• J Emerg Med · Jul 1999

    Case Reports

    Lyme carditis: complete AV dissociation with episodic asystole presenting as syncope in the emergency department.

    • M E Rosenfeld, B Beckerman, M F Ward, and A Sama.
    • Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York 11030, USA.
    • J Emerg Med. 1999 Jul 1; 17 (4): 661-4.

    AbstractWe report a case of Lyme carditis in an otherwise-healthy young male who presented to the Emergency Department (ED) with syncope and a possible seizure. This patient, without documented history of Lyme disease, acutely developed third-degree atrioventricular (AV) block with episodic asystole, which required placement of a transvenous pacemaker in the ED and resolved only after the patient had been placed on ceftriaxone. We discuss the significance of Lyme carditis and its increasing prevalence, and review the current literature. We also recommend appropriate screening modalities for patients with known Lyme disease, or an atypical profile for cardiac abnormalities.

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