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Another Lyme Carditis Case

In their case review, Patel et al. demonstrate the involvement of mitral valve involvement and widespread conduction disease in a patient with Lyme carditis. The authors describe a 59-year-old man with 1) severe mitral regurgitation, 2) a dilated left atrium, 3) suspected ischemic disease, and 4) the presence of a combination of first-degree AV block, atrial flutter, and atrial fibrillation. Endocarditis was ruled out with culture. Ischemic disease was ruled out with right and left cardiac catheterization.