Cardiac Involvement in Lyme Disease: Manifestations and Management

LYLE J. OLSON, EMMANUEL C. OKAFOR, IAN P. CLEMENTS

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Abstract

Cardiac involvement in Lyme disease may manifest as atrioventricular block, myopericarditis, and left ventricular dysfunction. Diagnosis depends on recognition of the systemic nature of Lyme disease, including cardiac involvement, and its natural history. Serologic tests that are both sensitive and specific may aid in diagnosis. Although current recommendations for the treatment of Lyme disease with carditis include antibiotics and salicylates or corticosteroids, these types of therapy have not been unequivocally demonstrated to alter the natural history of cardiac involvement. Supportive therapy may necessitate temporary transvenous cardiac pacing in symptomatic patients.

Original languageEnglish (US)
Pages (from-to)745-749
Number of pages5
JournalMayo Clinic proceedings
Volume61
Issue number9
DOIs
StatePublished - Jan 1 1986

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ASJC Scopus subject areas

  • Medicine(all)

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