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March 4, 2021Työväentutkimus VuosikirjaOpen Access

Manifestations and Outcome of Cardiac Sarcoidosis and Idiopathic Giant Cell Myocarditis by 25‐Year Nationwide Cohorts

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Why the study?

Cardiac sarcoidosis and giant cell myocarditis share histopathologic and clinical features, raising the question of whether they represent parts of a one-disease continuum.

Does giant cell myocarditis have a worse prognosis compared to cardiac sarcoidosis?

Population

351 CS and 28 GCM cases diagnosed in Finland

Comparison

Cardiac sarcoidosis vs giant cell myocarditis

Design

Nationwide cohort study

Follow-up

Followed until February 2018

Authors

HNHanna‐Kaisa NordenswanUniversity of HelsinkiJLJukka LehtonenHeart Failure & TransplantKEKaj EkströmUniversity of Helsinki

Discussion

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Member takes

Overview

GCM associated with higher cardiac event risk than CS; leaves open whether histopathology independently predicts outcomes beyond myocardial injury extent.

Structured PICO

Does giant cell myocarditis have a worse prognosis compared to cardiac sarcoidosis?

P
Population
379 patients (351 with cardiac sarcoidosis and 28 with giant cell myocarditis) diagnosed in Finland since the late 1980s
I
Intervention
Giant cell myocarditis (GCM) diagnosis
C
Comparator
Cardiac sarcoidosis (CS) diagnosis
O
Outcome
Composite end point of cardiac death, aborted sudden death, and heart transplantationcomposite

Giant cell myocarditis presents with more extensive myocardial injury and worse long-term outcomes than cardiac sarcoidosis, though prognosis is primarily driven by the extent of myocardial injury rather than the specific histopathologic diagnosis.

Cite This Study

Nordenswan et al. (2021) studied this question.

synapsesocial.com/papers/6a1bbff626cb5670aa9ccde4https://doi.org/10.1161/jaha.120.019415
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Diagnosis, management, and outcome of cardiac sarcoidosis and giant cell myocarditis: a Swedish single center experience2022 · 29 citations
  2. 2Long-Term Outcome and its Predictors in Giant Cell Myocarditis. Letter Regarding the Article ‘Long-Term Outcome and its Predictors in Giant Cell Myocarditis’2020 · 3 citations
  3. 3Idiopathic Giant Cell Myocarditis or Cardiac Sarcoidosis? A Retrospective Audit of a Nationwide Case Series2020 · 34 citations
  4. 4Phenotyping of giant cell myocarditis versus cardiac sarcoidosis using cardiovascular magnetic resonance2023 · 15 citations
  5. 5Cardiac magnetic resonance in giant cell myocarditis: a matched comparison with cardiac sarcoidosis2023 · 36 citations