Heart failure & cardiomyopathies

Usefulness of Additional ECG Indicators for Prognosis Prediction in Patients With Cardiac Sarcoidosis

JACC Clin ElectrophysiolPublished Retrospective cohort study

Authors' conclusion

High Tp-e/QT ratios and fQRS presence in CS patients suggest worse prognosis, particularly with LVEF >35%, highlighting their importance in early-stage arrhythmic risk.

Study context

Population
Patients with cardiac sarcoidosis, Japanese nationwide survey 2014–2016151 women
Participants
227 patients
Exposure
High vs low Tp-e/QT ratio; fQRS present vs absent
Outcome
Composite of:
  • All-cause mortality
  • Ventricular arrhythmia events
Follow-up
Median 1,286 days
Methodological detailsmulticentre, Japanese nationwide survey
  • Multicentre
  • Japanese nationwide survey

Main finding

As reported in the abstract

All-cause mortality and ventricular arrhythmia events

Hazard ratio

3.01

P = 0.002

High Tp-e/QT vs Low Tp-e/QT

Hazard ratio

2.48

P = 0.012

fQRS vs No fQRS

Observational data: associations, not effects.

Secondary outcomes

OutcomeHRP value
Primary outcome, LVEF >35% (subgroup)High Tp-e/QT vs Low Tp-e/QT3.62P = 0.011
Primary outcome, LVEF >35% (subgroup)fQRS vs No fQRS3.38P = 0.022

Original publication

Usefulness of Additional ECG Indicators for Prognosis Prediction in Patients With Cardiac Sarcoidosis. JACC Clin Electrophysiol. Published 28 August 2025. doi:10.1016/j.jacep.2025.07.008

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