Anushree Agarwal, Nasir Z. Sulemanjee, Omar Cheema, Francis X. Downey and A. Jamil Tajik
A 28-year-old female patient was originally diagnosed as having nonobstructive hypertrophic cardiomyopathy (asymmetric septal thickness of 21 mm). She eventually progressed to class IV disability and was transferred to our medical center for advanced heart failure options. Echocardiogram revealed features of severe dilated cardiomyopathy with a thinned, scarred, akinetic, and bulging midseptum with sparing of the basal and apical septum, raising the suspicion of sarcoid, which was confirmed on ventricular biopsy. Thus, a distinctive appearance of the cardiac sarcoid spectrum from “hypertrophic” stage to thinned, scarred stage—masquerading as hypertrophic and then dilated cardiomyopathy—is demonstrated in our patient.