| CASE REPORT |
|
| Year : 2022 | Volume
: 4
| Issue : 1 | Page : 30-32 |
|
|
Electrocardiographic evolution of heart block in lyme carditis
Lubka B Ilieva, Essam Saad, Marc Iskandar, Peter A Brady
Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA
Correspondence Address:
Dr. Lubka B Ilieva
Do, 202 W. Hill St, Apt 3407, Chicago, Illinois
USA
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ACCJ.ACCJ_22_21
|
|
|
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.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
