A Rare Cause of Complete Atrioventricular Block: Lyme Carditis | Zendy

Mesut Aydın | Zendy; Serkan Bulur | Zendy; Yasin Türker | Zendy; Kezban Özmen Süner | Zendy; Ahmet Anıl Şahin | Zendy; Hakan Özhan | Zendy

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A Rare Cause of Complete Atrioventricular Block: Lyme Carditis

Author(s) -

Mesut Aydın,

Serkan Bulur,

Yasin Türker,

Kezban Özmen Süner,

Ahmet Anıl Şahin,

Hakan Özhan

Publication year - 2012

Publication title -

clinical medicine and diagnostics

Language(s) - English

Resource type - Journals

eISSN - 2163-1441

pISSN - 2163-1433

DOI - 10.5923/j.cmd.20120203.02

Subject(s) - medicine , lyme disease , lyme , cardiology , atrioventricular block , heart block , bradycardia , physical examination , doxycycline , emergency department , electrocardiography , heart rate , borrelia burgdorferi , antibody , virology , immunology , blood pressure , antibiotics , psychiatry , microbiology and biotechnology , biology

Lyme disease is a tick-borne spirochete infection that may affect the heart. Cardiac manifestations include conduction disturbances and other pathologies of the heart. Disturbance of atrioventricular (AV) node conduction is the most common cardiac manifestation of Lyme disease. We report a 61-year old female, who was admitted to the emergency de- partment with the complaints of syncope, dizziness and generalized fatigue. Physical examination revealed normal findings. The patient's electrocardiogram on admission revealed a newly diagnosed bradycardia due to third degree of AV block with40/min ventricular rate. The patient was admitted to the coronary care unit and was placed a transvenous pacemaker. Lyme serology and Western blot were positive for Borrelia antibodies. The symptoms and AV block resolved completely after doxycycline therapy.

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