Format

Send to

Choose Destination
Z Kardiol. 2002 Dec;91(12):1053-60.

[The Lyme carditis as a rare differential diagnosis to an anterior myocardial infarction].

[Article in German]

Author information

1
Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen Ruhr-Universität Bochum, Georgstr. 11, 32545 Bad Oeynhausen, Germany.

Abstract

An acute Lyme carditis affects about 0.3-4% of patients with Lyme borreliosis. The acute period of the disease may be associated with critical atrioventricular conduction abnormalities (complete heart block), supraventricular and ventricular arrhythmias as well a left ventricular failure. Normally, Lyme carditis is completely reversible. Therefore the prognosis largely depends on the management of the acute complications and early antibiotic therapy. Even if the symptoms are spontaneously reversible, antibiotic therapy should be applied to prevent a chronic cardiomyopathy and other manifestations of Lyme borreliosis. We report on a 47-year old patient with acute ECG changes initially suggesting an acute coronary syndrome. However, case history and the erythema migrans indicated an acute Lyme carditis which was confirmed serologically and by myocardial biopsy later.

PMID:
12490995
DOI:
10.1007/s00392-002-0873-4
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center