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November 3, 1962

Cardiac Sarcoidosis: Report of a Case with Paroxysmal Ventricular Tachycardia

Author Affiliations

Aliquippa, Pa.

JAMA. 1962;182(5):574-576. doi:10.1001/jama.1962.03050440066021b

CARDIAC SARCOIDOSIS has been encountered frequently enough to warrant its consideration in the differential diagnosis of heart disease of unknown origin. It is the purpose of this report to describe an autopsied case and to emphasize sarcoidosis as a cause of paroxysmal ventricular tachycardia.

Report of a Case

A 40-year-old Italian male was first admitted to the Aliquippa Hospital on June 4, 1957, because of severe anterior chest pain radiating down the inner aspect of the left arm. Mild pain had been present for 2 weeks.

In 1937, in Italy, the patient was told that he had "suffocating heart disease." Nevertheless, he served in the Italian Army without restriction. During a preemployment examination in 1953, shortly after arriving in this country, again he was told he had heart trouble, but again was permitted to do manual labor. The patient was first examined 6 months prior to admission because of right