Open AccessTreating Lyme carditis high‐degree AV block using a temporary–permanent pacemaker
Author(s) -
Wang Chang,
Chacko Sanoj,
Abdollah Hoshiar,
Baranchuk Adrian
Publication year - 2019
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12599
Subject(s) - medicine , lyme disease , heart block , lyme , cardiology , malaise , permanent pacemaker , bradycardia , carditis , borrelia burgdorferi , electrocardiography , anesthesia , rheumatic fever , heart rate , virology , immunology , blood pressure , antibody
A 28‐year‐old previously healthy male presented with nonprodromal syncope and a 4‐day history of chest pain, shortness of breath, and malaise. His ECG showed rapidly progressive high‐degree AV block. His Suspicious Index in Lyme Carditis (SILC) score was 8, indicating high risk for Lyme carditis. Lyme serology revealed to be positive (anti‐Lyme IgM). During the second day of hospitalization, the patient deteriorated his AV conduction, and a temporary–permanent pacemaker was implanted allowing ambulating in hospital the very same day. Temporary–permanent pacemakers for the management of transient high‐degree heart block associated with Lyme carditis were only occasionally used in the past.