The Value of the Surface ECG for the Diagnosis and Management of Lyme Carditis: A Case Report
| Autor: | Cynthia Yeung, Adrian Baranchuk, Mohammed Al-Turki |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty infectious disease Article Surface ecg Electrocardiography Lyme disease Internal medicine Antibiotic therapy atrioventricular block joint medicine Humans Infectious disease (athletes) Lyme Disease neurological Lyme carditis business.industry General Medicine medicine.disease SILC Myocarditis Cardiology Differential diagnosis Cardiology and Cardiovascular Medicine business Atrioventricular block |
| Zdroj: | Current Cardiology Reviews |
| ISSN: | 1875-6557 |
| Popis: | Lyme carditis (LC) is an early-disseminated manifestation of Lyme disease, most commonly presenting as a high-degree atrioventricular block (AVB). The degree of AVB can fluctuate rapidly within minutes, and progression to third-degree AVB is potentially fatal if not recognized and managed promptly. However, the AVB in LC is often transient and usually resolves with appropriate antibiotic therapy. LC should be on the differential diagnosis in young patients presenting with new high-degree AVB and factors that increase the index of suspicion for Lyme disease. The Suspicious Index in Lyme Carditis (SILC) score helps clinicians risk-stratify for LC. A systematic approach to the diagnosis and treatment of LC minimizes the unnecessary implantation of permanent pacemakers. |
| Databáze: | OpenAIRE |
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