Electrocardiographic progression of acute Lyme disease
Laiden Suarez Fuster1, Enes Elvin Gul1, Adrian Baranchuk1
1Heart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Insights
Lyme carditis can cause heart rhythm issues, often leading to unnecessary pacemakers. This case highlights the temporary nature of Lyme-induced heart inflammation, showing its day-by-day electrocardiographic resolution.
Area of Science:
- Cardiology
- Infectious Diseases
- Electrophysiology
Background:
- Lyme carditis presents significant diagnostic and management challenges.
- Misunderstanding the transient nature of cardiac inflammation can lead to inappropriate long-term interventions like permanent pacemakers in young patients.
Abstract:
Lyme carditis poses a challenge to physicians given dramatic clinical presentations like the one presented in this case. Quite frequently, these young patients are implanted with permanent pacemakers; given lack of knowledge on the transient nature of the cardiac conduction system inflammation. This is the first case in the literature that has captured the electrocardiographic evolution of Lyme carditis, day by day until complete resolution.
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