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Related Experiment Video

Updated: Feb 4, 2026

Phage-Mediated Genetic Manipulation of the Lyme Disease Spirochete Borrelia burgdorferi

Phage-Mediated Genetic Manipulation of the Lyme Disease Spirochete Borrelia burgdorferi

Published on: September 28, 2022

Treating Lyme carditis high-degree AV block using a temporary-permanent pacemaker.

Chang Wang¹, Sanoj Chacko¹, Hoshiar Abdollah¹

¹Division of Cardiology, Kingston Health Science Center, Queen's University, Kingston, Ontario, Canada.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc

|September 29, 2018

Summary

This summary is machine-generated.

A young man with Lyme carditis experienced severe heart block. A temporary-permanent pacemaker successfully managed his condition, enabling early ambulation.

Keywords:

bradyarrhythmias conduction disturbances electrophysiology implantable devices lead implantation/extraction pacemaker

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Area of Science:

Cardiology
Infectious Diseases
Electrophysiology

Background:

Lyme carditis is a tick-borne illness that can cause cardiac conduction abnormalities.
High-degree atrioventricular (AV) block is a serious complication requiring prompt management.
Early diagnosis and intervention are crucial for favorable outcomes in Lyme carditis.

Observation:

A previously healthy 28-year-old male presented with syncope, chest pain, and dyspnea.
Electrocardiogram (ECG) revealed rapidly progressive high-degree AV block.
A high Suspicious Index in Lyme Carditis (SILC) score (8) and positive Lyme serology confirmed the diagnosis.

Findings:

The patient's AV conduction deteriorated during hospitalization.
A temporary-permanent pacemaker was implanted, allowing the patient to ambulate on the same day.
This intervention effectively managed the transient high-degree heart block.

Implications:

Temporary-permanent pacemakers can be a valuable tool in managing acute Lyme carditis with heart block.
This approach facilitates early mobilization and potentially reduces hospital length of stay.
Further research into the role of temporary-permanent pacemakers in Lyme carditis is warranted.