Can we avoid using a pacemaker for Lyme carditis with high-degree AV block?
Avoiding pacemaker implantation in Lyme carditis prevents young patients from decades of device complications, generator replacements, and cumulative healthcare costs. The SILC score (Suspicious Index in Lyme Carditis) helps clinicians identify which patients have reversible heart block from Lyme disease rather than permanent cardiac disease. When Lyme carditis is recognized early, temporary pacing and antibiotics […]
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