Evaluation of the Prognostic Value of PET/MRI in Cardiac Sarcoidosis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

Cardiac damage is the second leading cause of death in patients with sarcoidosis, after lung damage. Today's challenge is to diagnose the disease as effectively as possible, and to develop tools for better risk stratification, especially for sudden death, in order to better target therapies and implantable devices, such as corticoids and immunosuppressant.

The hypothesis is that combined PET (Positron Emission Tomography)/MRI (Magnetic Resonance Imaging) could be a relevant prognostic marker of progression, and would significantly improve diagnostic performance in patients with suspected cardiac sarcoidosis (CS). This study will also make it possible to distinguish sequellar fibrosis lesions from granulomatous lesions and assess the therapeutic response. Incorporating PET/MRI into the diagnostic strategy for patients with suspected CS could therefore improve their management.

Eligibility criteria

Qualifiers

Age ≥ 18 years

Sarcoidosis defined according to ATS/ERS/WASOG criteria

Clinical manifestations (syncope, lipothymia, persistent palpitations, signs of heart failure) and/or

Cardiac rhythm or conduction disorder (Mobitz type 2 atrioventricular block (AVB), AVB 3, right or left bundle branch block, Q wave in at least 2 leads, ventricular arrhythmia (ventricular mono/polymorphic complexes> 1000 per 24 h, ventricular tachycardia, ventricular fibrillation), unexplained sustained VT or epsilon wave) and/or

Disqualifiers

Psychiatric illness not controlled by treatment

Claustrophobia

Known pregnancy or breast-feeding patient

Unbalanced diabetes (influence on carbohydrate metabolism for PET)

Trial design

Treatments tested in this trial

  • PET/MRI

Treatment groups

180 Participants
are divided into 1 treatment group