Lyme carditis with complete heart block: management with an external pacemaker.
Muhammad Ali Chaudhry1, Srinivasa D Satti1, Ira R Friedlander1
1Department of Cardiology and Electrophysiology Aultman Hospital Canton Ohio.
Clinical Case Reports
|June 8, 2017
Summary
Prompt diagnosis and treatment are crucial for Lyme carditis prognosis. Externalized pacemakers offer a feasible temporary solution for conduction blocks during antibiotic therapy.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Devices
Background:
- Lyme carditis, a serious manifestation of Lyme disease, can lead to significant cardiac conduction abnormalities.
- Early diagnosis and intervention are critical for improving patient outcomes in Lyme carditis.
Observation:
- This study evaluates the use of an externalized permanent pacemaker with an active fixation lead.
- The pacemaker served as a supportive pacing modality in patients with Lyme carditis.
Findings:
- The externalized pacemaker was found to be a feasible option for managing conduction blocks.
- This supportive measure was effective until the complete resolution of conduction abnormalities, alongside continued antibiotic treatment.
Implications:
- Externalized pacemakers provide a viable temporary solution for hemodynamic support in Lyme carditis.
- This approach facilitates continued antibiotic therapy and allows for natural recovery of cardiac conduction.
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