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Cardiac sarcoidosis concealed by arrhythmogenic right ventricular dysplasia/cardiomyopathy
Martin Greif1, Paraskevi Petrakopoulou, Max Weiss
1Department of Cardiology, University Hospital of Munich, Munich, Germany.
Background:
A 37-year-old male with a history of palpitations and ventricular tachycardia was diagnosed with arrhythmogenic right ventricular dysplasia/cardiomyopathy on the basis of clinical assessment, electrocardiography and echocardiography. Over the following 3 years the patient progressed to end-stage heart failure and eventually underwent heart transplantation. Histological analysis of the explanted heart revealed the presence of numerous noncaseating granulomas.
Investigations:
Electrocardiography, echocardiography, 24 h Holter monitoring, cardiac MRI, coronary angiography, endomyocardial biopsy, exercise testing, electrophysiological study, laboratory examinations and histological examination of the explanted heart.
Diagnosis:
Cardiac sarcoidosis.
Management:
Immunosupressive and corticosteroid therapy. Routine endomyocardial biopsy is planned.
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