Dr. Sri Mandava, a cardiology fellow at Mount Sinai Medical Center, and Dr. Pranav Venkataraman, an attending physician, delve into a gripping case involving cardiac sarcoidosis presenting as a STEMI in a 57-year-old man. They discuss the challenges of diagnosing unusual STEMI without typical coronary artery disease, emphasizing the role of advanced imaging techniques. The complexities of managing cardiac sarcoidosis and the importance of interdisciplinary collaboration to prevent sudden cardiac events are also highlighted, showcasing critical decision-making in cardiology.