Midttun M, Videbaek J
Hjertemedicinsk afdeling Y, Bispebjerg Hospital, København.
Ugeskr Laeger. 1993 Jul 5;155(27):2147-50.
Carditis is seen in about 4-10% of cases of Lyme's disease. It is usually dominated by varying degrees of atrioventricular block, and implantation of a temporary pacemaker may be necessary. Ventricular and supraventricular tachycardias seem to be less frequent than block, and as far as we know ventricular tachycardia provoked by bradycardia has not been reported previously. Third degree AV-block after oral penicillin treatment of erythema migrans is unusual in Europe. When an atrioventricular block of unknown origin is diagnosed, Lyme carditis must be considered, especially among young patients.
在莱姆病病例中，约4% - 10%会出现心脏炎。它通常以不同程度的房室传导阻滞为主，可能需要植入临时起搏器。室性和室上性心动过速似乎比传导阻滞少见，据我们所知，此前尚未有过关于心动过缓诱发室性心动过速的报道。在欧洲，口服青霉素治疗游走性红斑后出现三度房室传导阻滞的情况并不常见。当诊断出不明原因的房室传导阻滞时，必须考虑莱姆病心脏炎，尤其是在年轻患者中。
