Cardiac sarcoidosis and coronary artery disease: a two-hit mechanism to left ventricular dysfunction (Or is It)?

Main Article Content

J. C. Hansen
A. R. Patel
H. N. Nayak
J. D. Moss
N. Sweiss
J. F. Beshai

Keywords

Cardiac sarcoidosis, coronary artery disease, ischemia

Abstract

This report describes a case of cardiac sarcoidosis in a 40-year-old man with minimal risk factors for coronary artery disease who was found to have a critical coronary lesion on angiography performed for declining left ventricular function. The case highlights the diagnostic and therapeutic issues surrounding cardiac sarcoidosis and raises the question of a possible link between sarcoidosis and premature coronary artery disease. It also stresses the importance of ruling out ischemia in any patient with declining left ventricular function.
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