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Right-Sided Heart Catheterization: De Rigueur in Sarcoidosis?

Daniel A. Culver, DO, FCCP; Richard A. Krasuski, MD
Author and Funding Information

From the Respiratory Institute (Dr Culver) and Cardiovascular Medicine (Dr Krasuski), The Cleveland Clinic.

Correspondence to: Daniel A. Culver, DO, FCCP, Respiratory Institute, The Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: culverd@ccf.org


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Culver is a site investigator for a trial sponsored by Actelion (Dr Baughman, principal investigator). Dr Krasuski has served as a consultant to Actelion and is on the speakers bureau of Actelion and United Therapeutics. He also has been a coinvestigator for trials sponsored by Actelion.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(5):1030-1032. doi:10.1378/chest.10-1241
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Extract

Cardiac impairment in sarcoidosis was first described by Mitchell Bernstein in 1929,1 the same year that Werner Forssman2 demonstrated the feasibility of cardiac catheterization. By the late 1940s, the effect of advanced sarcoidosis on the pulmonary vasculature and right side of the heart was recognized, and the first documented elevation of pulmonary artery pressure (PAP) was reported by Austrian et al3 in 1951. Nearly 60 years later, the interactions among the heart, lungs, and pulmonary vasculature in sarcoidosis remain a conundrum.

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