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2779425 
Journal Article 
Lyme carditis: important cause of reversible heart block 
Mcalister, HF; Klementowicz, PT; Andrews, C; Fisher, JD; Furman, S; Et al 
1989 
Yes 
Annals of Internal Medicine
ISSN: 0003-4819
EISSN: 1539-3704 
IPA/89/861012 
Intern 
REF 48 
339-345 
English 
IPA COPYRIGHT: ASHP The therapy of endocarditis due to Lyme disease is described in 4 male patients, aged 33-65 yr, who were treated with various dosages and schedules of tetracycline, penicillin, or ceftriaxone. Two patients had permanent pacemakers implanted and another almost did, before diagnosis. All 4 patients had a return to normal sinus rhythm, although one had Wenckebach second degree block with atrial pacing at 120 beats/min 16 months after therapy. A review of the incidence, symptoms, pathophysiology and treatment of Lyme endocarditis was included.