ساركويد القلب: ماذا تفعل عندما لم يتحكم علاج الكورتيكوستيرويد في الخط الأول في التهاب عضلة القلب

References

DOI: 10.1161/CIR.0000000000001240

• In a tiered approach to treatment, individuals with relapse or ongoing inflammation after corticosteroids would receive a second-line agent (methotrexate, mycophenolate, azathioprine, or leflunomide) in combination with corticosteroids.
• The response to treatment is measured in 2 ways: (1) improvement or resolution of the clinical presentation of arrhythmias, heart block, or HF and (2) reduction in the degree of active granulomatous inflammation in the myocardium.