Verlengde QT Tijd hart

[Henriëtte]

Zo herken je een stil hartinfarct:

https://www.margriet.nl/fitengezond/ove ... term=a_247

Henriëtte

[Henriëtte]

Holter onderzoek;

https://www.hartstichting.nl/medisch-on ... ronderzoek

Henriëtte

[Henriëtte]

NCBI 2016; Lyme Carditis, Important Features and Recommendations Regarding Lyme Disease

We present a case report of 46-year-old man with no medical history, who complained of extreme fatigue, near-syncope, and palpitations. He initially presented in complete heart block. A transvenous pacemaker was placed in the emergency department, and he was started empirically on Ceftriaxone for Lyme disease. He was admitted and over the course of the next few days, his rhythm regressed to Mobitz type I first-degree atrioventricular block and then to normal sinus rhythm. This case report highlights some important features regarding Lyme carditis, a rare presentation of early disseminated Lyme disease (seen in a few weeks to months after the initial tick bite). In 25%-30% of patients, the characteristic targetoid rash may not be seen, a likely culprit of the disease not being detected early and progressing to disseminated disease. The most common cardiac complaint of Lyme disease is palpitations, occurring in 6.6% of patients, which may not accurately reflect progression into disseminated Lyme disease because it is a nonspecific finding. Conduction abnormality, occurring in 1.8% of patients, is a more specific finding of Borrelia invading cardiac tissue. Finally, this case report highlights a recommendation that patients with confirmed Lyme disease or those presenting with cardiac abnormalities or symptoms who have an atypical profile for a cardiac event should be screened with a 12-lead electrocardiogram, Lyme serology, and be considered for antibiotic therapy with the possibility of temporary pacing.

Henriëtte

[Henriëtte]

Hartaandoeningen


De meest voorkomende afwijking van het hart is een Lyme-carditis (hartspierontsteking) met een stoornis in het geleidingssysteem tussen de boezems en de kamers en/of hartritmestoornissen. Wanneer de geleiding ernstig is gestoord, kan een trage hartslag ontstaan, waardoor de patiënt kan flauwvallen en last van benauwdheid kan krijgen, ook hartfalen en zogenoemde ‘angineuze klachten’ (pijn op de borst) kunnen het gevolg zijn.

https://lymevereniging.nl/lyme/symptomen/

Henriëtte

[Henriëtte]

Three children with Cardiac Manifestations of Lyme Disease - Dr. David Cameron - jan. 2018;

http://danielcameronmd.com/lyme-hangout ... e-disease/

Henriëtte

[Henriëtte]

What you need to know about Lyme carditis;

Lyme carditis occurs when Lyme disease bacteria enter the tissues of the heart. This can interfere with the normal movement of electrical signals from the heart’s upper to lower chambers, a process that coordinates the beating of the heart. The result is something physicians call “heart block,” which can be mild, moderate, or severe. Heart block from Lyme carditis can progress rapidly.

https://www.cdc.gov/lyme/signs_symptoms ... ditis.html

Henriëtte

[Henriëtte]

What might sudden cardiac death due to Lyme disease look like?

Fatal Lyme carditis is rarely identified. In reviewing five post mortem cases, Muehlenbach and colleagues found that Lyme disease was not suspected for one patient who complained of episodic shortness of breath, while the second patient tested negative for Lyme disease. Two other patients did not seek medical care. Details regarding the fifth patient were not released.

Autopsies reveal several findings

Spirochetes were present in the heart on all 5 cases. When using immunohistochemistry (IHC), spirochetes were found “within the myocardial interstitial infiltrates, in the subendocardium, and occasionally in pericardial tissue in association with lymphohistiocytic infiltrates.” Muehlenbachs adds, “Rare spirochetes were seen in the leptomeninges of two cases by immunohistochemistry.”

Only 1 of the 5 cases underwent serologic screening for Lyme disease and the results were negative.

http://danielcameronmd.com/autopsy-stud ... e-disease/

Henriëtte

[Henriëtte]

Signs symptoms Lyme Carditis;

What is Lyme carditis, and what are the symptoms?

Lyme carditis occurs when Lyme disease bacteria enter the tissues of the heart. This can interfere with the normal movement of electrical signals from the heart’s upper to lower chambers, a process that coordinates the beating of the heart. The result is something physicians call “heart block,” which can be mild, moderate, or severe. Heart block from Lyme carditis can progress rapidly.

Can Lyme carditis be fatal?

Yes, between 1985 and 2018, nine cases of fatal Lyme carditis have been reported in the medical literature.

https://www.cdc.gov/lyme/signs_symptoms ... ditis.html

Met betrekking tot de cijfertjes die het CDC publiceert over een fatale afloop door Lyme Carditis ben ik toch zeer sceptisch.

Henriëtte

[Henriëtte]

Lyme carditis causes complete heart block in 26-year-old man;

“Lyme carditis is a dreaded complication of disseminated Lyme disease and is caused by direct cardiac invasion by spirochetes,” he states.

http://danielcameronmd.com/lyme-carditi ... r-old-man/

Henriëtte

[Henriëtte]

Lyme carditis; Hartklachten bij de ziekte van Lyme;

Hoe herken ik Lyme carditis?

De meest voorkomende aandoening aan het hart door Lyme is Lyme carditis. Ook wel bekend als een hartspierontsteking. Dit kan gepaard gaan met:

hartritmestoornissen,
trage hartslag, waardoor u kan flauwvallen en last van benauwdheid kan krijgen,
hartfalen,
pijn op de borst

https://www.innatoss.com/nl/lyme/sympto ... -carditis/

Henriëtte