Ventricular tachycardia – An initial unusual presentation of sarcoidosis

Publication date: Available online 22 December 2016 Source:Journal of Indian College of Cardiology Author(s): Varun Vishwas Nivargi, Manuel Durairaj A 42-year-old lady with a diagnosis of hyperreactive airway disease since 4 years treated with bronchodilators presented with monomorphic ventricular tachycardia with syncope requiring direct current (DC) cardioversion. Two-dimensional echocardiography with cardiac colour Doppler examination and magnetic resonance imaging (MRI) revealed left ventricular dilatation, systolic dysfunction with patchy areas of thickening and regional wall motion abnormality not specific to any particular vascular territory and advanced diastolic dysfunction. Review of records revealed persistently raised erythrocyte sedimentation rate which was previously ignored. Gadolinium contrast cardiac MRI revealed late gadolinium enhancement suggestive of myocarditis. Thoracic MRI revealed a mediastinal lymph node mass. A computed tomography (CT) directed lymph node biopsy confirmed sarcoidosis. She was offered implantable cardioverter-defibrillator device and immunosuppression therapy with prednisolone 1mg/kg/day.
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research