Author/Editor		Pikelj-Pečnik, Andreja
Title		Elektrokardiografske spremembe pri bolnikih z erithema migrans
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2000
Volume		str. 52
Language		slo
Abstract		Lyme borreliosis is most frequently spread by tick's bites and is the most common zoonosis discovered in our country at the incidence rate of 137/100.000. It is caused by a bacteria called spirochete of Borrelia burgdorferi group sensu lato. Local infections can be followed by dissemination of spirochetes with concomitantly non-obligatory systemic disturbances in any organ including the heart. A heart disease can be registered as a conduction disturbances, as heart rhythm disorders, as myocarditis, as pericarditis or as dilatative cardiomyopathy. The most frequent manifestation of the Lyme carditis is heart conduction disturbances unrecognized by the patients. The research was aimed to establish electrocardiographic abnormalities in patients with erythema migrans and subsequently to discover eventual early comorbidity of the heart, wich is known and typical for disseminated borreliosis. In comparison with the clinical observations, this research offered unexpectedly poor results. The ECG changes were rare and almost did not differ in size and frequency from the outcomes obtained in the healthy control group. Thus, we may conclude that the borrelia heart disease in early- localized infection is very rare or almost unlikely.
Descriptors		ERYTHEMA CHRONICUM MIGRANS ELECTROCARDIOGRAPHY LYME DISEASE BORRELIA BURGDORFERI HEART DISEASES ARRHYTHMIA MYOCARDITIS CARDIOMYOPATHY, CONGESTIVE HEART BLOCK