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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}

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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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  • Funding This study was supported by the National Institute for Health Research Cardiovascular Biomedical Research Unit at the Royal Brompton and Harefield National Health Service Foundation Trust and Imperial College, London, UK. This study was also supported by CORDA UK.

  • Competing interests None to declare.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.