She had a past history of pulmonary tuberculosis in 1992 with 6 months of antitubercular treatment. She denied any history of fever, cough, chest pain, dyspnea or syncope or relevant past history of these.
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In our case report we would like to draw attention to the importance of ruling out cardiac involvement in any cases with systemic sarcoidosis to prevent unfavorable outcomes.Ī 41-year-old Indian woman presented with a history of intermittent palpitations of 10 days’ duration to our hospital. Here we present the rare case of a patient who had no history of systemic sarcoidosis before she presented with refractory monomorphic ventricular tachycardia (VT) with a fatal outcome. The early identification and prompt treatment of cardiac sarcoidosis can reduce the chances of sudden cardiac death. Īlthough the disease can manifest itself with comparatively benign signs and symptoms, cardiac involvement can prove to be fatal. Cardiac involvement with sarcoidosis is found at autopsy in approximately 25% of patients with the disease however, only 2 to 5% of all patients with sarcoidosis have clinically significant cardiac symptoms such as congestive heart failure, heart block, ventricular arrhythmia, or sudden death. However, cardiac involvement may be an asymptomatic accompaniment to pulmonary disease or may be the presenting features of systemic sarcoidosis. A recent review of sarcoidosis placed cardiac involvement at 2% it is one of the least common manifestations. Sarcoidosis is a multisystem granulomatous disorder of unknown etiology that mainly affects the lungs, skin, eyes, and lymphoreticular system, with cardiac involvement being a rare entity.