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Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 30-32

Electrocardiographic evolution of heart block in lyme carditis

Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA

Correspondence Address:
Dr. Lubka B Ilieva
Do, 202 W. Hill St, Apt 3407, Chicago, Illinois
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ACCJ.ACCJ_22_21

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A 23-year-old male presented with dizziness and weakness and reported travel to a tick-prevalent region 1 month prior. Initial electrocardiogram showed a high-grade atrioventricular block with narrow-complex escape rhythm, which progressed to a complete heart block with a wide-complex escape the next day. Resolution of the heart block was documented at follow-up after treatment with appropriate antibiotic therapy. Heart block in Lyme carditis is more commonly reported to be supra-Hisian, manifesting as a narrow-complex escape rhythm. Infra-Hisian block is rare, which manifests as a wide-complex escape rhythm, and may occasionally require permanent pacemaker implantation.

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