Cardiac Sarcoidosis: An Underestimated Cause of Congestive Heart Failure

Sarcoidosis is a multisystemic disorder and a systemic granulomatous disease. It can affect many organs; the predominant manifestation is the chest with a bilateral hilar lymphadenopathy. In most cases the lymphoreticular system, the eyes and the skin are involved as well. The etiology of sarcoidosis still remains unclear [1].The incidence of heart involvement is with 2% a rare entity [2]. However, heart involvement is the main cause of a poor outcome. Sudden cardiac death is frequent even in previously asymptomatic patients [3]. Congestive heart failure is the other severe consequence.