Vasiljević Z, Dmitrović R, Naumović Z, Ostojić M, Radosavljević M, Karadzić A, Prostran M, Colić M
University Institute for Cardiovascular Diseases, Faculty of Medicine, Belgrade, Yugoslavia.
Cardiology. 1996 Jan-Feb;87(1):76-8. doi: 10.1159/000177064.
Third degree atrioventricular (AV) heart block with severe Adams-Stokes attacks in 3 patients with Lyme borreliosis is described. All patients had similar clinical manifestations: previously healthy, they experience syncope as an abrupt onset of the disease. Data on skin changes--erythema migrans--was subsequently obtained, although the patients did not recall being bitten by a tick. Diagnoses were based on clinical manifestations and on positive serologic test results to borrelia. Following AV block returned to sinus rhythm with normal AV conduction in all patients.
本文描述了3例莱姆病患者出现三度房室传导阻滞并伴有严重阿-斯综合征发作的情况。所有患者都有相似的临床表现：此前身体健康，发病时突然出现晕厥。随后获得了皮肤改变——游走性红斑——的数据，尽管患者不记得被蜱虫叮咬过。诊断基于临床表现以及针对疏螺旋体的血清学检测结果呈阳性。所有患者在房室传导阻滞之后均恢复为窦性心律，房室传导正常。
