Systematic Approach to the Diagnosis and Treatment of Lyme Carditis and High-Degree Atrioventricular Block
- PMID: 30248981
- PMCID: PMC6315930
- DOI: 10.3390/healthcare6040119
Systematic Approach to the Diagnosis and Treatment of Lyme Carditis and High-Degree Atrioventricular Block
Abstract
Lyme carditis (LC) is a manifestation of the early disseminated stage of Lyme disease and often presents as high-degree atrioventricular (AV) block. High-degree AV block in LC can be treated with antibiotics, usually resolving with a highly favorable prognosis, thus preventing the unnecessary implantation of permanent pacemakers. We present a systematic approach to the diagnosis and management of LC that implements the Suspicious Index in Lyme Carditis (SILC) risk stratification score.
Keywords: Lyme carditis; Lyme disease; atrioventricular block.
Conflict of interest statement
The authors declare no conflict of interest.
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- Bacon R.M., Kugeler K.J., Mead P.S., Centers for Disease Control and Prevention Surveillance for Lyme disease—United States, 1992–2006. MMWR Surveill Summ. 2008;57:1–9. - PubMed
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