All Posts Tagged With: "temporary pacing"

Lyme Carditis in Children Usually Transient but Can Be Life Threatening

By on Mar 13, 2010 in Infections | comments(0)

Linda’s comments:  Lyme Carditis in children is not getting the attention it should be getting.  Makes me wonder how many of the athletes who drop dead in their sport isn’t suffering from Lyme Carditis and have been grossly mis-diagnosed??

For those with children with Lyme disease, please read this carefully.  Listen to symptoms and don’t ignore what perhaps a conventional has mis-diagnosed.  Reducing our children’s total body of burden and pathogens is something that parents have to take control of.  It is more critical in teens, who most of the time will not listen….It will help you to lessen your fears (that we all know most teens have a terrible diet) by getting them on a detox protocol with healthy support of their bodies.
 
Regards,
Linda or Angel
Excerpt:

NEW YORK (Reuters Health) May 01 – Manifestations of Lyme carditis in children can range from asymptomatic first-degree heart block to fulminant myocarditis, physicians at Harvard Medical School report in the May issue of Pediatrics. Data from their case series indicate that older age, arthralgia, and cardiopulmonary symptoms were independent predictors of carditis in pediatric patients with early disseminated Lyme disease. Continued

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Lyme Carditis in Children Usually Transient but Can Be Life Threatening

By on Dec 6, 2009 in General News, Infections | comments(0)

Lyme Carditis in Children Usually Transient but Can Be Life Threatening

NEW YORK (Reuters Health) May 01 – Manifestations of Lyme carditis in children can range from asymptomatic first-degree heart block to fulminant myocarditis, physicians at Harvard Medical School report in the May issue of Pediatrics. Data from their case series indicate that older age, arthralgia, and cardiopulmonary symptoms were independent predictors of carditis in pediatric patients with early disseminated Lyme disease.

In untreated Lyme disease, signs and symptoms of early dissemination may manifest within weeks to months of a tick bite, Dr. John M. Costello and co-investigators note. To characterize the clinical course of Lyme carditis in children, they reviewed cases of 207 children treated between 1994 and 2008 for early disseminated Lyme disease.

Records showed that 33 (16%) had carditis, along with a wide range of systemic involvement. According to the Boston-based research team, only one patient presented with isolated carditis and no erythema migrans or noncardiac systemic manifestations. Duration of hospitalization ranged from 1 to 13 days, and there were no deaths.

Fourteen patients had advanced heart block, including 9 with complete block, but recovery of sinus rhythm took no more than 7 days.

In addition, among the 33 patients with carditis, 4 had depressed ventricular systolic function and 3 of them required mechanical ventilation, temporary pacing, and inotropic support.

Analysis showed that significant independent predictors of Lyme carditis were age over 10 years (adjusted odds ratio 8.3), arthralgias (OR 5.8), and cardiopulmonary symptoms (OR 76.8). Sensitivity and specificity of cardiopulmonary symptoms for Lyme carditis were 42% and 99%, respectively.

Of 27 patients for whom follow-up data were available, complete recovery occurred in 24. One patient had ongoing second-degree atriventricular block at 2.7 years. The other 2 patients had improved but still had mildly prolonged PR intervals at short-term follow-up.

Thus, Dr. Costello’s group states, “A full recovery should be expected with supportive care and antibiotic therapy.” However, they point out that 6 patients had prolonged corrected QT intervals and advise physicians “to avoid drugs that prolong the QT interval in these patients until the electrocardiogram has normalized.”

Pediatrics 2009;123:e835-e841.

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