Abstract
Permanent pacemakers should not be part of the treatment algorithm for Lyme carditis (LC), as LC is a transient cause of high-degree atrioventricular (AV) block that should resolve after 5–10 days of intravenous antibiotics. If LC is not suspected by the treating physicians, the patient may undergo the unnecessary implantation of a permanent pacemaker. If the diagnosis of LC is confirmed after permanent pacemaker implantation, the pacemaker may be safely explanted within the first year as long as the patient has completed a three-week course of antibiotics, no evidence of ventricular pacing on interrogation, and a stress-test confirming 1:1 AV conduction during exercise.
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Wamboldt, R., Chacko, S., Baranchuk, A. (2023). Considerations for Permanent Pacemaker Explantation in Resolved Lyme Carditis. In: Baranchuk, A., Wamboldt, R., Wang, C.N. (eds) Lyme Carditis. Springer, Cham. https://doi.org/10.1007/978-3-031-41169-4_13
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DOI: https://doi.org/10.1007/978-3-031-41169-4_13
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