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.