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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 26, No 2, March/April 2015

100

AFRICA

prevent (further) pregnancy in women with proven or suspected

cardiac sarcoidosis.

Conclusion

Our two cases demonstrate that cardiac sarcoidosis may manifest

for the first time during pregnancy. Even though it is rare,

especially during pregnancy, it should be considered when

patients present with shortness of breath (on minimal effort)

and palpitations or arrhythmias. Early institution of steroid

therapy is warranted when this diagnosis is suspected due to the

increased risk for rhythm or conduction system disorders and

sudden death.

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