CLINICAL CASE OF BORRELIOSIS INFECTION AS A POSSIBLE CAUSE OF HEART DAMAGE AND SYNCOPE
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.1.10959Keywords:
Lyme-borreliosis, cardiomyopathy, syncopeAbstract
Manifestations of heart disease in Lyme borreliosis range from asymptomatic or symptomatic electrocardiographic (ECG) changes and heart blockers reversed during treatment to sudden death. Syndrome of weakness of the sinus node as a manifestation of lime-carditis is rare.
The aim of the study – to present a case of syncope due to sinus node dysfunction in patient with Lyme borreliosis.
Materials and Methods. A patient undergoing inpatient treatment at the Cardiology Department of Ternopil University Hospital was examined according to a protocol to assess the condition of the cardiovascular system. Holter monitoring was performed using the ECG-pro electrocardiographic complex (IMESK).
Results. The patient was disturbed by episodes of loss of consciousness, expressed general weakness. Sero-diagnostics revealed specific antibodies to Borrelia afzelii in the amount confirming the presence of infection. During the daily ECG monitoring, a sinus pause of 16 s, which arose in the morning, was recorded.
Conclusions. Symptomatic sinus node dysfunction was diagnosed as a manifestation of Lyme carditis, which required the establishment of a permanent pacemaker.
References
Popovich OO. [Lyme – Borelioz: the modern problem of infectology (clinical lecture)]. Aktualnaya infektologiya. 2016;3: 114-122. Ukrainian. DOI: https://doi.org/10.22141/2312-413x.3.12.2016.81725
Zinchuk OM. [Peculiarities of heart lesion in Lyme-borreliosis]. Suchasni infektsii. 2006;1-2: 14-17. Ukrainian.
Dekonenko EP. [Clinical and epidemiological features of Lyme borreliosis]. Vrach. 2004;2: 24-8. Russian.
Haddad FA, Nadelman RB. Lyme disease and the heart. Front Biosci. 2003;8: 769-82. DOI: https://doi.org/10.2741/1065
Aguero-Rosenfeld ME, Wang G, Schwartz I, Wormser GP. Diagnosis of Lyme borreliosis. Clin Microbiol Rev. 2005;18(3): 484-509. DOI: https://doi.org/10.1128/CMR.18.3.484-509.2005
Surveillance on Lyme disease. Ottawa: Public Health Agency of Canada. - 2017. Available from: www.canada.ca/en/public-health/services/diseases/lyme disease/surveillance-lyme-disease.html (accessed 2018 Feb. 8).
Fuster LS, Gul EE, Baranchuk A. Electrocardiographic progression of acute Lyme disease. Am J Emerg Med. 2017;35: 1040. DOI: https://doi.org/10.1016/j.ajem.2017.02.052
