ARYA Atherosclerosis Journal

Surprising palpitation: An unexpected diagnosis of sarcoidosis

Document Type : Case Report

Authors

Hoda Raffiei Jelodar 1
Roxana Sadeghi 2, 3
Reza Hamneshin Behbahani 4, 5
Kimia Karimi Toudeshki 5

1 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

2 Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Cardiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Imam Hossein Educational Hospital, Shahid Madani Street, Imam Hossein Square, Tehran, Iran

5 School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

https://doi.org/10.48305/arya.2024.42684.2968
Abstract
Sarcoidosis is a challenging disease characterized by the formation of granulomas in multiple organs. It presents with a variety of clinical symptoms, making diagnosis difficult for physicians. Myocardial involvement in sarcoidosis is rare, but it worsens prognosis and can lead to mortality. Physicians face challenges in diagnosing cardiac sarcoidosis due to its wide range of symptoms. Cardiac sarcoidosis that affects only the heart without involvement of other organs is extremely uncommon.
In this case, we examine the scenario of a middle-aged man who experienced palpitations and was diagnosed with ventricular tachycardia. He remained in stable condition without any other clinical signs suggestive of sarcoidosis. This case highlights the importance of considering sarcoidosis as a potential diagnosis in patients presenting with palpitations and ventricular tachycardia on electrocardiogram, particularly when these symptoms are accompanied by sudden new-onset systolic dysfunction despite normal coronary arteries.

Keywords

Case Report
Rare Presentation
Cardiac Sarcoidosis
Infiltrative Cardiomyopathy
Ventricular Tachycardia
ARYA Atherosclerosis Journal
Volume 21, Issue 2
Winter 2025
Pages 3-9

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