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A Case with an Unusual Electrocardiogram

JEROME A. GOLD, M.D.; PHILIP J. CANTOR, M.D.

AMA Arch Intern Med. 1959;104(1):101-107.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although sarcoidosis was detailed as a generalized disease by Schaumann,¹ in 1914, early reports placed little clinical significance to well-detailed cardiac lesions.^2-4 Subsequently, evidence of an enlarged heart and heart failure secondary to sarcoid was described in excellent reviews by Longcope,⁵ in 1941, and Johnson and Jason,⁶ in 1944.

Sudden death from sarcoid heart disease with involvement of the musculature of the left atrium and left ventricle and granulomata adjacent to the coronary arteries demonstrated that this clinical entity could not be regarded as a benign process.^7-9

The commest electrocardiographic manifestations of sarcoid heart disease previously described included disturbances in rhythm and conduction and prominent P-waves and ST and T-wave changes.^5,6,9-15

The following case presents for the first time as known to us the findings of Q-waves on the electrocardiogram of a young Negro male patient with generalized sarcoidosis, which was reversible after cortisone therapy.

Report of Case

A 24-year-old . . . [Full Text PDF of this Article]

Author Affiliations
Brooklyn

From the Pulmonary Disease Service, Department of Internal Medicine, Division 1, Kings County Hospital Center, Brooklyn.; Assistant Visiting Physician, Kings County Hospital (Dr. Gold); Associate Visiting Physician, Kings County Hospital (Dr. Cantor).

Footnotes
Submitted for publication Aug. 18, 1958.

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