Abstract：
Sarcoidosis is an inflammatory disease whose diagnosis is suggested by clinical and paraclinical signs and confirmed by histological evidence showing granulomatosis without caseous necrosis. The clinical presentation is sometimes misleading and the diagnosis difficult to confirm. We report here the case of a young woman with cardiac sarcoidosis of difficult diagnosis, revealed by a myocardial infarction with normal coronary angiography and recurrent ventricular tachycardia. Multimodal imaging, combined with left ventricular endomyocardial biopsies guided by electrophysiological analysis and endocavitary mapping, finally confirmed the diagnosis, and allowed effective medical treatment.
摘要：
结节病是一种炎症性疾病，其诊断由临床和副临床体征提示，并由组织学证据证实，肉芽肿无干酪样坏死。临床表现有时具有误导性，诊断难以确认。我们在这里报道了一个诊断困难的心脏结节病的年轻女性病例，冠状动脉造影正常的心肌梗死和复发性室性心动过速。多模态成像,结合电生理分析和腔内定位引导的左心室心内膜活检，最终确诊,并允许有效的医疗。
