Consensus Statement on the Diagnosis and Management of Cardiac Sarcoidosis

Clinicians should have a high degree of suspicion for cardiac sarcoidosis in patients with new heart failure, high-grade conduction disease, ventricular arrhythmias, and known extracardiac disease.

Sponsoring Organization: American Heart Association

Target Audience: Cardiology providers

Background and Objective

This consensus review provides an updated framework for the diagnosis and management of CS, given a continued lack of randomized clinical trials and the observed practice variability in this space.

Key Points

CS may present with right or left ventricular dysfunction, high-grade conduction disease, and/or ventricular arrhythmias (VAs).
Although many patients with CS present with cardiac manifestations, most have extracardiac disease.
Symptomatic heart failure (HF) appears more commonly in Blacks than whites and in women than men; VAs are reported more frequently in men than women.
Echocardiography has low sensitivity and specificity but…

Reviewing Author

Shea E. Hogan, MD, MSCS, FACC, FSCAI, FSVM

Disclosures

Editorial BoardsVascular Medicine