We describe the case of a 33 year old diabetic patient with systemic sarcoidosis who, prior to this, had episodes of myocardiac alterations such as ventricular tachycardia, which partially improved with steroid therapy. She eventually needed a defibrillator-pacemaker implant which serves to reduce the high risk of sudden death in this type of patient. The myocardiac biopsy did not show granuloma. The diagnosis, prognosis and treatment of cardiac sarcoidosis are commented on, as well as its association to diabetes mellitus, such as in this case.

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