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Brain & Heart                                                          Cardiac sarcoidosis with AVB and VA




            Table 2. (Continued)
            Author     Place of   Type of study  No. of   No. of patients  Endpoints/outcomes  Key findings
                       study                  patients with  with VAs
                                                 AVB
            Ahmed et al.   United   Retrospective   2        3     Outcomes examined were  Infliximab was associated with a
            2023 36    Kingdom  single-center cohort               findings on follow-up   reduction in disease activity on
                                                                   18F-FDG PET and   follow-up 18F-FDG PET and an
                                                                   echocardiography, steroid  improvement of LVEF, with no
                                                                   maintenance dose,   significant arrhythmic events during
                                                                   morbidity, and mortality  follow-up. It was associated with an
                                                                                     increased likelihood of infection
            Mohsen et al.   USA  Retrospective     -         12    Recorded outcomes were  Glucocorticoid therapy did not
            2014 40             single-center cohort               death and delivery of ICD  prevent appropriate or inappropriate
                                                                   therapies         ICD shock delivery. No specific
                                                                                     markers were associated with
                                                                                     malignant VAs in CS
            Nordenswan    Finland  Case–control study  143  20 patients who  Endpoint was sudden   Patients with CS who presented with
            et al. 2018 41                              presented with  cardiac death (fatal or   AVB have a high risk of sudden cardiac
                                                        AVB        aborted)          death. Patients presenting with AVB
                                                                                     alone often had delayed diagnosis of
                                                                                     CS and were most likely to require
                                                                                     transplantation. Incidence of VT was
                                                                                     24% at 5 years after presentation
            Mathijssen    Netherlands Retrospective   46     19    Primary outcome was   Prior VA and right ventricular
            et al. 2022 44      single-center cohort               appropriate ICD therapy  LGE were predictors of ICD
                                                                   delivery          therapy delivery, and low rates of
                                                                                     inappropriate therapies were observed
            Azoulay et al.   Japan,   Meta-analysis  Not stated  Not stated  Outcome measured was   Age, male sex, LVEF, complete
            2020 45    Europe,                                     appropriate ICD therapy  heart block, and ventricular pacing
                       USA                                         delivery          were associated with the delivery of
                                                                                     appropriate ICD therapy
            Jefic et al.   USA  Retrospective      -         42    Endpoint was elimination  VT ablation can be effective in
            2009 47             multicenter cohort                 of VA             eliminating or reducing VT burden
                                                                                     in cases refractory to medical therapy
            Siontis et al.   USA,   Retrospective   36      158    Immediate and     Catheter ablation shown to be
            2022 48    Europe,   multicenter cohort                short-term outcomes   effective in treating medically
                       Japan                                       included procedural   resistant VT and reducing
                                                                   success, elimination   defibrillator shocks and recurrent
                                                                   of VT storm, and   VT storm
                                                                   reduction in defibrillator
                                                                   shocks. The primary
                                                                   long-term outcome
                                                                   was the composite of
                                                                   VT recurrence, heart
                                                                   transplant, or death
            Muser et al.   USA  Retrospective      -         31    Long-term outcomes   Active inflammation at the time of
            2016 51             single-center cohort               were VT-free survival, VT  ablation is associated with higher
                                                                   reduction, death, or heart  relapse rates, but VT ablation is
                                                                   transplant        overall effective in CS
            Ahmed et al. 52  United   Retrospective   77     -     Endpoints were all-cause  A late diagnosis of CS was associated
                       Kingdom  single-center cohort               mortality, cardiac   with worse outcomes as well as a
                                                                   transplant, VA, or   higher required steroid dose and
                                                                   hospitalization for heart   a higher likelihood of requiring
                                                                   failure. Maintenance   cardiac device upgrade
                                                                   steroid dose and cardiac
                                                                   device upgrades and
                                                                   complications were
                                                                   evaluated
                                                                                                       (Cont’d...)

            Volume 2 Issue 4 (2024)                         6                                doi: 10.36922/bh.3515
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