Beach Cheyenne M, Stewart Eileen, Marcuccio Elisa, Beerman Lee, Arora Gaurav
Section of Pediatric Cardiology, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States of America.
Texas Center for Pediatric and Congenital Heart Disease, Dell Children's Medical Center, 4910 Mueller Blvd, Austin, TX 78723, United States of America.
J Electrocardiol. 2023 Jan-Feb;76:14-16. doi: 10.1016/j.jelectrocard.2022.10.018. Epub 2022 Nov 4.
We describe a case of a previously healthy adolescent who presented with junctional tachycardia and complete atrioventricular (AV) block due to Lyme carditis. The simultaneous presence of these findings suggested significant inflammation of the AV junction. Junctional tachycardia, particularly if seen in a patient with conduction abnormalities and potential tick exposure, should increase suspicion for Lyme carditis.
我们描述了一例既往健康的青少年病例，该患者因莱姆心肌炎出现交界性心动过速和完全性房室传导阻滞。这些表现同时出现提示房室交界区存在显著炎症。交界性心动过速，尤其是在有传导异常且可能接触过蜱虫的患者中出现时，应增加对莱姆心肌炎的怀疑。
