TY - JOUR
T1 - Cardiac Involvement in Lyme Disease
T2 - Manifestations and Management
AU - OLSON, LYLE J.
AU - OKAFOR, EMMANUEL C.
AU - CLEMENTS, IAN P.
PY - 1986
Y1 - 1986
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0022545154&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0022545154&partnerID=8YFLogxK
U2 - 10.1016/S0025-6196(12)62775-X
DO - 10.1016/S0025-6196(12)62775-X
M3 - Article
C2 - 3747616
AN - SCOPUS:0022545154
SN - 0025-6196
VL - 61
SP - 745
EP - 749
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 9
ER -