van der Linde, "Lyme carditis: clinical characteristics of 105 cases," Scandinavian Journal of Infectious Diseases, vol.
Schlapfer, "Atrial fibrillation, complete atrioventricular block and escape rhythm with bundle-branch block morphologies: an exceptional presentation of Lyme carditis," International Journal of Cardiology, vol.
Here is a case of a 45-year-old gentleman who presented with left sided chest pain, biomarkers, and electrocardiographic findings consistent with myocardial infarction who was later diagnosed with Lyme carditis. Diagnosis of Lyme carditis can be difficult as the disease can present in a variety of ways.
Lyme carditis is an uncommon cause of a comparatively common hospital presentation of acute myocardial infarction.
Mead, "Third-degree heart block associated with lyme carditis: review of published cases," Clinical Infectious Diseases, vol.
Schulz et al., "Cardiac tropism of Borrelia burgdorferi: an autopsy study of sudden cardiac death associated with Lyme carditis," American Journal of Pathology, vol.
Although Lyme carditis usually is present in conjunction with other features of the disease, such as erythema migrans, arthritis, or neurologic disease, it can be observed independently (8).
This report describes three new cases of sudden cardiac death associated with Lyme carditis. The decedents were aged 26 to 38 years and lived in high-incidence Lyme disease areas.
Pathologists and medical examiners should be aware that Lyme carditis can be a cause of sudden cardiac death.
Fatal Lyme carditis and endodermal heterotopia of the atrioventricular node.