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- Title
Lyme Carditis in the Fast Lane: From Alternating Bundle Branch Block to Asystole in 12 Hours.
- Authors
KHALIL, SARA; PADALA, SANTOSH K.; CHUI MAN CARMEN HUI; STECKMAN, DAVID A.; SIDHU, MANDEEP S.; TOROSOFF, MIKHAIL T.
- Abstract
Lyme borreliosis is a multisystem infectious disease with well-known cardiac involvement, including potential carditis as well as conduction abnormalities.1 We report a case of Lyme disease in a previously healthy 24-year-old male presenting with alternating right- and left-bundle branch block, indicating infra-Hisian atrioventricular (infra-His) block with an accelerated fascicular escape rhythm. In less than 12 hours, the conduction abnormalities progressed to asystole requiring the urgent placement of a temporary transvenous pacemaker. Subsequently, with appropriate antibiotic treatment, the patient's conduction abnormalities resolved in a week without the need for a permanent pacemaker.
- Subjects
LYME disease; HEART conduction system; CARDIAC pacemakers; ATRIOVENTRICULAR node; DISEASES
- Publication
Connecticut Medicine, 2015, Vol 79, Issue 9, p517
- ISSN
0010-6178
- Publication type
Case Study