Although cardiac involvement in sarcoidosis is clinically rare (apparent in about 2%), much higher frequencies (around 25%) have been reported in autopsy studies (1,2)
Sarcoidosis may result in the replacement of myocardium with 'slabs' of granuloma.
Cardiac involvement is often both insidious and fatal (3). Screening at presentation should cover a detailed medical history, physical examination, and an electro cardiographic examination (4). All patients with cardiac symptoms (palpitations or abnormal ECG) should be referred to a specialist for further evaluation (1)
Sarcoid heart disease should be considered:
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