clinical findings supports, and when it is worth referring a patient a long distance for imaging versus treating on the balance of evidence.
Beyond sarcoid
Across 31 chapters: lupus, rheumatoid disease, systemic sclerosis, vasculitis, IgG4-related disease, eosinophilic myocarditis, and overlap with amyloid. Immunosuppression decisions and device candidacy.
Suits
Cardiologists, rheumatologists, general physicians and imaging specialists.
PDF, lifetime access, from CardiologyBooks.com.
