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Case Reports
. 2016 Dec;35:430-433.
doi: 10.1016/j.jclinane.2016.08.005. Epub 2016 Oct 18.

Peroperative Cardiogenic Shock Suggesting Acute Coronary Syndrome as Initial Manifestation of Lyme Carditis

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Case Reports

Peroperative Cardiogenic Shock Suggesting Acute Coronary Syndrome as Initial Manifestation of Lyme Carditis

C Clinckaert et al. J Clin Anesth. .

Abstract

Carditis can complicate Lyme disease in an estimated <5% of cases, and cardiogenic shock and severe cardiac arrhythmias are described with electrocardiographic abnormalities that could be suggestive of coronary manifestations. We report a case of severe persistent biventricular heart failure complicated by cardiac arrhythmias as initial manifestation of a Lyme disease developing peroperatively electrocardiographic abnormalities suggesting acute transmural myocardial infarction.

Keywords: Anesthesia; Coronary; Heart block; Heart failure; Lyme disease; Myocarditis.

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