منابع مشابه
Lyme Carditis with Transient Complete Heart Block
211 Volume XI, no. 2 : May 2010 progressing from high-level AV block through second-degree to first-degree heart block before complete resolution.2 The AV node is most commonly involved, but any level of the conduction system can be affected. Clinical heart failure is observed in approximately 10% of patients, and dilated cardiomyopathy can be a long-term consequence of untreated Lyme carditis....
متن کاملAcute heart failure from lyme carditis.
Case Report A 47-year-old woman presented with subacute fever, erythema migrans-like rash, shortness of breath, and spells of dizziness that had progressed to “blackouts.” At admission, complete atrioventricular (AV) block was present (Figure 1A), and ceftriaxone 1g was given initially for suspected Lyme disease. Within 6 hours of antimicrobial treatment, she developed polymorphic ventricular t...
متن کاملLyme Carditis: An Interesting Trip to Third-Degree Heart Block and Back
Carditis is an uncommon presentation of the early disseminated phase of Lyme disease. We present the case of a young female who presented with erythema migrans and was found to have first-degree heart block which progressed to complete heart block within hours. After receiving ceftriaxone, there was complete resolution of the heart block in sequential fashion. Our case illustrates the importanc...
متن کاملLyme carditis with complete heart block: management with an external pacemaker
Timely diagnosis and prompt initiation of treatment is essential in Lyme carditis to achieve favorable prognosis. Externalized permanent pacemaker with an active fixation lead as supportive pacing modality is a feasible option till complete resolution of conduction block with continued antibiotic therapy.
متن کاملThird-degree heart block associated with lyme carditis: review of published cases.
Lyme carditis is an uncommon manifestation of Lyme disease that most commonly involves some degree of atrioventricular conduction blockade. Third-degree conduction block is the most severe form and can be fatal if untreated. Systematic review of the medical literature identified 45 published cases of third-degree conduction block associated with Lyme carditis in the United States. Median patien...
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ژورنال
عنوان ژورنال: QJM
سال: 2014
ISSN: 1460-2725,1460-2393
DOI: 10.1093/qjmed/hcu021