Pacemaker Explantation in Patients With Lyme Carditis
Rachel Wamboldt, Chang Nancy Wang, Jennifer C. Miller, Andrés Enríquez, Cynthia Yeung, Sanoj Chacko, Melanie Foisy, Adrián Baranchuk
Abstract
Early recognition of Lyme carditis is critical to preventing unnecessary pacemaker implantation for conduction abnormalities associated with this tick-born infection. Patients who do receive a pacemaker should be considered for device extraction after the completion of their antibiotic therapy if they recover normal atrioventricular node conduction. (Level of Difficulty: Intermediate.)
Topics & Concepts
MedicineCarditisLyme diseaseCardiologyPermanent pacemakerInternal medicineLYMEAtrioventricular nodeSurgeryTachycardiaVirologyDiseaseBorrelia burgdorferiImmunologyAntibodyVector-borne infectious diseasesCardiovascular Effects of ExerciseInsect and Pesticide Research