European Journal of Cardiovascular Medicine

Background: Cardiac sarcoidosis (CS) is an unusual, but potentially harmful, manifestation of systemic sarcoidosis (SA), a chronic disease characterized by organ involvement from noncaseating and non necrotizing granulomas. The cardiovascular involvement is usually associated with a bad prognosis and is responsible for the major cause of death and complications. Aim: The present study aims to evaluate clinical manifestation and diagnosis of Cardiac sarcoidosis Маterials and methods: This retrospective study was carried out in the department of medicine, cardiology and CTVS  in a tertiary care hospital, India. A total of 140 patients age ranged from 18 to 70 years, with a sarcoidosis diagnosis were screened, and 35 patients were diagnosed with CS based on JCS 2016 Guidelines. All medical records contain socio-demographic and clinical data was evaluated. Results: The majority of the patients 37.2% were 41-60 years age group, median age was 45.9 years. 60% was male, 54.3% residing at rural areas and 42.8% belonged to lower socio-economic class. Common clinical manifestations of CS were dyspnoea (71.4%), palpitation (48.6%), fatigue (34.3%), dizziness (31.4%) and chest pain in 25.7% of patients. Syncope (20%) and cardiac arrest (11.4%) were the common complication of CS Conclusion: As systemic sarcoidosis, CS remains a challenging issue in the matter of diagnostics. The evolution of clinical manifestation and diagnostic techniques in recent years has led to a significant improvement in the detection and classification of the severity of the disease.