Full Description
This book provides valuable tools for the appropriate diagnosis and management of Lyme carditis. It includes epidemiological, pathophysiological and clinical recommendations for the identification, confirmation and management of the disease. With one score that currently facilitates diagnosing Lyme carditis when patients present with undiagnosed complete heart block (the "SILC Score"), a rapid recognition of Lyme carditis as the cause of conduction disorders is essential to allow early treatment with IV antibiotics with a high probability of complete resolution and avoiding unnecessary pacemaker implantation.
Lyme carditis: From A to Z provides a clinical algorithm to facilitate management, pre-discharge evaluations of the conduction system and long-term follow-up of patients properly treated for Lyme carditis. It provides a proven approach to patients implanted with cardiac devices and in whom Lyme carditis is subsequently diagnosed, while it also explores the possibility of Lyme dilated cardiomyopathy as a chronic manifestation of Lyme disease. This book therefore represents an original and unique resource that sheds light on an important topic of discussion in many endemic regions of the world.
Contents
Introduction.- Lyme disease epidemiology: Update 2022.- Etiopathogenesis of Lyme disease.- Classification of Lyme disease stages.- Physiopathology of early disseminated Lyme carditis.- Clinical manifestations of early disseminated Lyme carditis.- The "SILC" score: Differential diagnosis of unexpected AV block.- Diagnosis and management of Lyme carditis.- Temporary-permanent pacing in Lyme carditis.- Management of Lyme myocarditis.- Lyme carditis in the pediatric population.- Early disseminated Lyme carditis Long-Term Follow-up.- Considerations for permanent pacemaker extraction in resolved Lyme carditis.- Modelling late dissemination Lyme carditis.- Into the future: Strategies for the next 5-10 years.
