急性心筋梗塞が疑われ，広汎な心室瘤を有していた心サルコイドージスの1例

A case of cardiac sarcoidosis with a large ventricutar aneurysm simutlating acute myocardial infarction

　サルコイドージスは，全身の種々の臓器に病変を来たし，種々の臨床症状を呈する。我々は呼吸困難および胸部圧迫感を訴えて来院し、心電図上，急性心筋梗塞を思わせる所見を呈しながら，その後の検索の結果，広範な心室瘤を伴う心サルコイドージスである事が判明した症例を経験したので，若干の文献的考察を加えて報告する。

A 55-year-old woman was admitted to our CCU because of dyspnea and chest oppression. The chest X-ray film showed pulmonary edema. Electro-cardiograms revealed abnormal Q waves and S-T segment elevation in leads I and aV_L and poor progressiver waves in leads V_1-4, suggesting acute anterolateral myocardial infarction. But serial serum CPK, GOY and LDH were within normal ranges. After the improvement of pulmonary congestion, we noticed bilateral hilar lymphadeno-paty on chest X-ray films. A biopsy of mediastinal lymphnodes revealed sarcoid granuloma. There were no sarcoid lesions in the skin and eyes.