title: Manifestations of Lyme carditis.
abstract: The first data of Lyme carditis, a relatively rare manifestation of Lyme disease, were published in eighties of the last century. Clinical manifestations include syncope, light-headedness, fainting, shortness of breath, palpitations, and/or chest pain. Atrioventricular (AV) electrical block of varying severity presents the most common conduction disorder in Lyme carditis. Although is usually mild, AV block can fluctuates rapidly and progress from a prolonged P-R interval to a His-Purkinje block within minutes to hours and days. Rarely, Lyme disease may be the cause of endocarditis, while some studies and reports, based on serological and/or molecular investigations, have suggested possible influence of Borrelia burgdorferi on degenerative cardiac valvular disease. Myocarditis, pericarditis, pancarditis, dilated cardiomyopathy, and heart failure have also been described as possible manifestations of Lyme carditis. The clinical course of Lyme carditis is generally mild, short term, and in most cases, completely reversible after adequate antibiotic treatment.
authors.affiliation: Clinic for Cardiovascular Diseases, Clinical Center Niš, Blvd Zorana Djindjica 48, 18000 Niš, Serbia; Department of Cardiology, Faculty of Medicine, University of Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Tomislav
authors.initials: T
authors.lastname: Kostić
authors.affiliation: Clinic for Cardiovascular Diseases, Clinical Center Niš, Blvd Zorana Djindjica 48, 18000 Niš, Serbia. Electronic address: m-stefan@mts.rs.
authors.forename: Stefan
authors.initials: S
authors.lastname: Momčilović
authors.affiliation: Clinic for Cardiovascular Diseases, Clinical Center Niš, Blvd Zorana Djindjica 48, 18000 Niš, Serbia; Department of Cardiology, Faculty of Medicine, University of Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Zoran D
authors.initials: ZD
authors.lastname: Perišić
authors.affiliation: Clinic for Cardiovascular Diseases, Clinical Center Niš, Blvd Zorana Djindjica 48, 18000 Niš, Serbia; Department of Cardiology, Faculty of Medicine, University of Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Svetlana R
authors.initials: SR
authors.lastname: Apostolović
authors.affiliation: Institute for Treatment and Rehabilitation "Niška Banja", Srpskih junaka 2, 18205 Niška Banja, Niš, Serbia.
authors.forename: Jovana
authors.initials: J
authors.lastname: Cvetković
authors.affiliation: Faculty of Medicine, University of Niš Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Andriana
authors.initials: A
authors.lastname: Jovanović
authors.affiliation: Clinic for Infectious and Tropical Diseases, Clinical Center Serbia, Blvd Oslobodjenja 16, 11000, Belgrade.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Barać
authors.affiliation: Clinic for Cardiovascular Diseases, Clinical Center Niš, Blvd Zorana Djindjica 48, 18000 Niš, Serbia; Department of Cardiology, Faculty of Medicine, University of Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Sonja
authors.initials: S
authors.lastname: Šalinger-Martinović
authors.affiliation: Center of Microbiology and Parasitology, Public Health Institute Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia; Department of Microbiology and Immunology, Faculty of Medicine, University of Niš, Serbia, Blvd Zorana Djindjica 81, 18000 Niš, Serbia.
authors.forename: Suzana
authors.initials: S
authors.lastname: Tasić-Otašević
mesh_terms: D054537:Atrioventricular Block / Q000209:etiology*; D002311:Cardiomyopathy, Dilated / Q000209:etiology*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000150:complications*; D009205:Myocarditis / Q000150:complications*; D010493:Pericarditis / Q000150:complications / Q000209:etiology*
keywords: Atrioventricular block; Dilated cardiomyopathy; Endocarditis; Lyme disease; Myocarditis; Pericarditis