title: Peroperative cardiogenic shock suggesting acute coronary syndrome as initial manifestation of Lyme carditis.
abstract: Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arrhythmias as initial manifestation of a Lyme disease developing peroperatively electrocardiographic abnormalities suggesting acute transmural myocardial infarction.
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Clinckaert
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Bidgoli
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: T
authors.initials: T
authors.lastname: Verbeet
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: R
authors.initials: R
authors.lastname: Attou
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Gottignies
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Massaut
authors.affiliation: Critical Care Department, University Hospital Brugmann, VanGehuchten square, B1020 Brussels, Belgium. Electronic address: pascal.reper@chu-brugmann.be.
authors.forename: P
authors.initials: P
authors.lastname: Reper
mesh_terms: D054058:Acute Coronary Syndrome; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000382:microbiology; D003937:Diagnosis, Differential; D006801:Humans; D008193:Lyme Disease / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000150:complications* / Q000382:microbiology*; D059035:Perioperative Period; D012770:Shock, Cardiogenic / Q000150:complications* / Q000382:microbiology*
keywords: Anesthesia; Coronary; Heart block; Heart failure; Lyme disease; Myocarditis