Khalil Sara, Padala Santosh K, Hui Chui Man Carmen, Steckman David A, Sidhu Mandeep S, Torosoff Mikhail T
Conn Med. 2015 Oct;79(9):517-20.
Lyme borreliosis is a multisystem infectious disease with well-known cardiac involvement, including potential carditis as well as conduction abnormalities. We report a case of Lyme disease in a previously healthy 24-year-old male presenting with alternating right- and left-bundle branch block, indicating infra-Hisian atrioventricular (infra-His) block with an accelerated fascicular escape rhythm. Inless than 12 hours, the conduction abnormalities progressed to asystole requiring the urgent placement of a temporary transvenous pacemaker. Subsequently, with appropriate antibiotic treatment, the patient's conduction abnormalities resolved in a week without the need for a permanent pacemaker.
莱姆病是一种多系统感染性疾病，心脏受累情况众所周知，包括潜在的心炎以及传导异常。我们报告一例莱姆病病例，患者为一名24岁此前健康的男性，表现为交替性右束支和左束支传导阻滞，提示希氏束下房室（希氏束下）阻滞伴加速性分支逸搏心律。在不到12小时内，传导异常进展为心搏停止，需要紧急置入临时经静脉起搏器。随后，经过适当的抗生素治疗，患者的传导异常在一周内得以解决，无需置入永久性起搏器。
