TABLE 1

Revised JMHWG Criteria for Diagnosis of CS (23)

Diagnosis groupMajor criteriaMinor criteria
Histologic: CS is confirmed when endomyocardial biopsy specimens demonstrate noncaseating epithelioid cell granulomas with histologic or clinical diagnosis of extracardiac sarcoidosis
Clinical: although endomyocardial biopsy specimens do not demonstrate noncaseating epithelioid granulomas, extracardiac sarcoidosis is diagnosed histologically or clinically and satisfies more than 2 major criteria, or 1 major criterion and 2 or more minor criteriaAdvanced atrioventricular blockAbnormal electrocardiogram showing ventricular arrhythmias (multifocal or frequent premature ventricular contractions), complete right bundle branch block, axis deviation, or abnormal Q wave
Basal thinning of interventricular septumAbnormal echocardiography showing regional abnormal wall motion or morphologic abnormality (ventricular aneurysm, wall thickening)
Positive cardiac 67Ga uptake201Tl or 99Tc myocardial scintigraphy showing perfusion defect
Depressed left ventricular ejection fraction (<50%)MR imaging showing delayed gadolinium enhancement
Endomyocardial biopsy showing interstitial fibrosis or more than moderate monocyte infiltration