Shenthar Jayaprakash, Shetty Sreekanth Bhujanga, Krishnamurthy Deepak
Prof. Consultant Electrophysiologist, Institute of Cardiac Sciences, SAKRA World Hospital, 52/2 & 3, Deverabeesanahalli, Varthur Hobli, Bangalore - 560103, India.
Consultant Cardiologists, SAKRA World Hospital, Bangalore, India.
Indian Heart J. 2014 Nov-Dec;66(6):723-6. doi: 10.1016/j.ihj.2014.11.004. Epub 2014 Dec 16.
Lyme carditis is a known cause of atrioventricular block and in most cases, atrioventricular block is reversible with appropriate antibiotic treatment. The diagnosis can be challenging if the disease is either not suspected, or if the initial cutaneous manifestation of erythema migrans is missed. It is important to diagnose Lyme carditis as the cause of complete heart block if unnecessary pacemaker implantation is to be avoided. We present a 43-year-old male who presented with complete heart block and also ill sustained ventricular tachycardia due to Lyme carditis that reversed completely with antibiotic therapy.
莱姆病性心脏炎是房室传导阻滞的已知病因，在大多数情况下，房室传导阻滞通过适当的抗生素治疗是可逆的。如果未怀疑该病，或遗漏了初始的游走性红斑皮肤表现，诊断可能具有挑战性。如果要避免不必要的起搏器植入，将莱姆病性心脏炎诊断为完全性心脏传导阻滞的病因很重要。我们报告一名43岁男性，因莱姆病性心脏炎出现完全性心脏传导阻滞以及持续性室性心动过速，经抗生素治疗后完全逆转。
