Emergent pacemaker placement in a patient with Lyme carditis-induced complete heart block and ventricular asystole. (20th May 2016)

• Record Type: Journal Article
• Authors: Brownstein, Adam J; Gautam, Samir; Bhatt, Paras; Nanna, Michael
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-05-20
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-214474
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We report a case of a 31-year-old man who presented to the emergency department after four episodes of syncope within a 24 h time span. He was found to have symptomatic complete heart block associated with episodes of ventricular asystole lasting 5–6 s. He underwent emergent permanent pacemaker insertion during which he was found to have no underlying rhythm. He was later found to have positive serologies for Lyme disease despite no known exposure to ticks and neither signs nor symptoms of the disease. The pacemaker was ultimately removed due to resolution of his heart block with antibiotic therapy.