Lyme Carditis and Inflammation-Driven Plaque Erosion Presenting as Sudden Cardiac Arrest.

IF 0.9 4区 医学
Texas Heart Institute Journal Pub Date : 2025-08-04 eCollection Date: 2025-07-01 DOI:10.14503/THIJ-24-8543
Marco Kaldas, Moneal Shah, Diana Pashaieva, Georgios Lygouris, Anita Radhakrishnan
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引用次数: 0

Abstract

Lyme carditis represents a rare cardiac complication of Borrelia burgdorferi infection, often causing conduction disturbances but rarely causing malignant arrhythmias. Inflammatory acute coronary syndrome, driven by immune-mediated plaque erosion rather than rupture, represents a nontraditional ischemic mechanism. This case highlights their overlap. The case of a previously healthy man with Lyme disease who experienced cardiac arrest because of ventricular tachycardia is reported. Imaging showed myocardial inflammation together with coronary plaque erosion instead of plaque rupture. The patient underwent advanced diagnostic testing and received multidisciplinary medical care, which led to complete cardiac recovery and implantable cardioverter-defibrillator placement.

莱姆性心炎和炎症驱动的斑块侵蚀表现为心脏骤停。
莱姆性心炎是一种罕见的伯氏疏螺旋体感染的心脏并发症,通常引起传导障碍,但很少引起恶性心律失常。炎症性急性冠状动脉综合征,由免疫介导的斑块侵蚀而不是破裂驱动,代表了一种非传统的缺血机制。这个案例突出了两者的重叠。病例以前健康的男子莱姆病谁经历心脏骤停,因为室性心动过速报告。影像学显示心肌炎症伴冠脉斑块糜烂而非斑块破裂。患者接受了先进的诊断测试并接受了多学科的医疗护理,最终心脏完全恢复并植入了心脏转复除颤器。
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来源期刊
Texas Heart Institute Journal
Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
11.10%
发文量
131
期刊介绍: For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor
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