Successful treatment of myocardial sarcoidosis with steroids.

Abstract

Myocardial involvement in sarcoidosis occurs in approximately twenty-seven percent of patients and may result in a grim prognosis. The diagnosis is mainly clinical and may be supplemented by echocardiography, thallium imaging, Gallium-67 scanning, and myocardial biopsy. The value of corticosteroid treatment is still not well-established and few patients have benefitted from cardiac transplantation. We present a case with suspected myocardial sarcoidosis and congestive heart failure who had dramatic response to steroid therapy on five weeks' followup.