Bartůnĕk P, Mrázek V, Varejka P, Gorican K
IV. interní klinika 1. LF UK a VFN, Praha.
Vnitr Lek. 1998 Apr;44(4):201-5.
A maximum of 10% of the patients suffering from Lyme borreliosis suffer from cardiac damage. This affection is usually the source of diagnostic doubts, mainly because of the significant variability of clinical manifestations, the objectivization of which is difficult. Great variability is pathognomic also for electrocardiograms. For a three-month period 7 patients aged 43 years (29-53) were followed up under conditions of ambulatory ECG monitoring, i.e. using Holter s dynamic electrocardiography (HM) and ECG transmission by telephone (TTM). The focus of interest and objective of this pilot study was evaluation of the structure and dynamics of ECG changes, in particular from the aspect of types and frequencies of ectopic activity of the atria and ventricles and the ECG correlate of symptomatic events. Findings pertaining to the incidence of symptomatic (total 67) as well as asymptomatic events (total 25) are valuable. Systematic ECG checks of patients with Lyme carditis revealed a relatively large number of cases of impaired rhythm with a completely asymptomatic course.
患有莱姆病的患者中，最多10%会出现心脏损伤。这种病症通常是诊断疑问的根源，主要是因为临床表现差异很大，难以客观化。心电图也具有很大的变异性。在三个月的时间里，对7名年龄在43岁（29 - 53岁）的患者进行了动态心电图监测，即使用动态心电图记录仪（HM）和电话心电图传输（TTM）进行随访。这项初步研究的关注点和目标是评估心电图变化的结构和动态，特别是从心房和心室异位活动的类型和频率以及症状性事件的心电图相关性方面进行评估。有关症状性事件（共67次）和无症状事件（共25次）发生率的发现很有价值。对莱姆病性心肌炎患者进行的系统性心电图检查发现，有相当数量的病例心律受损，但病程完全无症状。
