# Heartbeats in Distress: Unveiling Cardiac Sarcoidosis Through Palpitations

## TL;DR

This paper discusses a case of cardiac sarcoidosis diagnosed in a patient with a history of pulmonary sarcoidosis and long-term tachycardia.

## Contribution

The paper presents a novel case highlighting the importance of screening for cardiac sarcoidosis in patients with limited systemic sarcoidosis symptoms.

## Key findings

- A 50-year-old African-American male was diagnosed with cardiac sarcoidosis following pulmonary sarcoidosis.
- Tachycardia lasting two years was confirmed as cardiac sarcoidosis via imaging studies.
- The case emphasizes the need for timely evaluation of cardiac sarcoidosis in systemic sarcoidosis patients.

## Abstract

Cardiac sarcoidosis (CS), a rare complication of systemic sarcoidosis, can have subtle or no symptoms. It is characterized by granuloma formation in the myocardium, which can occur in isolation or alongside systemic sarcoidosis. Clinical manifestations include conduction system disorders (e.g., atrioventricular block and ventricular tachyarrhythmia), heart failure, and sudden cardiac death. Timely evaluation and screening for CS are crucial, especially in systemic sarcoidosis patients with limited symptoms. We present the case of a 50-year-old African-American male diagnosed with cardiac sarcoidosis following a recent diagnosis of pulmonary sarcoidosis after experiencing tachycardia for two years, as confirmed by imaging studies.