Complete Heart Block Due to Lyme Disease

To the Editor: An association of rhythm disturbances with Lyme disease has been described,^{1 2 3 4} but it is not immediately considered in the absence of a characteristic history. A 31-year-old man presented with lethargy and complete heart block, with a sinus rate of 100 bpm and an idioventricular escape rate of 40 bpm but no hemodynamic compromise. There were no signs or symptoms of myocardial ischemia or infarction and no important cardiovascular risk factors. There were no signs or symptoms of myocarditis or congestive heart failure, and there was no evidence of drug ingestion, toxins, thyroid dysfunction, or other usual or…, No extract is available for articles shorter than 400 words.