A 33-year-old male patient with a past medical history of pulmonary sarcoidosis presented with palpitations, dizziness, and hypotension due to monomorphic ventricular tachycardia (VT) with right bundle, right inferior axis suggesting a lateral left ventricular exit site (Panel A), requiring direct current (DC) cardioversion. Subsequent electrocardiogram showed sinus rhythm with ST-segment elevation, voltage criteria for left ventricular (LV) hypertrophy, and lateral T-wave inversion. Echocardiogram was reported as normal, and coronary arteries were unobstructed on angiography.

中文翻译：

---

心律失常和结节病：心肌组织表征的作用可指导诊断和管理。

一位33岁的男性患者，有肺结节病的既往病史，由于单形室性心动过速（VT）右束，右下轴提示心a，头晕和低血压，提示左室侧出侧位（图A） ，需要直流（DC）心脏复律。随后的心电图显示窦性心律，ST段抬高，左心室肥大的电压标准和侧向T波倒置。超声心动图报告为正常，血管造影检查未发现冠状动脉阻塞。