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[Lyme carditis and symptomatic sinus node dysfunction].

H Franck1, H Wollschläger

  • 1I. Medizinische Klinik, Klinikum St. Marien, Mariahilfbergweg 5-7, 92224 Amberg, Germany.

Zeitschrift Fur Kardiologie
|December 10, 2003
PubMed
Summary
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Lyme carditis can cause sinus node dysfunction, leading to syncope. Prompt antibiotic treatment resolved the condition in a patient, avoiding the need for a pacemaker.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Electrophysiology

Background:

  • Lyme carditis commonly presents with atrioventricular (AV) nodal conduction disturbances.
  • Sinus node dysfunction is a less frequent manifestation of Lyme carditis.

Observation:

  • A 66-year-old female presented with syncope following tick bites.
  • Electrocardiogram (ECG) monitoring showed significant sinus arrest (up to 8 seconds).

Findings:

  • The patient's sinus node dysfunction resolved rapidly after initiating antibiotic therapy for Lyme carditis.
  • No further syncopal episodes occurred, and pacemaker implantation was avoided.

Implications:

  • This case highlights Lyme carditis as a potential cause of symptomatic sinus node dysfunction.

Related Experiment Videos

  • Early diagnosis and antibiotic treatment can effectively manage this cardiac manifestation of Lyme disease, preventing invasive procedures.