title: Third-degree heart block associated with lyme carditis: review of published cases.
abstract: Lyme carditis is an uncommon manifestation of Lyme disease that most commonly involves some degree of atrioventricular conduction blockade. Third-degree conduction block is the most severe form and can be fatal if untreated. Systematic review of the medical literature identified 45 published cases of third-degree conduction block associated with Lyme carditis in the United States. Median patient age was 32 years, 84% of patients were male, and 39% required temporary pacing. Recognizing patient groups more likely to develop third-degree heart block associated with Lyme carditis is essential to providing prompt and appropriate therapy.
authors.affiliation: Epidemic Intelligence Service Program, Division of Scientific Education and Professional Development Bacterial Disease Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Forrester
authors.affiliation: Bacterial Disease Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Paul
authors.initials: P
authors.lastname: Mead
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003710:Demography; D005260:Female; D006327:Heart Block / Q000453:epidemiology* / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000150:complications* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Lyme carditis; Lyme disease; atrioventricular conduction block; heart block