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. 2017 Aug;58(8):1341–1353. doi: 10.2967/jnumed.117.196287

TABLE 1.

JMHW and HRS Diagnostic Criteria for CS (29,30)

JMHW HRS
Histologic diagnosis group Histologic diagnosis from myocardial tissue
 CS confirmed by EMB, and histologic or clinical diagnosis of extraCS  Noncaseating granuloma on EMB with no alternative cause identified
Clinical diagnosis group Clinical diagnosis
Histologic or clinical diagnosis of extraCS and Probable diagnosis of CS exists if
 Two or more major criteria or  There is histologic diagnosis of extraCS* and
 One major criterion and two or more minor criteria  One or more of the following is present:
Major criteria   Cardiomyopathy or atrioventricular block responsive to immunosuppressive treatment*
 Advanced atrioventricular block   Unexplained reduced LVEF (<40%)
 Basal thinning of intraventricular septum   Unexplained ventricular tachycardia
67Ga uptake in heart   Mobitz II second- or third-degree heart block
 Depressed LVEF (<50%)   Patchy 18F-FDG uptake on cardiac PET consistent with CS*
Minor criteria   Late gadolinium enhancement on cardiac MRI consistent with CS
 Electrocardiography: ventricular tachycardia, PVCs, RBBB, abnormal axis, abnormal Q wave   Cardiac 67Ga uptake and
 Echocardiography: structural or wall motion abnormality  Exclusion of other causes of cardiac manifestations
 Nuclear medicine: perfusion defect, 201Tl, 99mTc*
 Cardiac MRI: late gadolinium enhancement
 EMB: moderate fibrosis or monocyte infiltration
*

Significant difference between JMHW and HRS criteria.

PVC = premature ventricular contractions; RBBB = right bundle branch block.