Peroperative cardiogenic shock suggesting acute coronary syndrome as initial manifestation of Lyme carditis

Peroperative cardiogenic shock suggesting acute coronary syndrome as initial manifestation of Lyme carditis

Abstract Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart fai...

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Bibliographic Details
Published in:Journal of clinical anesthesia Vol. 35; pp. 430 - 433
Main Authors: Clinckaert, C, Bidgoli, S, Verbeet, T, Attou, R, Gottignies, P, Massaut, J, Reper, P
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-12-2016
Elsevier Limited
Subjects:
Acute Coronary Syndrome
Acute coronary syndromes
Anesthesia
Anesthesia & Perioperative Care
Arrhythmias, Cardiac - complications
Arrhythmias, Cardiac - microbiology
Borrelia
Cardiac arrhythmia
Coronary
Diagnosis, Differential
Electrocardiography
Enzymes
Heart block
Heart failure
Humans
Lyme disease
Lyme Disease - complications
Male
Middle Aged
Myocarditis
Myocarditis - complications
Myocarditis - microbiology
Pain Medicine
Patients
Perioperative Period
Shock, Cardiogenic - complications
Shock, Cardiogenic - microbiology
Steroids
Belgium
United States > US
Heart failure
Myocarditis
Lyme disease
Anesthesia
Coronary
Heart block
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Description
Summary:Abstract Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arrhythmias as initial manifestation of a Lyme disease developing peroperatively electrocardiographic abnormalities suggesting acute transmural myocardial infarction.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ObjectType-Article-1
ObjectType-Feature-2
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2016.08.005