(FIT)-Module 4 Workshop 7: Electrocradiogrpahic and Electrophysiological Correlations, Atrial Fibrillation, Clinical Scenarios and Syndromes-Gerstenfeld Case 6 Answer

Video Transcription

Video Summary

The discussion centers on treating cardiac sarcoidosis with a complete AV block. The recommended approach is to implant a dual-chamber ICD (Implantable Cardioverter Defibrillator) given the unpredictable reversibility of heart block and the presence of an abnormal ejection fraction. Despite potential reversibility, guidelines advise prioritizing device implantation over immediate prednisone treatment to avoid wound healing issues and because an ICD would likely be needed regardless. Pacemakers or further studies like EP study or voltage mapping are not suggested. Queries are welcomed through email or social media for clarification or discussion.

Keywords

cardiac sarcoidosis

complete AV block

dual-chamber ICD

abnormal ejection fraction

device implantation guidelines