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Clin Infect Dis. 2014 Oct;59(7):996-1000. doi: 10.1093/cid/ciu411. Epub 2014 May 30.

Third-degree heart block associated with lyme carditis: review of published cases.

Author information

1
Epidemic Intelligence Service Program, Division of Scientific Education and Professional Development Bacterial Disease Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia.
2
Bacterial Disease Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia.

Abstract

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 patient age was 32 years, 84% of patients were male, and 39% required temporary pacing. Recognizing patient groups more likely to develop third-degree heart block associated with Lyme carditis is essential to providing prompt and appropriate therapy.

KEYWORDS:

Lyme carditis; Lyme disease; atrioventricular conduction block; heart block

PMID:
24879781
DOI:
10.1093/cid/ciu411
[Indexed for MEDLINE]

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