Common form of Lyme borreliosis carditis--complete heart block with syncope: report on 3 cases.
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.
Vasiljević
Z
Z
University Institute for Cardiovascular Diseases, Faculty of Medicine, Belgrade, Yugoslavia.
Dmitrović
R
R
Naumović
Z
Z
Ostojić
M
M
Radosavljević
M
M
Karadzić
A
A
Prostran
M
M
Colić
M
M
D000219:Adams-Stokes Syndrome / Q000209:etiology; D000328:Adult; D000900:Anti-Bacterial Agents; D015748:Borrelia burgdorferi Group / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009205:Myocarditis / Q000209:etiology*; D013575:Syncope / Q000209:etiology
D000900:Anti-Bacterial Agents