Pacemaker Explantation in Patients With Lyme Carditis

Rachel Wamboldt; Chang Nancy Wang; Jennifer C Miller; Andres Enriquez; Cynthia Yeung; Sanoj Chacko; Melanie Foisy; Adrian Baranchuk

doi:10.1016/j.jaccas.2022.02.012

Pacemaker Explantation in Patients With Lyme Carditis

JACC Case Rep. 2022 May 18;4(10):613-616. doi: 10.1016/j.jaccas.2022.02.012.

Authors

Rachel Wamboldt¹, Chang Nancy Wang², Jennifer C Miller³, Andres Enriquez¹, Cynthia Yeung², Sanoj Chacko¹, Melanie Foisy¹, Adrian Baranchuk¹

Affiliations

¹ Division of Cardiology, Kingston Health Science Center, Queen's University, Kingston, Ontario, Canada.
² Department of Internal Medicine, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada.
³ Galaxy Diagnostics, Inc. Research Triangle Park, Morrisville, North Carolina, USA.

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.).

Keywords: AV block; AV, atrioventricular; IDSA, International Diseases Society of America; IV, intravenous; LC, Lyme carditis; Lyme carditis; Lyme disease; PPM, permanent pacemaker; SILC, Suspicious Index in Lyme Carditis; pacemaker.

Publication types

Case Reports