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Sarcoidosis presenting as dilated cardiomyopathy
  1. Ahmed M A Adlan1,
  2. Sanjay K Prasad2,
  3. Amanda M Varnava1
  1. 1Department of Cardiology, Watford General Hospital, Watford, UK
  2. 2Department of Cardiology, Royal Brompton Hospital, London, UK
  1. Correspondence to Dr Amanda M Varnava, Department of Cardiology, Watford General Hospital, Vicarage Road, Watford WD18 0HB, UK; avarnava{at}doctors.org.uk

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A 48-year-old lady presented with dyspnoea and chest pain. ECG showed sinus tachycardia with right bundle branch block and right ventricular strain. Echocardiography showed a dilated left ventricle with normal wall thickness and incoordinate septal motion with a globally poor systolic function (ejection fraction of 20%). Coronary angiography revealed normal coronary arteries. Cardiovascular magnetic resonance showed significant delayed enhancement following gadolinium contrast agent …

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