An unusual cause of sustained ventricular tachycardia in a 27-year-old man.
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.
Department of Cardiology, BHRUT, Ilford, UK.
Sabiha
S
Ali
Krishnaraj Sinhji
KS
Rathod
Andrew
A
Deaner
Fahad
F
Farooqi
D000328:Adult; D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006321:Heart / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D017180:Tachycardia, Ventricular / Q000209:etiology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed