Seslar Stephen P, Berul Charles I, Burklow Thomas R, Cecchin Frank, Alexander Mark E
Arrhythmia Service, Department of Cardiology, Children's Hospital, Boston, Massachusetts 02115, USA.
J Pediatr. 2006 May;148(5):692-7. doi: 10.1016/j.jpeds.2005.11.031.
Lyme disease, caused by the spirochete Borrelia burgdorferi, has known cardiovascular effects typically manifesting in varying degrees of atrioventricular block. Three patients presented with QT interval prolongation associated with Lyme disease, a previously unreported manifestation of Lyme carditis. Implications and a proposed clinical management approach are discussed.
莱姆病由螺旋体伯氏疏螺旋体引起,已知其会对心血管系统产生影响,通常表现为不同程度的房室传导阻滞。三名患者出现了与莱姆病相关的QT间期延长,这是莱姆病性心肌炎一种此前未报告过的表现。本文讨论了其影响及一种建议的临床管理方法。