open access

Vol 66, No 4 (2008)
Other
Published online: 2008-04-24
Submitted: 2012-12-28
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Case report
Lyme carditis presenting as acute coronary syndrome: a case report

Paweł Rostoff, Ewa Konduracka, Nader El Massri, Andrzej Gackowski, Paweł Kruszec, Krzysztof Żmudka, Wiesława Piwowarska
Kardiol Pol 2008;66(4):420-425.

open access

Vol 66, No 4 (2008)
Other
Published online: 2008-04-24
Submitted: 2012-12-28

Abstract

A case of a 26-year-old man with Lyme carditis (LC) mimicking acute coronary syndrome is presented. Considering clinical presentation, electrocardiographic findings and markedly elevated levels of cardiac biomarkers, emergency coronary angiography was performed and revealed normal coronaries. Ventricular arrhythmias of Lown grade IVb during catheterization were recorded. Echocardiography showed mild global left ventricular dysfunction with ejection fraction of 50%. The diagnosis of LC was confirmed by ELISA and Western blot serologic testing. After 21 days of continuous antibiotic therapy with ceftriaxone (2.0 g/d) the patient recovered completely. We also present the current state of knowledge on the cardiovascular aspects of Lyme borreliosis.

Abstract

A case of a 26-year-old man with Lyme carditis (LC) mimicking acute coronary syndrome is presented. Considering clinical presentation, electrocardiographic findings and markedly elevated levels of cardiac biomarkers, emergency coronary angiography was performed and revealed normal coronaries. Ventricular arrhythmias of Lown grade IVb during catheterization were recorded. Echocardiography showed mild global left ventricular dysfunction with ejection fraction of 50%. The diagnosis of LC was confirmed by ELISA and Western blot serologic testing. After 21 days of continuous antibiotic therapy with ceftriaxone (2.0 g/d) the patient recovered completely. We also present the current state of knowledge on the cardiovascular aspects of Lyme borreliosis.
Get Citation

Keywords

Lyme borreliosis; Lyme carditis; Borrelia burgdorferi; cardiovascular symptoms

About this article
Title

Case report
Lyme carditis presenting as acute coronary syndrome: a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 4 (2008)

Pages

420-425

Published online

2008-04-24

Bibliographic record

Kardiol Pol 2008;66(4):420-425.

Keywords

Lyme borreliosis
Lyme carditis
Borrelia burgdorferi
cardiovascular symptoms

Authors

Paweł Rostoff
Ewa Konduracka
Nader El Massri
Andrzej Gackowski
Paweł Kruszec
Krzysztof Żmudka
Wiesława Piwowarska

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