A Practical Ambulatory Approach to Atrioventricular Block Secondary to Lyme Carditis.

J Innov Card Rhythm Manag

Division of Cardiology, Department of Medicine, Unity Health Toronto (St. Joseph's Health Centre), Toronto, Ontario, Canada.

Published: March 2023

Lyme carditis (LC) is a potentially reversible cause of complete atrioventricular (AV) dissociation that rarely requires a permanent pacemaker. The time to resolution is variable, sometimes requiring weeks, making a temporary permanent pacemaker (TPPM) a suitable bridge to recovery. We report on a 31-year-old man with serology-confirmed Lyme disease with complete heart block during the peak of the coronavirus disease 2019 pandemic. A TPPM was implanted and the patient was discharged the following day with regular follow-up in the ambulatory setting. Once 1:1 AV conduction was reestablished, the TPPM was removed. Our case demonstrates that the use of a TPPM for AV-dissociation secondary to LC is a safe and feasible strategy in select individuals which can minimize patient morbidity as well as hospital length of stay and overall health care costs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10044786PMC
http://dx.doi.org/10.19102/icrm.2023.14031DOI Listing

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