CONCLUSION
We report two patients with cardiac sarcoidosis who initially presented with conduction disease and heart failure. The diagnosis of CS in both patients had been delayed because of delay in diagnosing sarcoidosis and not establishing a link between AV arrhythmia and sarcoidosis. The recent availability of cardiac MRI in Ghana allowed the diagnosis to be confirmed. Although relatively uncommon, cardiac sarcoidosis should be included in the differentials of unexplained conduction disease or arrhythmias as optimal management will prevent cardiac dysfunction and sudden cardiac deaths.