Why the study?
Cardiac sarcoidosis has a diverse clinical presentation, a variable natural history, and lacks sensitive and specific diagnostic tests, making diagnosis challenging.
Case Report (n=1)
No
A combination of clinical, electrocardiographic, and imaging criteria can provide a probabilistic diagnosis of cardiac sarcoidosis in patients presenting with syncope and torsades de pointes, guiding life-saving ICD implantation.
Consider cardiac sarcoidosis in unexplained syncope with torsades; case extends phenotypic spectrum but leaves open prospective validation.
Sarcoidosis is a multisystemic noncaseating granulomatous disease of unknown etiology. Cardiac sarcoidosis clinical presentation is diverse, and syncope is one of the possible primary events. Due to its variable natural history and initial presentation associated with lacking sensitive and specific diagnostic tests, it still represents a challenging diagnosis. This article presents the case of a 51-year-old female patient with intermittent syncope events associated with torsades de pointes and dilated cardiomyopathy compatible with sarcoidosis.
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Tinoco et al. (2021) conducted a case report in Cardiac sarcoidosis (n=1). ICD implantation and pharmacological therapy was evaluated on Syncope or sudden cardiac death episodes.
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