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J Clin Anesth. 2016 Dec;35:430-433. doi: 10.1016/j.jclinane.2016.08.005. Epub 2016 Oct 18.

Peroperative cardiogenic shock suggesting acute coronary syndrome as initial manifestation of Lyme carditis.

Author information

1
Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
2
Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium. Electronic address: pascal.reper@chu-brugmann.be.

Abstract

Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arrhythmias as initial manifestation of a Lyme disease developing peroperatively electrocardiographic abnormalities suggesting acute transmural myocardial infarction.

KEYWORDS:

Anesthesia; Coronary; Heart block; Heart failure; Lyme disease; Myocarditis

PMID:
27871570
DOI:
10.1016/j.jclinane.2016.08.005
[Indexed for MEDLINE]

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