title: Ventricular tachycardia - an atypical initial presentation of sarcoidosis: a case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
authors.affiliation: Department of Medicine, All India Institute of Medical Sciences, New Delhi, India. drsanjeevsinha2002@yahoo.com.
authors.forename: Meera
authors.initials: M
authors.lastname: Ekka
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sinha
authors.forename: Raghunandan
authors.initials: R
authors.lastname: Purushothaman
authors.forename: Nitish
authors.initials: N
authors.lastname: Naik
authors.forename: Rajiv
authors.initials: R
authors.lastname: Narang
authors.forename: Lavleen
authors.initials: L
authors.lastname: Singh
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