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Lyme Carditis and High-Degree Atrioventricular Block

Published:February 07, 2018DOI:https://doi.org/10.1016/j.amjcard.2018.01.026
      Canada has seen a sixfold increase in Lyme disease since being nationally notifiable in 2009. This is the first Canadian series on Lyme carditis manifested as high-degree atrioventricular block. We report 5 recent cases presented over a 2-year period. The variation of nonspecific presentations requires a high index of suspicion for prompt diagnosis and correct management. Recognizing this early would curtail the progression of conduction disorders and potentially avoid permanent pacemaker implantation.
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      References

        • Ogden N.H.
        • Lindsay L.R.
        • Morshed M.
        • Sockett P.N.
        • Artsob H.
        The emergence of Lyme disease in Canada.
        CMAJ. 2009; 180: 1221-1224
        • Public Health Agency of Canada
        Public Health Notice on Lyme Disease 2009–2016.
        (Ottawa; Available at)
        • Krause P.J.
        • Bockenstedt L.K.
        Lyme disease and the heart.
        Circulation. 2013; 127: e451-e454
        • Nagi K.S.
        • Joshi R.
        • Thakur R.K.
        Cardiac manifestations of Lyme disease: a review.
        Can J Cardiol. 1996; 12: 503-506
        • Fuster L.S.
        • Gul E.E.
        • Baranchuk A.
        Electrocardiographic progression of acute Lyme disease.
        Am J Emerg Med. 2017; 35 (e5-1040.e6): 1040