scholarly journals A Case Series of Lyme Carditis with Complete Heart Block

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Rina Shah ◽  
Mitul Kanzaria
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Case Series ◽  
Lyme Carditis

Prenatal diagnosis of congenital complete heart block — A case series

2008 ◽  
Vol 84 ◽  
pp. S153-S154
Author(s):  
Sofia Granja ◽  
Patrícia Costa ◽  
Ana Carriço ◽  
Cláudia Moura ◽  
José Monterroso ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Heart Block ◽  
Complete Heart Block ◽  
Case Series ◽  
Congenital Complete Heart Block

scholarly journals Fetal heart rate tracing interpretation in cases of fetal heart block: A case series

2021 ◽  
Author(s):  
Fuanglada Tongprasert ◽  
Kasemsri Srisupundit ◽  
Suchaya Leuwan ◽  
Kuntharee Traisrisilp ◽  
Phudit Jatavan ◽  
...  
Keyword(s):  
Heart Rate ◽  
Vaginal Delivery ◽  
Fetal Heart Rate ◽  
Heart Block ◽  
Fetal Heart ◽  
Complete Heart Block ◽  
Case Series ◽  
Fetal Surveillance ◽  
Degree Heart Block ◽  
Second Degree

Simple assessment of FHR baseline variability can differentiate second degree heart block (SHB) from complete heart block (CHB). In cases of SHB, antepartum NST can be reliably used for fetal surveillance. Intrapartum assessment of FHR variability as well as accelerations is useful to select cases for safe vaginal delivery

Complete Heart Block Due to Lyme Carditis in Two Pediatric Patients and a Review of the Literature

2007 ◽  
Vol 2 (5) ◽  
pp. 338-341 ◽  
Author(s):  
Eric Silver ◽  
Robert H. Pass ◽  
Stuart Kaufman ◽  
Alan J. Hordof ◽  
Leonardo Liberman
Keyword(s):  
Heart Block ◽  
Pediatric Patients ◽  
Complete Heart Block ◽  
Review Of The Literature ◽  
Lyme Carditis

scholarly journals Emergent pacemaker placement in a patient with Lyme carditis-induced complete heart block and ventricular asystole

2016 ◽  
pp. bcr2016214474 ◽  
Author(s):  
Adam J Brownstein ◽  
Samir Gautam ◽  
Paras Bhatt ◽  
Michael Nanna
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Lyme Carditis ◽  
Pacemaker Placement

scholarly journals Lyme Carditis in Hospitalized Children and Adults, a Case Series

2021 ◽  
Author(s):  
Richard V Shen ◽  
Carol A McCarthy ◽  
Robert P Smith
Keyword(s):  
Lyme Disease ◽  
Heart Block ◽  
Early Recognition ◽  
Erythema Migrans ◽  
Case Series ◽  
Outpatient Setting ◽  
Temporary Pacing ◽  
Lyme Carditis ◽  
Viral Illness ◽  
History Presentation

Abstract Background Lyme carditis is an uncommon manifestation of Lyme disease. This report compares Lyme carditis presentation, management, and outcomes in pediatric and adult populations. Methods Charts of pediatric and adult patients with heart block (PR >300ms) and positive Lyme serologies hospitalized in Portland, Maine between January 2010 and December 2018 were analyzed. Data on medical history, presentation, treatment, and outcomes are described. Results Ten children and 20 adults were admitted for Lyme carditis between June and October. Ninety percent were male, and 87% had no prior cardiac history. Seventeen had outpatient evaluation prior to admission. Of these, a minority (41%) had Lyme disease suspected in the outpatient setting, and fewer (12%) were initiated on Lyme disease treatment. The most common alternate diagnoses were viral illness and erythema multiforme. More children than adults had disseminated erythema migrans and fever. First-degree heart block was more prevalent in children, and Mobitz type 2 heart block was more prevalent in adults. Ten patients presented with syncope. Proportionately more adults needed temporary pacing. Children had shorter antibiotic durations compared to adults. Of the 30 cases, twenty-seven had improved heart block, while 3 adults required a pacemaker at discharge. Nine children and 14 adults were discharged with a PR 200-300ms. There was a single death in this series. Conclusion Cases tended to be younger males. Most patients had some heart block on discharge. Of patients evaluated as outpatients, Lyme disease was suspected in 41%. Improved early recognition and treatment of Lyme disease may decrease Lyme carditis.

scholarly journals Complete Heart Block as a Clinical Feature in Critically Ill Coronavirus Disease 2019 (COVID-19) Patients: A Case Series of Three Cases

