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Type: Journal article
Title: Electrophysiological features of atrial flutter in cardiac sarcoidosis: a report of two cases
Author: Namboodiri, N.
Stiles, M.
Young, G.
Sanders, P.
Citation: Indian Pacing and Electrophysiology Journal, 2012; 12(6):284-289
Publisher: Indian Heart Rhythm Society
Issue Date: 2012
ISSN: 0972-6292
Statement of
Narayanan Namboodiri, Martin K Stiles, Glenn D Young, Prashanthan Sanders
Abstract: We report two cases of systemic sarcoidosis with atrial flutter as the clinical manifestation. In one patient, who had symptoms of shorter duration, the arrhythmia was no longer inducible after a course of glucocorticoid therapy. Electroanatomical mapping in the other case revealed patchy fibrosis of the left atrial myocardium and multiple macro-reentrant circuits. Sinus rhythm could be restored with ablation of these reentrant circuits. To our knowledge, this is the first report on the demonstration of atrial scarring in a patient with sarcoidosis using 3-D electroanatomical mapping. These two cases illustrate that the inflammation of atrial myocardium is the primary mechanism of atrial arrhythmias in patients with cardiac sarcoidosis.
Keywords: atrial flutter; sarcoidosis; radiofrequency ablation
Rights: © 2012 Namboodiri et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0030011217
DOI: 10.1016/S0972-6292(16)30568-X
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Appears in Collections:Medicine publications

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