Key result
Tuberculosis-like symptoms and monomorphic VT reveal cardiac sarcoidosis in a 27-year-old man.
Why the study?
Challenges exist in the diagnosis, investigation, and long-term management of cardiac sarcoidosis presenting with malignant ventricular arrhythmias.
Case Report (n=1)
This case highlights the diagnostic and management challenges of cardiac sarcoidosis presenting as sustained ventricular tachycardia in a young patient.
We present an interesting, unusual and complex case of a young man who initially presented with symptoms suggestive of tuberculosis and later developed malignant ventricular arrhythmias. A diagnosis of cardiac sarcoidosis was made only after histological evidence was paired with his presentation of monomorphic ventricular tachycardia. In this case we highlight the current challenges faced in the choice of investigations and diagnostic criteria. Additionally, we have identified the difficulties in treatment and long-term management of such a multisystem disorder. Ultimately by doing so, we hope to encourage clinicians to be aware of making a diagnosis of cardiac sarcoidosis.
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Ali et al. (2013) conducted a case report in Cardiac sarcoidosis with sustained ventricular tachycardia (n=1). A 27-year-old man presenting with tuberculosis-like symptoms and monomorphic ventricular tachycardia was diagnosed with cardiac sarcoidosis following histological evidence.
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