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Can we avoid using a pacemaker for Lyme carditis with high-degree AV block?
A pacemaker implantation is typically an effective treatment for patients with high-degree atrioventricular (AV) block due to Lyme carditis (LC). “However, the AV block in LC may revert back to normal conduction and usually resolves within the first 10 days of antibiotic administration,” says Yeung from Queen’s University in Kingston, Ontario. [1] “If the AV block in LC is indeed transient, then a permanent pacemaker is not indicated.”
