TABLE 1.
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.