Fuster Laiden Suarez, Gul Enes Elvin, Baranchuk Adrian
Heart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Heart Rhythm Service, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.
Am J Emerg Med. 2017 Jul;35(7):1040.e5-1040.e6. doi: 10.1016/j.ajem.2017.02.052. Epub 2017 Mar 1.
Lyme carditis poses a challenge to physicians given dramatic clinical presentations like the one presented in this case. Quite frequently, these young patients are implanted with permanent pacemakers; given lack of knowledge on the transient nature of the cardiac conduction system inflammation. This is the first case in the literature that has captured the electrocardiographic evolution of Lyme carditis, day by day until complete resolution.
莱姆病性心肌炎给医生带来了挑战，因为其临床表现如本病例所示那样显著。相当常见的是，这些年轻患者会植入永久性起搏器，原因是对心脏传导系统炎症的短暂性缺乏了解。这是文献中首例记录莱姆病性心肌炎心电图逐日演变直至完全恢复的病例。
