A 40-year-old female presented acutely with syncope and recurrent ventricular tachycardia (VT) requiring repeated cardioversion. Transthoracic echocardiogram (TTE) revealed mildly depressed systolic function of 40% to 45% with normal right ventricular size and function. Coronary angiogram revealed insignificant coronary artery disease (CAD). Biopsy of enlarged mediastinal lymph nodes revealed evidence of non-necrotising granulomatous inflammation, with no evidence of tuberculosis or fungi.
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