Yeung Cynthia, Baranchuk Adrian
Department of Medicine, Queen's University, Kingston, ON K7L 3N6, Canada.
Healthcare (Basel). 2018 Sep 22;6(4):119. doi: 10.3390/healthcare6040119.
Lyme carditis (LC) is a manifestation of the early disseminated stage of Lyme disease and often presents as high-degree atrioventricular (AV) block. High-degree AV block in LC can be treated with antibiotics, usually resolving with a highly favorable prognosis, thus preventing the unnecessary implantation of permanent pacemakers. We present a systematic approach to the diagnosis and management of LC that implements the Suspicious Index in Lyme Carditis (SILC) risk stratification score.
莱姆病性心肌炎(LC)是莱姆病早期播散阶段的一种表现,常表现为高度房室传导阻滞。LC中的高度房室传导阻滞可用抗生素治疗,通常预后良好,从而避免不必要地植入永久性起搏器。我们提出了一种诊断和管理LC的系统方法,该方法采用了莱姆病性心肌炎可疑指数(SILC)风险分层评分。