Lyme Carditis Presenting With Complete Heart Block and Wide Complex Escape Rhythm

Zaid, Jordan; Lingel, Justin M; Scheinthal, Eitan; Foster, Mary H.; Ragupathi, Loheetha; Russo, Andrea M.

doi:10.14503/thij-20-7515

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Clinical studies show evidence of persistent B. burgdorferi infection in humans [ 34 , 35 , 36 ]. Although there are some overlapping symptoms of CLD and acute Lyme disease, including pain, polyradiculoneuropathy [ 37 ] fatigue, and sleep disturbance [ 38 ], CLD causes some symptoms that differentiate it from acute Lyme disease, including functional and structural brain abnormalities [ 39 ], cognitive impairment [ 13 , 40 ], neuroborreliosis [ 14 ], musculoskeletal and neurological morbidity, vision impairment [ 41 ], depression [ 9 , 42 ] (which can lead to suicide) [ 43 ], cardiac issues (including Lyme carditis) [ 44 , 45 ], gastrointestinal issues [ 46 , 47 ], joint pain, and Lyme arthritis [ 48 , 49 ]. The number of Lyme disease patients with lingering symptoms in the US was projected to be as high as 1,944,189 in 2020 [ 50 ].…”

Section: Introductionmentioning

confidence: 99%

Medical Gaslighting and Lyme Disease: The Patient Experience

Fagen,

Shelton,

Luché-Thayer

2023

Healthcare

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Even though there are approximately half a million new cases of Lyme disease in the US annually, according to the CDC, it is often undiagnosed or misdiagnosed, which can result in a chronic, multisystemic condition. Lyme disease is a recognized public health threat and is a designated “notifiable disease”. As such, Lyme disease is mandated to be reported by the CDC. Despite this, both acute and chronic Lyme disease (CLD) have been relegated to the category of “contested illnesses”, which can lead to medical gaslighting. By analyzing results from an online survey of respondents with Lyme disease (n = 986), we elucidate the lived experiences of people who have been pushed to the margins of the medical system by having their symptoms attributed to mental illness, anxiety, stress, and aging. Further, respondents have had their blood tests and erythema migrans (EM) rashes discounted and were told that CLD simply does not exist. As a result, a series of fruitless consultations often result in the delay of a correct diagnosis, which has deleterious consequences. This is the first study that addresses an extensive range of gaslighting techniques experienced by this patient population.

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Section: Introductionmentioning

confidence: 99%

Medical Gaslighting and Lyme Disease: The Patient Experience

Fagen,

Shelton,

Luché-Thayer

2023

Healthcare

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Highlighting Infranodal Block in Lyme Carditis

Wamboldt

Baranchuk

2022

Texas Heart Institute Journal

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Associations of Atrioventricular Blocks and Other Arrhythmias in Patients with Lyme Carditis: A Systematic Review and Meta-Analysis

Javed,

Sklyar,

Bella

2024

JCDD

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Lyme disease often leads to cardiac injury and electrophysiological abnormalities. This study aimed to explore links between atrioventricular blocks and additional arrhythmias in Lyme carditis patients. This systematic review and meta-analysis of existing literature was performed from 1990 to 2023, and aimed to identify cases of Lyme carditis through serology or clinical diagnosis with concomitant arrhythmias. Pubmed and Web of Science were searched using appropriate MESH terms. Patients were divided into groups with atrioventricular blocks and other arrhythmias for cardiovascular (CV) outcome assessment. A total of 110 cases were analyzed. The majority (77.3%) were male, with mean age = 39.65 ± 14.80 years. Most patients presented within one week of symptom onset (30.9%). Men were more likely to have first-degree atrioventricular blocks (OR = 1.36 [95% CI 1.12–3.96], p = 0.01); these blocks tended to be reversible in nature (OR = 1.51 [95% CI 1.39–3.92], p = 0.01). Men exhibited a higher likelihood of experiencing variable arrhythmias (OR = 1.31 [95% CI 1.08–2.16], p < 0.001). Ventricular and supraventricular arrhythmias were more likely to exhibit instability (OR = 0.96 [95% CI 0.81–1.16] p = 0.01) and variability (OR = 1.99 [95% CI 0.47–8.31], p < 0.001). Men with Lyme carditis are likely to present with various atrioventricular blocks. These atrioventricular blocks are benign, and follow a predictable and stable clinical course. Further large-scale studies are warranted to confirm these associations.

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Lyme Carditis Presenting With Complete Heart Block and Wide Complex Escape Rhythm

Cited by 3 publications

References 15 publications

Medical Gaslighting and Lyme Disease: The Patient Experience

Medical Gaslighting and Lyme Disease: The Patient Experience

Highlighting Infranodal Block in Lyme Carditis

Associations of Atrioventricular Blocks and Other Arrhythmias in Patients with Lyme Carditis: A Systematic Review and Meta-Analysis

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