Sarcoidosis is a disease in which inflammatory granulomas cells are formed in the affected areas of body. Sarcoidosis, without a known aetiology commonly affects lymph nodes, lung tissues, skin, CNS, eyes, muscles, bone and heart. Cardiac sarcoidosis (CS) an infiltrative granulomatous disease of the myocardium that may present in about 2-7% of sarcoidosis patients and more than 20% cases are clinically silent. CS patients may suffer from asymptomatic left ventricular dysfunction, congestive heart failure, atrioventricular block, atrial or ventricular arrhythmia and sudden death. These symptoms are common in CS. The diagnosis could be done by using echocardiography, endocardiography, nuclear imaging like PET, CMR imaging and endomyocardial biopsy. Although randomized therapeutic trials have not been done but still corticosteroids (alone or combined with additional immunosuppressive medications) are usually used for the treatment. The natural approaches have also proved to be very beneficial for the management of the disease. These methods offer a cheaper, easily available and effective therapy devoid of side effects. The current manuscript mainly highlights the clinical manifestations, diagnosis, imaging techniques and therapies including the natural approaches to treat the disease.