Abstract
A 62-year-old man presented with dyspnea on exertion and near-syncope for 1 month. His past medical history included pulmonary sarcoidosis. Although no biopsy was performed, diffuse hilar lymphadenopathy and apical scarring were noted on chest computerized tomography. These findings were consistent with sarcoidosis. The patient had 2 syncopal episodes 2 and 3 months before presentation without any prodrome. Cardiac magnetic resonance imaging showed normal right and left ventricular function, no late enhancement of gadolinium, and no signs of inflammation. He was not taking any cardioactive medications. The patient’s ECG is shown in Figure 1.
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