Ventricular tachycardia – an atypical initial presentation of sarcoidosis: a case report

Journal of Medical Case Reports

Lavleen Singh²  Rajiv Narang³  Nitish Naik³  Raghunandan Purushothaman¹  Sanjeev Sinha¹  Meera Ekka⁴ 

[1] Department of Medicine, All India Institute of Medical Sciences, New Delhi, India;Department of Pathology, All India Institute of Medical Sciences, New Delhi, India;Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India;Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India

关键词: Ventricular arrhythmias;    Sarcoidosis;    Cardiac sarcoidosis;   

Others  :  1181123
DOI  :  10.1186/1752-1947-7-196

 received in 2013-03-14, accepted in 2013-06-11,  发布年份 2013

【 摘 要 】

Introduction

Symptomatic cardiac involvement is seen in less than 5% of all cases of sarcoidosis. Although clinically apparent cardiac sarcoidosis is an uncommon entity, ventricular tachyarrhythmias as the first presenting symptom are very rare.

Case presentation

We discuss the case of a 41-year-old Asian woman who presented to our hospital with intermittent palpitation and on evaluation was diagnosed to have systemic sarcoidosis with cardiac involvement. She was started on multiple antiarrhythmic drugs and corticosteroids without any satisfactory response.

Conclusions

Our case report indicates that sarcoidosis can manifest as ventricular tachycardia without any detectable systemic findings. This makes sarcoidosis an important diagnostic consideration in patients with ventricular tachycardia of unknown origin given the high mortality associated with ventricular tachyarrhythmias.

【 授权许可】

   
2013 Ekka et al.; licensee BioMed Central Ltd.

【 图 表 】

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