Transcription of Cardiac Manifestations of Lyme Disease
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Cardiac Manifestations of Lyme Disease
339 VOLUME 93 NO. 11 NOVEMBER 2010 Cardiac Manifestations of lyme DiseaseThomas J. Earl, MD CASE 1A 15-year old man with no signifi-cant medical history presented to theemergency department following twoepisodes of syncope. He was in his usualstate of good health until earlier on theday of admission when he awoke with asevere headache, shortly followed by asyncopal episode with brief loss of con-sciousness. Later that same day, he expe-rienced a second syncopal episode andsubsequently sought medical arrival to the emergency depart-ment, he was afebrile and hemodynami-cally stable. Physical examination was no-table for irregular and bradycardic heartsounds without murmurs, rubs, or (ECG) (Figure 1) re-vealed complete heart block with a narrowQRS complex.
339 VOLUME 93 NO. 11 NOVEMBER 2010 Cardiac Manifestations of Lyme Disease Thomas J. Earl, MD CASE 1 A 15-year old man with …
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