Abstract

A Challenging case of Cardiac sarcoidosis diagnosed by PET scan

Highlights

  • It is rare but well-known that sarcoidosis can involve the myocardium and may lead to arrhythmia or even sudden cardiac death

  • A 61-year-old Caucasian male with history of asthma and sleep apnea had multiple visits to the ED with dizziness. He was initially diagnosed with paroxysmal atrial fibrillation and started on metoprolol

  • Few weeks after discharge he came to the ED with lightheadedness and was found to have bradycardia with Mobitz type-1 heart block

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Summary

Introduction

It is rare but well-known that sarcoidosis can involve the myocardium and may lead to arrhythmia or even sudden cardiac death. A 61-year-old Caucasian male with history of asthma and sleep apnea had multiple visits to the ED with dizziness. He was initially diagnosed with paroxysmal atrial fibrillation and started on metoprolol. Few weeks after discharge he came to the ED with lightheadedness and was found to have bradycardia with Mobitz type-1 heart block. His rate limiting medications were held and his HR has improved.

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