Cardiac Sarcoidosis: Current Approaches to Diagnosis and Management

Curr Allergy Asthma Rep. 2022 Dec;22(12):171-182. doi: 10.1007/s11882-022-01046-x. Epub 2022 Oct 29.

Abstract

Purpose of review: Cardiac sarcoidosis (CS) is an important cause of non-ischemic cardiomyopathy and has specific diagnostic and therapeutic considerations. With advances in imaging techniques and treatment approaches, the approach to monitoring disease progression and management of CS continues to evolve. The purpose of this review is to highlight advances in CS diagnosis and treatment and present a center's multidisciplinary approach to CS care.

Recent findings: In this review, we highlight advances in granuloma biology along with contemporary diagnostic approaches. Moreover, we expand on current targets of immunosuppression focused on granuloma biology and concurrent advances in the cardiovascular care of CS in light of recent guideline recommendations. Here, we review advances in the understanding of the sarcoidosis granuloma along with contemporary diagnostic and therapeutic considerations for CS. Additionally, we highlight knowledge gaps and areas for future research in CS treatment.

Keywords: Biomarkers; Cardiac sarcoidosis; Immunosuppression; Non-caseating granulomas.

Publication types

  • Review