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Case Reports
. 2022 May 18;4(10):613-616.
doi: 10.1016/j.jaccas.2022.02.012.

Pacemaker Explantation in Patients With Lyme Carditis

Rachel Wamboldt  1 , Chang Nancy Wang  2 , Jennifer C Miller  3 , Andres Enriquez  1 , Cynthia Yeung  2 , Sanoj Chacko  1 , Melanie Foisy  1 , Adrian Baranchuk  1
Affiliations
Case Reports

Pacemaker Explantation in Patients With Lyme Carditis

Rachel Wamboldt et al. JACC Case Rep. .

Abstract

Early recognition of Lyme carditis is critical to preventing unnecessary pacemaker implantation for conduction abnormalities associated with this tick-born infection. Patients who do receive a pacemaker should be considered for device extraction after the completion of their antibiotic therapy if they recover normal atrioventricular node conduction. (Level of Difficulty: Intermediate.).

Keywords: AV block; AV, atrioventricular; IDSA, International Diseases Society of America; IV, intravenous; LC, Lyme carditis; Lyme carditis; Lyme disease; PPM, permanent pacemaker; SILC, Suspicious Index in Lyme Carditis; pacemaker.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Lead II Strips From the ECGs in Case 1 Electrocardiograms (ECGs) collected on presentation, after pacemaker insertion, and on stress testing.
Figure 2
Figure 2
Algorithm for Permanent Pacemaker Extraction in Lyme Carditis Clinical algorithm for safe pacemaker extraction in those who have had a permanent pacemaker placed during their treatment course for Lyme carditis.
See this image and copyright information in PMC

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