Lyme Carditis: A Case Involving the Conduction System and Mitral Valve.
Lyme disease is the most common tick-borne infection in the Northern hemisphere. Cardiac manifestations of Lyme disease typically include variable atrioventricular nodal block and rarely structural heart pathology. The incidence of Lyme carditis may be underestimated based on current reporting practices of confirmed cases. This case of a 59-year-old man with Lyme carditis demonstrates the unique presentation of widespread conduction system disease, mitral regurgitation, and suspected ischemic disease. Through clinical data, electrocardiograms, and cardiac imaging, we show the progression, and resolution, of a variety of cardiac symptoms attributable to infection with Lyme. [Full article available at http://rimed.org/rimedicaljournal-2017-02.asp].
Warren Alpert Medical School of Brown University, Providence, RI.
Lakir D
LD
Patel
Clinical Assistant Professor of Medicine, Warren Alpert Medical School of Brown University, Providence, RI.
Jay S
JS
Schachne
D001145:Arrhythmias, Cardiac / Q000209:etiology; D025065:Borrelia burgdorferi; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D009205:Myocarditis / Q000000981:diagnostic imaging* / Q000382:microbiology
Lyme; atrial arrhythmia; conduction; echocardiography; mitral regurgitation