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Pharmacologic stress/rest rubidium PET myocardium perfusion image showed 2 focal areas of round hypoperfusion in the mid-inferior (yellow arrow) and mid-lateral (red arrow) regions of the left ventricular myocardium.
Source publication
Patient: Male, 68-year-old
Final Diagnosis: Sarcoidosis • vasculitis
Symptoms: Syncope
Medication:—
Clinical Procedure: —
Specialty: Rheumatology
Objective
Rare co-existance of disease or pathology
Background
Cardiac sarcoidosis and large-vessel vasculitis are both rare diseases with a variety of presenting symptoms. Both can result in high morbi...
Context in source publication
Context 1
... underwent positron emission tomography (PET) with regadenoson pharmacologic stress testing. This revealed 2 focal areas of hypoperfusion in the mid-inferior and mid-lateral regions of the left ventricular myocardium, which did not conform to a coronary artery vascular territory (Figure 1). Lesions were concerning for non-caseating granulomas. ...
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Citations
... 9 So the patient was damaged in the whole blood vessels including coronary artery and had no traditional risk factors for coronary heart disease. 10 Therefore, heart failure may be secondary to SS. In addition, this patient had hyponatremia, which is also a risk factor for congestive heart failure. ...
A 70‐year‐old woman with rheumatoid arthritis for 45 years developed secondary Sjögren's syndrome. She had a long‐term low‐salt and low‐fat diet and did not adhere to long‐term hormone and rheumatic immunotherapy, which led to heart failure. A 70‐year‐old woman with rheumatoid arthritis for 45 years developed secondary Sjögren's syndrome. She had a long‐term low‐salt and low‐fat diet and did not adhere to long‐term hormone and rheumatic immunotherapy, which led to heart failure.
