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Case report
Atypical presentation of cardiac sarcoidosis: role of multimodality imaging and review of literature
  1. Deepti Bhandare1 and
  2. Anupama Kottam2
  1. 1 Cardiology, Advent Health Sebring, Sebring, Florida, USA
  2. 2 Cardiology, Detroit Medical Center, Detroit, Michigan, USA
  1. Correspondence to Dr Deepti Bhandare; deeptibhandare81{at}


Cardiac sarcoidosis (CS) is challenging to determine, consequently is under-recognised in clinical practice. The accurate prevalence of CS is possibly underestimated due to unspecific symptoms, subclinical illness and the dearth of universally accepted diagnostic criteria. Totally, non-invasive diagnosis of CS was proposed in 2015 by the Japanese Ministry of Health and Welfare using positron emission tomography and cardiac MRI findings as major criteria and substituting histological verification. We present a case of a 60-year-old woman with pulmonary sarcoidosis presenting with progressively worsening palpitations and recurrent syncope. Her initial evaluation at another hospital facility revealed normal cardiac testing. A detailed evaluation with echocardiography and cardiac MRI helped us arrive at the diagnosis of CS, which resulted in appropriate treatment and resolution of symptoms. We discuss CS in general, the clinical disease, diagnostic algorithms, latest guidelines and management

  • cardiovascular medicine
  • heart failure
  • arrhythmias
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  • Contributors DB was involved in the patient care and writing the case report. AK was involved in editing the final manuscript, figures and for intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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