Cor Vasa 2020, 62(5):501-505 | DOI: 10.33678/cor.2019.072

(Ventricular tachycardia as the first manifestation of cardiac sarcoidosis)

Yassin Nagib Yassin^a, Tomáš Roubíček^a, Jakub Lípa^b, Rostislav Polášek^a

^a Kardiocentrum, Krajská nemocnice Liberec, a.s., Liberec

^b Radiodiagnostické oddělení, Krajská nemocnice Liberec, a.s., Liberec

Sarcoidosis is a multiorgan granulomatous disease of unknown etiology. Cardiac sarcoidosis is clinically manifested in about 5% of patients with systemic sarcoidosis, but autopsy findings and modern imaging methods indicate significantly higher incidence of asymptomatic cardiac involvement (20-25%). Cardiac involvement is a sign of a worse prognosis and can be life-threatening. Cardiac sarcoidosis has 3 major manifestations - atrioventricular conduction disorders, ventricular arrhythmias, and heart failure. Diagnosis of cardiac sarcoidosis is difficult, especially in the scenario of minimal extracardiac involvement. We present a case of a 63-year-old female without serious comorbidities, who had a sustained ventricular tachycardia as the initial manifestation of predominate cardiac sarcoidosis. Our case emphasizes that although predominate cardiac sarcoidosis is a relatively rare disease, it should be included in the differential diagnosis of ventricular arrhythmia.

Keywords: Cardiac involvement, Sarcoidosis, Ventricular tachycardia,

Received: October 28, 2019; Revised: October 28, 2019; Accepted: November 6, 2019; Published: November 1, 2020  Show citation