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Farook Ahmad ◽  
Priti Gandre ◽  
Julien Nguekam ◽  
Alanna Wall ◽  
ShiYu Ong ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Medical History ◽  
Critically Ill ◽  
Heart Block ◽  
Complete Heart Block ◽  
Case Series ◽  
Coronary Syndrome ◽  
Cardiovascular Morbidity And Mortality ◽  
Hypoxic Respiratory Failure ◽  
New Onset

Background. Novel coronavirus-19 disease (COVID-19) is associated with significant cardiovascular morbidity and mortality. However, there have been very few reports on complete heart block (CHB) associated with COVID-19. This case series describes clinical characteristics, potential mechanisms, and short-term outcomes of critically ill COVID-19 patients complicated by CHB. Case Summary. We present three cases of new-onset CHB in critically ill COVID-19 patients. Patient 1 is a 41-year-old male with well-documented history of Familial Mediterranean Fever (FMF) who required mechanical ventilator support for acute hypoxic respiratory failure from severe COVID-19 pneumonia. He developed new-onset CHB without a hemodynamic derangement but subsequently had acute coronary syndrome complicated by cardiogenic shock. Patient 2 is a 77-year-old male with no past medical history who required intubation for severe COVID-19 pneumonia acute hypoxic respiratory failure. He developed CHB with sinus pause requiring temporary pacing but subsequently developed multiorgan failure. Patient 3 is 36-year-old lady 38 + 2 weeks pregnant, gravida 2 para 1 with no other medical history, who had an emergency Lower Section Caesarean Section (LSCS) as she required intubation for acute hypoxic respiratory failure. She exhibited new-onset CHB without hemodynamic compromise. The CHB resolved spontaneously after 24 hours. Discussion. COVID-19-associated CHB is a very rare clinical manifestation. The potential mechanisms for CHB in patients with COVID-19 include myocardial inflammation or direct viral infiltration as well as other causes such as metabolic derangements or use of sedatives. Patients diagnosed with COVID-19 should be monitored closely for the development of bradyarrhythmia and hemodynamic instability.

scholarly journals 134. A Comparison of Lyme Carditis in Children and Adults, a Case Series

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S95-S95
Author(s):  
Richard V Shen ◽  
Carol A McCarthy ◽  
Robert P Smith
Keyword(s):  
Lyme Disease ◽  
Heart Block ◽  
Erythema Migrans ◽  
Case Series ◽  
Adult Patients ◽  
Male Predominance ◽  
Temporary Pacing ◽  
Lyme Carditis ◽  
Viral Illness ◽  
History Presentation

Abstract Background Lyme disease is a common entity in Maine, and Lyme carditis is an uncommon manifestation of this disease. This case series describes and compares the presentation, management, and outcomes of Lyme carditis in pediatric and adult populations. Methods Charts of pediatric and adult patients with heart block and positive Lyme serologies hospitalized in Portland, Maine between January 2010 and December 2018 were analyzed. Data on medical history, presentation, treatment, and outcomes are described. Results Ten children (range 7–17, mean 12.4 years) and 20 adults (range 22–81, mean 41.4 years) were admitted for Lyme carditis in the examined period. All cases presented between June and October. Twenty-seven (90%) were male, and 26 (87%) had no prior cardiac history. Of the adults, 1 (5%) reported using cocaine, 4 (20%) opioids, and 6 (30%) marijuana. Seventeen (57%) had outpatient evaluation prior to admission. Ten patients (59%) were not recognized as having Lyme disease. One case suspected to have Lyme was not initially treated with doxycycline. The most common alternative diagnoses were a viral illness and erythema multiforme. No coinfections were noted. Proportionately more children than adults had disseminated erythema migrans (40% vs. 20%) and fever (60% vs. 35%). First degree heart block was more prevalent in children (40%), and Mobitz type 2 heart block was more prevalent in adults (55%). Ten patients (30%) presented with syncope. More adults than children needed temporary pacing, 9 (45%) vs. 2 (20%). Children had shorter antibiotic durations compared with adults (mean 19.8 days vs. 23.6 days) Twenty-seven (90%) had improved heart block. Three adult patients (10%) required a pacemaker following hospitalization. Nine (90%) children and 14 (70%) adults were discharged with a PR 200-300ms. There was a single death in this series, which occurred after discharge to another state. Conclusion Cases tended to be in younger patients with male predominance. Most patients still had some degree of heart block on discharge. The majority of patients were evaluated prior to hospitalization but Lyme disease was suspected in only 41%. Improved recognition of early Lyme disease and more prompt treatment may lead to decreased complications of Lyme carditis. Disclosures All authors: No reported disclosures.

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