Evidence map›Paper›PMID 37712372›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2023

Diagnostic and therapeutic practices of cardiac sarcoidosis in the United States: a nationwide questionnaire based study.

Moustafa Younis, Abdullah Abu Kar, Mohammad Abdel Jawad, Yazan Al-Zamer, Diala Alawneh, Divya Patel, Borna Mehrad, Bashar Alzghoul

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Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Moustafa YounisPulmonary, Critical care and Sleep Medicine, University of Florida, Gainesville, Florida. myounis@ufl.edu.
Abdullah Abu KarDivision of Hospital Medicine, University of California San Francisco, San Francisco, California. Abdullah.abukar@ucsf.edu.
Mohammad Abdel JawadInternal Medicine, Ascension Via Christi St. Francis Hospital, Wichita, Kansas. Abdeljawadmd@gmail.com.
Yazan Al-ZamerFaculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan. Ysalzamer182@med.just.edu.jo.
Diala AlawnehRheumatology, University of Illinois in Chicago, Chicago, Illinois. dialawneh@hotmail.com.
Divya PatelPulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, Florida. Divya.Patel@medicine.ufl.edu.
Borna MehradPulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, Florida. Borna.Mehrad@medicine.ufl.edu.
Bashar AlzghoulPulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, Florida. Bashar.alzghoul@medicine.ufl.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimCardiac sarcoidosis (CS) is the second most common cause of death in patients with sarcoidosis and data pertaining to its diagnosis and management is limited. We sought to describe diagnostic modalities and management of patients with CS in the United States, based on a national registry questionnaire.

methodsWe conducted a retrospective study based on a national registry investigating 3,835 respondents to the Foundation for Sarcoidosis Research Questionnaire. The registry includes patient surveys completed between June 2014 and August 2019. Summary and univariate analyses were performed.

resultsA total of 394 patients (10.3%) with CS were identified; 57% (n=223) were women and 81% (n=317) were white. The mean (±SD) age at diagnosis was 45 years (±13). CS was the initial presentation of sarcoidosis in 30%. Multiorgan involvement (≥3 organs) was present in 68%. Two-thirds of patients were admitted at least once to the hospital. Cardiac magnetic resonance imaging (74.4%) was the most common diagnostic modality used followed by positron emission tomography (PET) scan (59.3%) and cardiac biopsy (n=52, 13%).  Most patients received corticosteroids (86%) and steroid-sparing medications (61%) including methotrexate (26%) and tumor necrosis factor (TNF) inhibitors (19%). A combined cardioverter defibrillator and pacemaker (39%) was the most common cardiac device implanted.

conclusionsThe prevalence of CS in this cohort was higher than previously described. CS was a common initial presentation of sarcoidosis. The diagnosis was most likely made using cMRI. Steroids, methotrexate and infliximab are the most common medications used. Conduction abnormalities and arrhythmias often occurred.

Identifiers

PMID37712372
PMCPMC10540711

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