Sarcoid myocarditis: causes, symptoms and treatment
Sarcoidosis myocarditis is a rare disease in which the inflammation caused by sarcoidosis affects the heart muscle (myocardium). Sarcoidosis is a systemic disease characterized by the formation of granulomas (tumor-like formations) in various organs and tissues, including the lungs, liver, lymph nodes and skin.
With sarcoid myocarditis, granulomas form in the thickness of the myocardium, which leads to its damage and impaired cardiac function. The disease can present with a variety of symptoms, including fatigue, shortness of breath, chest pain, irregular heart rhythms, and even heart failure.
The causes of sarcoid myocarditis are not fully understood. It is believed that the disease occurs due to a breakdown in the immune system when it begins to attack the body's own tissues. Several factors may increase the risk of developing sarcoidosis, such as smoking, infections, genetics, and environment.
Various tests are performed to diagnose sarcoidosis myocarditis, including electrocardiography (ECG), echocardiography (ultrasound of the heart), MRI, and myocardial biopsy. Treatment of the disease is aimed at managing symptoms and stopping the inflammatory process. Anti-inflammatory drugs such as corticosteroids, immunomodulators and immune globulin are commonly used.
Some patients may require surgery, such as implantation of a pacemaker or cardioverter-defibrillator, to manage abnormal heart rhythms. In some cases, a heart transplant may be required.
Sarcoid myocarditis is a rare and serious disease that requires an integrated approach to diagnosis and treatment. If symptoms associated with cardiac dysfunction appear, you should consult a doctor for advice and to prescribe the necessary tests.