Raffiei Jelodar Hoda, Sadeghi Roxana, Hamneshin Behbahani Reza, Karimi Toudeshki Kimia
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ARYA Atheroscler. 2025;21(2):3-9. doi: 10.48305/arya.2024.42684.2968.
Sarcoidosis is a challenging disease characterized by the formation of granulomas in multiple organs. It presents with a variety of clinical symptoms, making diagnosis difficult for physicians. Myocardial involvement in sarcoidosis is rare, but it worsens prognosis and can lead to mortality. Physicians face challenges in diagnosing cardiac sarcoidosis due to its wide range of symptoms. Cardiac sarcoidosis that affects only the heart without involvement of other organs is extremely uncommon. In this case, we examine the scenario of a middle-aged man who experienced palpitations and was diagnosed with ventricular tachycardia. He remained in stable condition without any other clinical signs suggestive of sarcoidosis. This case highlights the importance of considering sarcoidosis as a potential diagnosis in patients presenting with palpitations and ventricular tachycardia on electrocardiogram, particularly when these symptoms are accompanied by sudden new-onset systolic dysfunction despite normal coronary arteries.
结节病是一种具有挑战性的疾病，其特征是多个器官形成肉芽肿。它表现出多种临床症状，给医生的诊断带来困难。结节病累及心肌的情况罕见，但会使预后恶化并可能导致死亡。由于心脏结节病症状范围广泛，医生在诊断时面临挑战。仅累及心脏而无其他器官受累的心脏结节病极为罕见。在本病例中，我们研究了一名中年男性出现心悸并被诊断为室性心动过速的情况。他病情稳定，没有任何其他提示结节病的临床体征。该病例强调了在心电图显示有心悸和室性心动过速的患者中，尤其是当这些症状伴有冠状动脉正常但突然出现的新发性收缩功能障碍时，将结节病视为潜在诊断的重要性。
